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Sample records for chad

  1. Chad.

    1988-08-01

    Focus in this discussion of Chad is on the following: geography; the people; history; government and political conditions; the economy; foreign relations; and relations between Chad and the US. In 1987 the population was estimate to be 4.5 million with an annual growth rate of 2.5%. Chad is the largest country of former French Equatorial Africa. There are more than 200 ethnic groups in Chad. Ancient Arab manuscripts and modern archeological investigations document that well-developed societies flourished around Lake Chad over 1000 years ago. The French first penetrated Chad in 1891, establishing their authority through military expeditions. In 1959, the territory of French Equatorial Africa was dissolved and 4 states -- Gabon, the Central African Republic, Congo (Brazzaville), and Chad -- became autonomous members of the French Community. In 1960, Chad became an independent nation under its 1st president, Francois Tombalbaye. The Chadian government, announced in October 1982, is organized according to the Fundamental Act proclaimed by the Command Council of the Armed Forces of the North (CCFAN). The act provides for a president and head of state, a Council of Ministers, and a 30-member National Consultative Council. President Habre has sought to bring about national reconciliation by winning the allegiance of Chad's disaffected groups. He has offered any opponents or exiles who want to rejoin the Chadian polity the opportunity to do so without fear of recrimination or punishment. The primary political vehicle for the Habre government, the National Union for Independence and Revolution (UNIR), was established in June 1984, and efforts are underway to enlist members into UNIR and establish committees from the village and block level through regional committees. Most of the population earns their living from subsistence agriculture, fishing, and stock raising, with past Chadian participation in these essentially subsistence activities reaching 96%. Cotton has

  2. Lake Chad, Chad, Africa

    1992-01-01

    Hydrologic and ecologic changes in the Lake Chad Basin are shown in this Oct 1992 photograph. In space photo documentation, Lake Chad was at its greatest area extent (25,000 sq. km.) during Gemini 9 in June 1966 (see S66-38444). Its reduction during the severe droughts from 1968 to 1974 was first noted during Skylab (1973-1974). After the drought began again in 1982, the lake reached its minimum extent (1,450 sq. km.) in Space Shuttle photographs taken in 1984 and 1985. In this STS-52 photograph, Lake Chad has begun to recover. The area of the open water and interdunal impoundments in the southern basin (the Chari River Basin) is estimated to be 1,900 to 2100 sq. km. Note the green vegetation in the valley of the K'Yobe flow has wetted the northern lake basin for the first time in several years. There is evidence of biomass burning south of the K'Yobe Delta and in the vegetated interdunal areas near the dike in the center of the lake. Also note the dark 'Green Line' of the Sahel (the g

  3. Instability in Chad

    Ploch, Lauren

    2008-01-01

    ...) and the Darfur region of Sudan have fled violence in their own countries and now live in refugee camps in eastern Chad With Chadian security forces stretched thin, the threat of bandit attacks...

  4. CHAD User's Guide: Extracting Human Activity Information from CHAD on the PC

    User manual that includes tutorials, what's inside the CHAD databases, background on individuals studies in CHAD, using data form individual studies, caveats, problems, notes, and database design and development.

  5. Water resources of the Chad Basin Region

    Franklyn R. Kaloko

    2013-07-01

    Full Text Available River basin development is seen as a very effective means of improving agricultural productivity. In the Chad Basin area of the Sahelian Zone of the West African Sub-Region, the water resources have been harnessed to ensure viable agricultural programmes for Nigeria. However,the resultant successes have met by many problems that range from physical to socio-economic and of which water losses have been the most threatening. The study has called for the use of Hexa.deconal (C1-OH film on the water surface of the Chad as a means of reducing evaporation.

  6. A climate trend analysis of Chad

    Funk, Christopher C.; Rowland, Jim; Adoum, Alkhalil; Eilerts, Gary; White, Libby

    2012-01-01

    This brief report, drawing from a multi-year effort by the U.S. Agency for International Development (USAID) Famine Early Warning Systems Network (FEWS NET), identifies significant decreases in rainfall and increases in air temperature across Chad, especially in the eastern part of the country. These analyses are based on quality-controlled station observations. Conclusions:* Summer rains have decreased in eastern Chad during the past 20 years. * Temperatures have increased by 0.8 °Celsius since 1975, amplifying the effect of droughts. * Crop yields are very low and stagnant. * The amount of farmland per person is low, and decliningrapidly.* Population growth combined with stagnating yieldscould lead to a 30 percent reduction in per capita cereal production by 2025.* In many cases, areas with changing climate are coincident with zones of substantial conflict, indicating some degree of association; however, the contribution of climate change to these conflicts is not currently understood.

  7. The Consolidated Human Activity Database — Master Version (CHAD-Master) Technical Memorandum

    This technical memorandum contains information about the Consolidated Human Activity Database -- Master version, including CHAD contents, inventory of variables: Questionnaire files and Event files, CHAD codes, and references.

  8. Conflict and the women of Chad.

    Sy, A D

    1993-06-01

    Chad was used as an example of how women and children were the most affected during national and international conflicts. The conditions of women before and during the conflict were described. Chad has been a country involved in a war provoked by psychological differences between the way of life, economic activity, and culture of Arab Muslims who are nomadic pastoralists, and Animist and Christian farmers. The important year was 1979, when the country was torn apart by civil war. Women before the conflict were part of a patriarchal society of men heading households and sole producers for the family. One decision maker controlled family matters: the man. Men also possessed all household goods. Women were biological and social producers, and value was placed on having large numbers of children. Muslim women lived in seclusion. Married women, who engaged in commercial activity, were mocked and exposed their husbands to the humiliation of not being able to provide sufficiently for the family. Between 1979 and 1982, many men were exiled to other countries nearby, which sometimes meant the abandonment of women and children. The remaining men were limited in their ability to earn money, and reverted to fishing, farming, and hunting. Gender relations changed. Survival strategies were developed, such as women working as domestics or selling products. Petty trading and agricultural and market gardening enterprises were flourishing. Women learned skills in dressmaking, embroidery, or knitting. Sometimes long distances were traveled in order to secure income. Women set up their own banking system with a system of "tontines" or savings cooperatives. The war's impact was to disrupt social and private life, which allowed women to enter the public domain and contribute to economic security. The downside of the conflict was the toll in human life and poverty for vast numbers of women and children. The physical, financial, and psychological exhaustion helped to create an awareness

  9. Heavy metal pollution assessment in the sediments of lake Chad ...

    Sediments were collected from Dumba and KwataYobe of Lake Chad, Nigerian Sector.The aim was to assess the pollution statusof the sediments of the lake. The concentration of heavy metals, Cadmium (Cd), Chromium (Cr), Copper (Cu), Iron (Fe), Manganese (Mn), Nickel (Ni), lead (Pb), Z (Zn) and Arsenic (As) were ...

  10. Progress toward poliomyelitis eradication--Chad, January 2011-August 2012.

    2012-10-26

    In 1988, the World Health Assembly launched the Global Polio Eradication Initiative (GPEI) to interrupt transmission of wild poliovirus (WPV). By January 2012, indigenous WPV transmission had been interrupted in all countries except Afghanistan, Pakistan, and Nigeria. However, importation of WPV caused outbreaks in 29 and reestablished transmission in four, previously polio-free African countries during 2003-2011. Transmission after WPV importation is considered reestablished when it continues for ≥ 12 months; in Chad, transmissions of WPV type 3 (WPV3) and WPV type 1 (WPV1) were reestablished. WPV3 was imported from Nigeria in 2007 and continued to circulate; the latest reported WPV3 case occurred on March 10, 2011. Transmission of WPV1 continued after a WPV1 case was imported from Nigeria in September 2010; the latest reported WPV1 occurred on June 14, 2012. This report updates previous reports and describes polio eradication activities and progress in Chad during January 2011-August 2012, as of October 2, 2012. Five WPV1 cases were reported during January-August 2012, compared with 111 WPV1 cases and three WPV3 cases reported during the same period in 2011. Five circulating type 2 vaccine-derived poliovirus (cVDPV2) cases occurred during July-August 2012. Current progress suggests that Chad could interrupt reestablished WPV transmission in 2012, although limitations in surveillance hamper the ability to detect ongoing transmission. Furthermore, with ongoing endemic WPV transmission in Nigeria, Chad remains at risk for new WPV importations. Efforts to strengthen surveillance and enhance routine and campaign immunization performance will need to continue in Chad to ensure interruption of reestablished WPV transmission, limit circulation after any WPV importation, and interrupt transmission of cVDPV.

  11. Africa in questions 11 - Chinese oil investments in Chad: looking for a win/win?

    Adoum, Saad

    2012-05-01

    As there are some disputes between Chad authorities and the Chinese oil company which intervenes in Chad (CNPCIC), and as these disputes put the always stronger presence of China in the African energy sector into question again, this article discusses the specific case of Chad. The author recalls and describes the process of implantation of China in the Chadian oil sector since the end of 2006, and discusses the issue of the shared management within the Chinese-Chadian energy cooperation

  12. Adaptation of the C.H.A.D. computer library to nuclear simulations

    Rock, Daniel Thomas

    The Computational Hydrodynamics for Automotive Design computer program, CHAD, is a modern, three-dimensional computational fluid dynamics code that holds promise for fulfilling a need in the nuclear industry and academia. Because CHAD may be freely distributed to non export controlled countries, it offers a cheap and customizable CFD capability. Several modifications were made to CHAD to make it more usable to those in industry and academia. A first order up-winding scheme for momentum and enthalpy and a reformulated continuity equation were migrated from a historical version of CHAD developed at Argonne National Laboratory. The Portable, Extensible Toolkit for Scientific Computing, PETSc, was also added as an optional solver package for the original and reformulated continuity equations. PETSc's highly optimized parallel solvers can be activated from either CHAD's input file or the command line. Solution times for PETSc based calculations depend in large part on convergence criteria provided, however improvements in CPU time of approximately one-third have been observed. CHAD was further extended by adding a capability to monitor solution progress by specifying a coordinate in space, as well as monitoring the residuals in the problem. The ability to model incompressible fluids was also added to the code. Incompressible fluid comparisons were made using several test cases against the commercial CFD code Fluent and found to agree well. A major limitation of CHAD in the academic environment is a limited mesh generation capability. A tool for CHAD was developed that translates Gambit based neutral mesh files into a CHAD usable format. This tool was used to translate a large mesh representing a simplified cooling jacket of a BWR control rod drive. This model serves as a practical, demonstration application of a nuclear application for CHAD and PETSc. Both CHAD with PETSc and Fluent were used to obtain solutions to this problem. The overall agreement between the two

  13. The Oval Engravings of Nabara 2 (Ennedi, Chad

    Alessandro Menardi Noguera

    2017-09-01

    Full Text Available By revisiting the Nabara 2 shelter in the southern Ennedi (Chad, some previously unreported paintings and a whole set of unexpected oval engravings were surveyed. These engravings, internally decorated with patterns of lines, some featured by a single longitudinal element or a sort of reticular structure, make Nabara 2 an unparalleled site among the hundreds known in the region. Comparison with similar motifs associated to human depictions found at the western termination of the Ennedi Highland suggests these engravings could be depictions of shields, attributable to the pastoral period.

  14. The petroleum of the Chad: dream or nightmare for the populations

    Petry, M.; Bambe, N.

    2005-02-01

    Since 1994, the Group ESSO realized drilling in the south of the Chad and implemented the exploitation of the petroleum, with the construction of more than 300 wells and an pipeline. Even taking into account the economical interest of the petroleum exploitation, these installations cause a big modification of the life modes of the concerned inhabitants. This book aims to present the history of the fights realized by the Chad people associated to the NGO, in particular in the Petroleum Chad-Cameroon network, to defend their rights and ask for a better repartition of the new wealth. (A.L.B.)

  15. The environmental challenges facing a Chinese oil company in Chad

    Van Vliet, Geert; Magrin, Geraud; Dittgen, Romain; Tavares, Marie-Adeline; Doudjidingao, Antoine; Maoundonodji, Gilbert; Liang, Guohuang; Wang, Fan; Yang, Weiyong; Lin, Yiran

    2012-11-01

    This book analyses the factors that influence environmental management in the CNPC when operating outside of China, in the outer margins of the world oil system, specifically in Chad, a Least Developed Country. Within a sector marked by the regulations inherited from the Exxon project in Doba (implemented since 2000 with initial World Bank support), the 2007 CNPC Ronier project aims at refining part of the extracted oil and exporting the remainder, most probably through the pipeline built under the Exxon Doba project. The question of the compatibility between the systems of reference and practices in both firms thus arises. Through the prism of social and environmental responsibility, this text analyses the challenges in the interaction between Chinese oil firms, host countries and OCDE-based firms. (authors)

  16. Consolidated Human Activity Database (CHAD) for use in human exposure and health studies and predictive models

    EPA scientists have compiled detailed data on human behavior from 22 separate exposure and time-use studies into CHAD. The database includes more than 54,000 individual study days of detailed human behavior.

  17. Simplified prediction of postoperative cardiac surgery outcomes with a novel score: R2CHADS2.

    Peguero, Julio G; Lo Presti, Saberio; Issa, Omar; Podesta, Carlos; Parise, Helen; Layka, Ayman; Brenes, Juan C; Lamelas, Joseph; Lamas, Gervasio A

    2016-07-01

    To compare the accuracy of R2CHADS2, CHADS2, and CHA2DS2-VASc scores vs the Society of Thoracic Surgeons (STS) score as predictors of morbidity and mortality after cardiovascular surgery. All patients who underwent cardiothoracic surgery at our institution from January 2008 to July 2013 were analyzed. Only those patients who fulfilled the criteria for STS score calculation were included. The R2CHADS2 score was computed as follows: 2 points for GFR < 60 mL/min/1.73 m(2) (R2), prior stroke or TIA (S2); 1 point for history of congestive heart failure (C), hypertension (H), age ≥75 years (A), or diabetes (D). Area under the curve (AUC) analysis was used to estimate the accuracy of the different scores. The end point variables included operative mortality, permanent stroke, and renal failure as defined by the STS database system. Of the 3,492 patients screened, 2,263 met the inclusion criteria. These included 1,160 (51%) isolated valve surgery, 859 (38%) coronary artery bypass graft surgery, and 245 (11%) combined procedures. There were 147 postoperative events: 75 (3%) patients had postoperative renal failure, 48 (2%) had operative mortality, and 24 (1%) had permanent stroke. AUC analysis revealed that STS, R2CHADS2, CHADS2, and CHA2DS2-VASc reliably estimated all postoperative outcomes. STS and R2CHADS2 scores had the best accuracy overall, with no significant difference in AUC values between them. The R2CHADS2 score estimates postoperative events with acceptable accuracy and if further validated may be used as a simple preoperative risk tool calculator. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Safer roads in Chad : recommendations for low-cost road safety measures in Chad. On behalf of The World Bank, International Bank for Reconstruction and Development.

    Sluis, J. van der

    2002-01-01

    In the framework of the National Transport Support Project, SWOV provided local experts in Chad with technical assistance on road safety. The assistance focused on the development of a comprehensive road safety strategy and physical road safety improvements on urban and inter-urban roads. The

  19. Changes in Chad: the results of a KAP survey.

    Tafforeau, J; Damiba, A; Maternowska, M C

    1990-12-01

    This, the 1st KAP survey to be conducted in Chad, surveyed 1222 women aged 12-49 at 6 health or social centers in N'Djamena in 1988, and summarized the information obtained from 21 focus groups. The sujbects were 25 years old on average; 94% were in union; 33% were in polygamous marriages, usually older women. 8% of Muslims and 17% of Christians were in a consensual union. Educational achievement was higher among younger women and Christians. 49% had income from the informal economy. Most valued the economic advantages of large families, which they believed resided in ancestors. Some noted the poulation pressures of urban living. 27% stated they were pregnant. Fertility was lower among Christians and those in monogamous marriages. Women of higher socioeconomic status had more children. Average age of 1st pregnancy was 16 years, lower in Muslims and uneducated women. Average weaning age was 17.8 months; average postpartum abstinence was 4.6 months, longer among Christians. The mean desired birth spacing interval was 26 months. 89% desired more children. The average ideal family size was 7.25, 8.6 for those 29 years old. The concept of birth planning was new to most, and ocnsidered a European idea contrary to African traditions. 31% could name a modern birth control method, increased to 58% with prompting, but only 3.2% had used one, and 1.3% were currently using. The cost of modern contraceptives is prohibitive for Chadians whose average GNP is $129. 56% expressed an interest on modern contraception for spacing, indicating a large unmet need.

  20. Observed climate variability over Chad using multiple observational and reanalysis datasets

    Maharana, Pyarimohan; Abdel-Lathif, Ahmat Younous; Pattnayak, Kanhu Charan

    2018-03-01

    Chad is the largest of Africa's landlocked countries and one of the least studied region of the African continent. The major portion of Chad lies in the Sahel region, which is known for its rapid climate change. In this study, multiple observational datasets are analyzed from 1950 to 2014, in order to examine the trend of precipitation and temperature along with their variability over Chad to understand possible impacts of climate change over this region. Trend analysis of the climatic fields has been carried out using Mann-Kendall test. The precipitation over Chad is mostly contributed during summer by West African Monsoon, with maximum northward limit of 18° N. The Atlantic Ocean as well as the Mediterranean Sea are the major source of moisture for the summer rainfall over Chad. Based on the rainfall time series, the entire study period has been divided in to wet (1950 to 1965), dry (1966 to 1990) and recovery period (1991 to 2014). The rainfall has decreased drastically for almost 3 decades during the dry period resulted into various drought years. The temperature increases at a rate of 0.15 °C/decade during the entire period of analysis. The seasonal rainfall as well as temperature plays a major role in the change of land use/cover. The decrease of monsoon rainfall during the dry period reduces the C4 cover drastically; this reduction of C4 grass cover leads to increase of C3 grass cover. The slow revival of rainfall is still not good enough for the increase of shrub cover but it favors the gradual reduction of bare land over Chad.

  1. Estimation of the Heat Flow Variation in the Chad Basin Nigeria ...

    Wireline logs from 14 oil wells from the Nigerian sector of the Chad Basin were analyzed and interpreted to estimate the heat flow trend in the basin. Geothermal gradients were computed from corrected bottom hole temperatures while the bulk effective thermal conductivity for the different stratigraphic units encountered in ...

  2. Chad Genetic Diversity Reveals an African History Marked by Multiple Holocene Eurasian Migrations.

    Haber, Marc; Mezzavilla, Massimo; Bergström, Anders; Prado-Martinez, Javier; Hallast, Pille; Saif-Ali, Riyadh; Al-Habori, Molham; Dedoussis, George; Zeggini, Eleftheria; Blue-Smith, Jason; Wells, R Spencer; Xue, Yali; Zalloua, Pierre A; Tyler-Smith, Chris

    2016-12-01

    Understanding human genetic diversity in Africa is important for interpreting the evolution of all humans, yet vast regions in Africa, such as Chad, remain genetically poorly investigated. Here, we use genotype data from 480 samples from Chad, the Near East, and southern Europe, as well as whole-genome sequencing from 19 of them, to show that many populations today derive their genomes from ancient African-Eurasian admixtures. We found evidence of early Eurasian backflow to Africa in people speaking the unclassified isolate Laal language in southern Chad and estimate from linkage-disequilibrium decay that this occurred 4,750-7,200 years ago. It brought to Africa a Y chromosome lineage (R1b-V88) whose closest relatives are widespread in present-day Eurasia; we estimate from sequence data that the Chad R1b-V88 Y chromosomes coalesced 5,700-7,300 years ago. This migration could thus have originated among Near Eastern farmers during the African Humid Period. We also found that the previously documented Eurasian backflow into Africa, which occurred ∼3,000 years ago and was thought to be mostly limited to East Africa, had a more westward impact affecting populations in northern Chad, such as the Toubou, who have 20%-30% Eurasian ancestry today. We observed a decline in heterozygosity in admixed Africans and found that the Eurasian admixture can bias inferences on their coalescent history and confound genetic signals from adaptation and archaic introgression. Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.

  3. Investigation of soil properties for identifying recharge characteristics in the Lake Chad Basin

    Banks, M. L.; Ndunguru, G. G.; Adisa, S. J.; Lee, J.; Adegoke, J. O.; Goni, I. B.; Grindley, J.; Mulugeta, V.

    2009-12-01

    Lake Chad was once labeled as one of the largest fresh water lakes in the world, providing water and livelihood to over 20 million people. The lake is shared by six different countries; Chad Nigeria, Niger, Cameroon, Central African Republic, and Sudan. Since the 1970 to date, a significant decrease in the size of the lake has been observed with the use of satellite imagery. This shrinking of the lake has been blamed on global warming, population increase and poor water management by the agriculture industry for farming purpose for both plants and animals. While these can be all valid reasons for the decrease of Lake Chad, we see the need to examine environmental and hydrological evidence around the Lake Chad basin. This study was carried out from upper stream to lower stream leading from Kano to the Damatru region which is one of several water bodies that supply Lake Chad. Over seventy six sites were sampled for soil texture, bulk density and other physical properties to investigate recharge capacity of the basin especially along the stream. Soils were collected using a soil core and properly stored at 4 degrees Celsius. Soils were weighed and put to dry at 105 degrees for twenty four hours. Dry weight was recorded and bulk density was calculated. The wet sieve method was used to determine the particle size analysis. Soils were weighed to 10 grams and hydrogen peroxide added to separate particles. Samples were washed with water and put to dry overnight. Soils were reweighed and sieved to separate as course sand, fine sand and silt and clay. The data revealed that in the upstream, coarse sand continuously decreased while silt and clay continuously increased down toward the lake. At mid stream silt and clay had significantly higher values when compared to coarse sand and fine sand. In the lower stream, bulk density clearly decreased compared to the upper and mid streams. Correlations will be carried out to investigate the particle size analysis and bulk density with

  4. Groundwater vulnerability and recharge or palaeorecharge in the Southeastern Chad Basin, Chari Baguirmi aquifer

    Djoret, D.; Travi, Y.

    2001-01-01

    Stable isotopes and major chemical elements have been used to investigate present or ancient groundwater renewal in the multilayered aquifer of the Chari-Baguirmi plain, South of Lake Chad. On the Western side, recharge mainly occurs from the Chari River during the flood period. Within the Ndjamena area, the rise of the piezometric level in the contaminated subsurface zone provokes an increase in nitrate concentrations. Rainfall recharge is mainly located close to the outcropping basement, i.e. on the Eastern side of the area and does not occurs in the central part of the plain where groundwater also presents a stronger evaporative signature. This supports the hypothesis attributing a major role to evaporation processes in the formation of piezometric depressions in the Sahel zone. There is no evidence of present day or ancient water recharge from Lake Chad. (author)

  5. Chad: An Overview of a Country Plagued with Internal Strife and Regional Conflict

    2012-04-09

    permitted exploration until 2004.15 A 30-year concession was established to develop an oil field near Doba to produce and transport oil to markets via a...Thomas, 201. 22 " Republic of Chad", Background Notes on Countries of the World 2003/10495517, 20031108: EBSCOhost .- http://search.ebscohost.com/Login.aspx...International Organization African." Business, Economy, Market Research, Finance, Income Tax Informations. http://www.economicexpert.com/a

  6. Thermal remote sensing of water under flooded vegetation: New observations of inundation patterns for the ‘Small’ Lake Chad

    Leblanc, M.; Lemoalle, J.; Bader, J.-C.; Tweed, S.; Mofor, L.

    2011-06-01

    SummaryLake Chad at the border of the Sahara desert in central Africa, is well known for its high sensitivity to hydroclimatic events. Gaps in in situ data have so far prevented a full assessment of the response of Lake Chad to the ongoing prolonged drought that started in the second half of the 20th century. Like many other wetlands and shallow lakes, the 'Small' Lake Chad includes large areas of water under aquatic vegetation which needs to be accounted for to obtain the total inundated area. In this paper, a methodology is proposed that uses Meteosat thermal maximum composite data (Tmax) to account for water covered by aquatic vegetation and provide a consistent monthly time series of total inundated area estimates for Lake Chad. Total inundation patterns in Lake Chad were reconstructed for a 15-yr period (1986-2001) which includes the peak of the drought (86-91) and therefore provides new observations on the hydrological functioning of the 'Small' Lake Chad. During the study period, Lake Chad remained below 16,400 km 2 (third quartile ˜8800 km 2). The variability of the inundated area observed in the northern pool (standard deviation σnorthern pool = 1980 km 2) is about 60% greater than that of the southern pool ( σsouthern pool = 1250 km 2). The same methodology could be applied to other large wetlands and shallow lakes in semi-arid or arid regions elsewehere using Meteosat (e.g. Niger Inland Delta, Sudd in Sudan, Okavango Delta) and other weather satellites (e.g., floodplains of the Lake Eyre Basin in Australia and Andean Altiplano Lakes in South America).

  7. Climate Change in Africa: Impacts and Effects on the Inhabitants of the Lake Chad Region.

    Abubakar, B.; Tahir, S. M.; Olisa, O.

    2009-05-01

    The Department of Energy and Climate Change defined climate as the average weather experienced over a long period. This includes temperature, wind and rainfall patterns. The climate of the Earth is not static, and has changed many times in response to a variety of natural causes. Due to human activities in emmiting green house gases has resulted the Earth to get warmed by 0.74°C over the last hundred years. Around 0.4°C of this warming has occurred since the 1970s. Climate is now one of the major phenomenon threatening lives and humanity in general since the beginning of industrial revolution. Climate exerts a profound influence on the lives of poor populations in the Lake Chad region of Africa who depend on fishing and crop cultivation for livelihood and sustenance, who are unprotected against climate-related diseases, who lacked secure access to water and food and who are vulnerable to hydro meteorological hazard. The effects of climate change on the study area are many and include diminishing resources and conflicts over the available limited water resources. The Lake Chad region is a fragile area with high climate variability and extremes of weather. As this inland water is used for domestic and agricultural purposes, salt mining, as well as transportation by Nigerians, Nigeriens, Chadian and Cameroonians, it is an area of trans-boundary water conflicts. This paper examines the part played by climate change in the decline of fishery resources and livelihood activities in the Lake Chad region. Data from field studies, structured interview and secondary sources show that fish catches and livelihood activities have declined tremendously in recent times due to several factors including overexploitation and increasing demands on the aquatic resources. Findings from the study show that droughty periods have resulted in the reduction of open lake water surface from about 25,000 km2 in 1973 to less than 2,000 km2 in the 1990s. This has led to the diminishing aquatic

  8. Megalake Chad impact on climate and vegetation during the late Pliocene and the mid-Holocene

    C. Contoux

    2013-07-01

    Full Text Available Given the growing evidence for megalakes in the geological record, assessing their impact on climate and vegetation is important for the validation of palaeoclimate simulations and therefore the accuracy of model–data comparison in lacustrine environments. Megalake Chad (MLC occurrences are documented not only for the mid-Holocene but also for the Mio-Pliocene (Schuster et al., 2009. At this time, the surface covered by water would have reached up to ~350 000 km2 (Ghienne et al., 2002; Schuster et al., 2005; Leblanc et al., 2006, making it an important evaporation source, possibly modifying climate and vegetation in the Chad Basin. We investigated the impact of such a giant continental water area in two different climatic backgrounds within the Paleoclimate Model Intercomparison Project phase 3 (PMIP3: the late Pliocene (3.3 to 3 Ma, i.e. the mid-Piacenzian warm period and the mid-Holocene (6 kyr BP. In all simulations including MLC, precipitation is drastically reduced above the lake surface because deep convection is inhibited by overlying colder air. Meanwhile, convective activity is enhanced around MLC because of the wind increase generated by the flat surface of the megalake, transporting colder and moister air towards the eastern shore of the lake. The effect of MLC on precipitation and temperature is not sufficient to widely impact vegetation patterns. Nevertheless, tropical savanna is present in the Chad Basin in all climatic configurations, even without MLC presence, showing that the climate itself is the driver of favourable environments for sustainable hominid habitats.

  9. Petroleum and natural gas economy in Arab countries and in Iran, Angola, Gabon, Nigeria and Chad

    1993-01-01

    This paper describes briefly main informations on petroleum prices and market trends, trade and contracts, petroleum exploration in Algeria, Chad, Gabon, Libya, Saudi Arabia and Tunisia, new crude oil discoveries in Nigeria. In Iran, a joint venture will be constituted with Gaz de France for natural gas export in Europe. In Egypt, National Bank has financed for the first time a Liquefied Petroleum Gas plant. Statistics on petroleum and natural gas reserves, production, seismic surveys, drilling operations and refining units are also given. 9 tabs

  10. Genetic heterogeneity of hepatitis E virus in Darfur, Sudan, and neighboring Chad.

    Nicand, Elisabeth; Armstrong, Gregory L; Enouf, Vincent; Guthmann, Jean Paul; Guerin, Jean-Philippe; Caron, Mélanie; Nizou, Jacques Yves; Andraghetti, Roberta

    2005-12-01

    The within-outbreak diversity of hepatitis E virus (HEV) was studied during the outbreak of hepatitis E that occurred in Sudan in 2004. Specimens were collected from internally displaced persons living in a Sudanese refugee camp and two camps implanted in Chad. A comparison of the sequences in the ORF2 region of 23 Sudanese isolates and five HEV samples from the two Chadian camps displayed a high similarity (>99.7%) to strains belonging to Genotype 1. But four isolates collected in one of the Chadian camps were close to Genotype 2. Circulation of divergent strains argues for possible multiple sources of infection. Copyright (c) 2005 Wiley-Liss, inc.

  11. Random demographic household surveys in highly mobile pastoral communities in Chad.

    Weibel, Daniel; Béchir, Mahamat; Hattendorf, Jan; Bonfoh, Bassirou; Zinsstag, Jakob; Schelling, Esther

    2011-05-01

    Reliable demographic data is a central requirement for health planning and management, and for the implementation of adequate interventions. This study addresses the lack of demographic data on mobile pastoral communities in the Sahel. A total of 1081 Arab, Fulani and Gorane women and 2541 children (1336 boys and 1205 girls) were interviewed and registered by a biometric fingerprint scanner in five repeated random transect demographic and health surveys conducted from March 2007 to January 2008 in the Lake Chad region in Chad. Important determinants for the planning and implementation of household surveys among mobile pastoral communities include: environmental factors; availability of women for interviews; difficulties in defining "own" children; the need for information-education-communication campaigns; and informed consent of husbands in typically patriarchal societies. Due to their high mobility, only 5% (56/1081) of registered women were encountered twice. Therefore, it was not possible to establish a demographic and health cohort. Prospective demographic and health cohorts are the most accurate method to assess child mortality and other demographic indices. However, their feasibility in a highly mobile pastoral setting remains to be shown. Future interdisciplinary scientific efforts need to target innovative methods, tools and approaches to include marginalized communities in operational health and demographic surveillance systems.

  12. Random demographic household surveys in highly mobile pastoral communities in Chad

    Béchir, Mahamat; Hattendorf, Jan; Bonfoh, Bassirou; Zinsstag, Jakob; Schelling, Esther

    2011-01-01

    Abstract Problem Reliable demographic data is a central requirement for health planning and management, and for the implementation of adequate interventions. This study addresses the lack of demographic data on mobile pastoral communities in the Sahel. Approach A total of 1081 Arab, Fulani and Gorane women and 2541 children (1336 boys and 1205 girls) were interviewed and registered by a biometric fingerprint scanner in five repeated random transect demographic and health surveys conducted from March 2007 to January 2008 in the Lake Chad region in Chad. Local setting Important determinants for the planning and implementation of household surveys among mobile pastoral communities include: environmental factors; availability of women for interviews; difficulties in defining “own” children; the need for information-education-communication campaigns; and informed consent of husbands in typically patriarchal societies. Relevant changes Due to their high mobility, only 5% (56/1081) of registered women were encountered twice. Therefore, it was not possible to establish a demographic and health cohort. Lessons learnt Prospective demographic and health cohorts are the most accurate method to assess child mortality and other demographic indices. However, their feasibility in a highly mobile pastoral setting remains to be shown. Future interdisciplinary scientific efforts need to target innovative methods, tools and approaches to include marginalized communities in operational health and demographic surveillance systems. PMID:21556307

  13. [Evaluation of the lifetime of nail markings during polio vaccinations in Chad].

    Quoc Cuong, Huong; Schlumberger, Martin; Garba Tchang, Salomon; Ould Cheikh, Dah; Savès, Marianne; Mallah, Barah; Demtilo Attilo, Jacques; Ngangro Mosurel, Ndeikoundam; Gamatié, Youssouf

    2010-01-01

    SID (Supplemental Immunization Days) is a special strategy intended to accelerate eradication of poliomyelitis in countries where it is still endemic (India, Afghanistan, and Pakistan in Asia, and Nigeria in Africa). This strategy is also applied in Nigeria's neighbours (Cameroon, Chad, Niger and Benin). Since the poliomyelitis virus was imported from Nigeria in 2001, Chad has reported cases of poliomyelitis every year. After 30 SIDs in Chad and the inaccurate or false attribution of side-effects to polio vaccines, some groups persistently refuse polio vaccination. To ascertain the true coverage of SID, the Ministry of Health and several partners (WHO, UNICEF and Rotary) conduct external coverage evaluations, to identify the under-vaccinated areas where population may be refusing immunization. The nails of the children receiving vaccinations are marked with indelible ink and those markings are the best indicator of the area's actual SID coverage. When coverage investigators arrive and propose vaccination to all children not immunized during SID, mothers who wish to refuse vaccination may claim that the children's markings disappeared after a few days, due to bathing. WHO experts have found that markings applied to their own nails with the WHO-recommended markers persist a few weeks, but others suggested that the markings may disappear much faster among children living in a traditional tropical environment. Until now, the lifetime of these markings has not been tested among children in Africa. To determine the lifetime of the fingernail markings after SID and factors that influence this lifetime in children young than 5 years old in Chad. This prospective cohort study of 200 children (aged 0 to 59 months) took place from March to May 2009 in Milezi, a health zone north of Ndjamena, the capital of Chad, in central Africa. These children received nail markings on their left little finger with an indelible marker pen provided by WHO. The finger was monitored for 35

  14. Insecticide resistance in Anopheles gambiae from south-western Chad, Central Africa

    Etang Josiane

    2008-09-01

    Full Text Available Abstract Background Indoor residual spraying and insecticide-treated nets (ITN are essential components of malaria vector control in Africa. Pyrethroids are the only recommended compounds for nets treatment because they are fast-acting insecticides with low mammalian toxicity. However, there is growing concern that pyrethroid resistance may threaten the sustainability of ITN scaling-up programmes. Here, insecticide susceptibility was investigated in Anopheles gambiae sensu lato from an area of large scale ITN distribution programme in south-western Chad. Methods Susceptibility to 4% DDT, 0.05% deltamethrin, 0.75% permethrin, 0.1% bendiocarb and 5% malathion was assessed using the WHO standard procedures for adult mosquitoes. Tests were carried out with two to four days-old, non-engorged female mosquitoes. The An. gambiae Kisumu strain was used as a reference. Knockdown effect was recorded every 5 min and mortality scored 24 h after exposure. Mosquitoes were identified to species and molecular form by PCR-RFLP and genotypes at the kdr locus were determined in surviving specimens by Hot Oligonucleotide Ligation Assay (HOLA. Results During this survey, full susceptibility to malathion was recorded in all samples. Reduced susceptibility to bendiocarb (mortality rate of 96.1% was found in one sample out of nine assayed. Increased tolerance to pyrethroids was detected in most samples (8/9 with mortality rates ranging from 70.2 to 96.6% for deltamethrin and from 26.7 to 96.3% for permethrin. Pyrethroid tolerance was not associated with a significant increase of knock-down times. Anopheles arabiensis was the predominant species of the An. gambiae complex in the study area, representing 75 to 100% of the samples. Screening for kdr mutations detected the L1014F mutation in 88.6% (N = 35 of surviving An. gambiae sensu stricto S form mosquitoes. All surviving An. arabiensis (N = 49 and M form An. gambiae s.s. (N = 1 carried the susceptible allele

  15. ) Geochemistry and Hydrocarbon Potential of Cretaceous Shales in the Chad Basin

    Alalade, B.; Ogunyemi, A. T.; Abimbola, A.F.; Olugbemiro, R. O.

    2003-01-01

    The Chad Basin is the largest intracratonic basin in Africa and is filled with more than 400m of Cretaceous to Recent sediments. Geochemical and petrographic studies of Cretaceous shales form the Bima, Gongola and Fika Formations were carried out to establish their hydrocarbon potential and thermal maturity. Ditch cuttings of the shales were collected from the Wa di and Karen's exploration wells located in the Nigerian sector of the Chad Basin.The geochemical analysis of the shales indicate that, except for Si02 and K20, all other oxides (Mg O, Fe2O3, AL2O3, CaO) are more abundant in the Fika shale than the Gongola shale. This suggests a more marine condition for the Fika shale compared to the Gongola shale. The Fika and Gongola shales were further classified into Iron shale and shale respectively. Organic carbon contents of the Bima, Gongola and exceed the minimum (0.5wt%) usually required for siliciclastic petroleum source rock. However, the soluble organic matter (SOM) and saturated hydrocarbon (SHC) contents of the shales, which ranges from 108pm to 743ppm and 23ppm to 100ppm respectively, are generally low and are therefore, organically lean. The organic matter of the shales is predominantly terrestrially derived, vitrinite rich, Type III kerogen and are therefore, gas prone. Thermal maturity assessed from SOM/TOC, SHC/TOC ratios and spore color index (SCI) indicate that the Fika shale is immature while the Gongola and Bima shales are within the oil window

  16. Crater palaeolakes in the Tibesti mountains (Central Sahara, North Chad) - New insights into past Saharan climates

    Kröpelin, Stefan; Dinies, Michèle; Sylvestre, Florence; Hoelzmann, Philipp

    2016-04-01

    For the first time continuous lacustrine sections were sampled from the volcanic Tibesti Mountains (Chad): In the 900 m deep crater of Trou au Natron at Pic Toussidé (3,315 m a.s.l.) and from the 800 m deep Era Kohor, the major sub-caldera of Emi Koussi (3,445 m a.s.l.). The remnant diatomites on their slopes are located 360 m (Trou au Natron) and 125 m (Era Kohor) above the present day bottom of the calderas. These sediments from highly continental positions in the central Sahara are keys for the reconstruction of the last climatic cycles (Kröpelin et al. 2015). We report first results from sedimentary-geochemical (total organic and total inorganic carbon contents; total nitrogen; major elements; mineralogy) and palynological analyses for palaeo-environmental interpretations. The diatomites from the Trou au Natron comprise 330 cm of mostly calcitic sediments with relatively low organic carbon (basin. Two 14C-dated charcoals out of the upper part of the section indicate mid-Holocene ages and a linear extrapolation based on a sediment accumulation rate of 1.4mma-1 would lead to tentative dates of ~8650 cal a BP for basal lacustrine sediments and ~4450 cal a BP for the cessation of this lacustrine sequence. The diatomites from the Era Kohor reflect a suite of sections that in total sum up to 145 cm of mostly silica-based sediments with very low carbon contents (paradox of the Tibesti crater paleolakes (Central Sahara, North Chad). Abstract #64322 AGU-Fall-Meeting-2015.

  17. O escore de CHADS2 na predição de eventos cerebrovasculares: uma metanálise

    Cristina Santos

    2013-03-01

    Full Text Available O escore de CHADS2 é um método de estratificação do risco de eventos cardiovasculares, sendo útil na decisão terapêutica em doentes de moderado/alto risco. Esta metanálise tem como objectivo averiguar se o escore de CHADS2 é eficaz na predição de eventos cerebrovasculares em doentes com Fibrilação Auricular (FA. Realizou-se uma pesquisa bibliográfica informatizada nos motores de busca PubMed, EMBASE e SciELO, durante o período de março de 2011 a abril de 2012. Os estudos foram seleccionados de acordo com critérios predeterminados. A metanálise incidiu em seis estudos de coorte, observacionais e prospectivos, que avaliaram a capacidade preditiva do escore de CHADS2 para eventos cerebrovasculares e morte. Os endpoints definidos (mortalidade e/ou Acidente Vascular Cerebral [AVC] não fatal foram comparados entre doentes com CHADS2 2, e também em função da presença/ausência de FA. No que diz respeito à ocorrência de eventos cardiovasculares combinados, morte e AVC, observou-se um maior risco no grupo com escore de CHADS2 > 2 e com FA crônica, com Odds Ratio (OR respectivamente de 2.92 (IC:2.08-4.10; p 2, independentemente da presença de FA: OR = 2.93 (IC:2.81-3.06; p < 0,00001 nos doentes com FA; OR = 2.94; (IC:2.87-3.01; p < 0,00001 nos doentes sem FA. Os estudos indicam claramente a capacidade discriminativa do escorede CHADS2 para o risco de eventos cerebrovasculares, independentemente da presença ou não de FA, permitindo desta forma identificar doentes de moderado/alto risco e seleccionar estratégias terapêuticas adequadas.

  18. Can the woodfuel supply in sub-Saharan Africa be sustainable? The case of N'Djamena, Chad

    Plas, Robert J. van der; Abdel-Hamid, Mahamat Ali

    2005-01-01

    Chad, like many other sub-Saharan African countries, depends for most of its energy demand on woodfuels; 90% or more of the country's energy balance comes from biomass energy. Obvious environmental problems appear around cities because of their highly concentrated demand, and this threatens the sustainability of supply. But, this does not need to be a problem, and woodfuel can also be an engine of economic growth, particularly in rural areas. A few policy conditions will need to be satisfied and in Chad this appears to be the case. As a result, the woodfuel supply of the capital N'Djamena could become sustainable, thereby continuing to provide low-cost energy to the urban population for the foreseeable future while giving income generation opportunities in rural areas. A win-win situation?!

  19. Prediction of vascular dementia and Alzheimer's disease in patients with atrial fibrillation or atrial flutter using CHADS2 score

    Ruey-Hsing Chou; Chun-Chih Chiu; Chin-Chou Huang; Wan-Leong Chan; Po-Hsun Huang; Yu-Chun Chen; Tzeng-Ji Chen; Chia-Min Chung; Shing-Jong Lin; Jaw-Wen Chen; Hsin-Bang Leu

    2016-01-01

    Background: Atrial fibrillation (AF) is associated with an increased risk of dementia. However, limited data are available on the predictors of dementia in patients with AF. This study aimed to evaluate whether the CHADS2 score could be a useful tool for risk stratification with regard to dementia occurrence among patients with AF. Methods: AF patients were identified from the National Health Insurance sampling database, which has accumulated a total of 1,000,000 participants since 2000. A...

  20. New Insights into the Lake Chad Basin Population Structure Revealed by High-Throughput Genotyping of Mitochondrial DNA Coding SNPs

    Cerezo, M.; Černý, Viktor; Carracedo, Á.; Salas, A.

    2011-01-01

    Roč. 6, č. 4 (2011), e18682 E-ISSN 1932-6203 R&D Projects: GA ČR GA206/08/1587 Institutional research plan: CEZ:AV0Z80020508 Keywords : population history * archaeogenetics * Lake Chad * SNP genotyping Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 4.092, year: 2011 http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0018682

  1. Assessment of CHADS2 and CHA 2DS 2-VASc scores in obstructive sleep apnea patients with atrial fibrillation.

    Szymanski, Filip M; Filipiak, Krzysztof J; Platek, Anna E; Hrynkiewicz-Szymanska, Anna; Karpinski, Grzegorz; Opolski, Grzegorz

    2015-05-01

    Assessment of stroke risk and implementation of appropriate antithrombotic therapy is an important issue in atrial fibrillation patients. Current risk scores do not take into consideration the comorbidities associated with elevated thromboembolic like obstructive sleep apnea (OSA). The aim of the study was to establish whether atrial fibrillation patients with coexisting OSA have higher stroke risk according to CHADS2 and CHA2DS2-VASc scores. Two hundred fifty-four consecutive patients hospitalized with a primary diagnosis of atrial fibrillation participated in the study. All patients underwent whole night polygraphy and were scored in both CHADS2 and CHA2DS2-VASc according to their medical records or de novo diagnosis. The study population was predominantly male (65.4%; mean age, 57.5 ± 10.0 years) with a high prevalence of hypertension (73.6%), dyslipidemia (63.4%), and obesity (42.9%). OSA was present in 47.6% of patients, who more often had history of stroke (p = 0.0007). Stroke risk profile assessed by both CHADS2 and CHA2DS2-VASc scores was higher in patients with OSA (1.2 ± 0.9 vs. 0.8 ± 0.6; p vs. 1.5 ± 1.1; p = 0.001) than without it. Differences in the stroke risk remained significant across different age strata, and the trend for point values in CHADS2 and CHA2DS2-VASc scores rose along with OSA severity according to the apnea-hypopnea index (AHI; p for trend stroke prediction models.

  2. Challenges to implementing Gavi's health system strengthening support in Chad and Cameroon: results from a mixed-methods evaluation.

    Dansereau, Emily; Miangotar, Yodé; Squires, Ellen; Mimche, Honoré; El Bcheraoui, Charbel

    2017-11-16

    Since 2005, Gavi has provided health system strengthening (HSS) grants to address bottlenecks affecting immunization services. This study is the first to evaluate the Gavi HSS implementation process in either Cameroon or Chad, two countries with significant health system challenges and poor achievement on the child and maternal health Millennium Development Goals. We triangulated quantitative and qualitative data including financial records, document review, field visit questionnaires, and key informant interviews (KII) with representatives from the Ministries of Health, Gavi, and other partners. We conducted a Root Cause Analysis of key implementation challenges, guided by the Consolidated Framework for Implementation Research. We conducted 124 field visits and 43 KIIs in Cameroon, and 57 field visits and 39 KIIs in Chad. Cameroon's and Chad's HSS programs were characterized by delayed disbursements, significant deviations from approved expenditures, and reprogramming of funds. Nearly a year after the programs were intended to be complete, many district and facility-level activities were only partially implemented and significant funds remained unabsorbed. Root causes of these challenges included unpredictable Gavi processes and disbursements, poor communication between the countries and Gavi, insufficient country planning without adequate technical assistance, lack of country staff and leadership, and weak country systems to manage finances and promote institutional memory. Though Chad and Cameroon both critically needed support to strengthen their weak health systems, serious challenges drastically limited implementation of their Gavi HSS programs. Implementation of future HSS programs in these and similar settings can be improved by transparent and reliable procedures and communication from Gavi, proposals that account for countries' programmatic capacity and the potential for delayed disbursements, implementation practices that foster learning and adaptation

  3. [Cost estimation of an epidemiological surveillance network for animal diseases in Central Africa: a case study of the Chad network].

    Ouagal, M; Berkvens, D; Hendrikx, P; Fecher-Bourgeois, F; Saegerman, C

    2012-12-01

    In sub-Saharan Africa, most epidemiological surveillance networks for animal diseases were temporarily funded by foreign aid. It should be possible for national public funds to ensure the sustainability of such decision support tools. Taking the epidemiological surveillance network for animal diseases in Chad (REPIMAT) as an example, this study aims to estimate the network's cost by identifying the various costs and expenditures for each level of intervention. The network cost was estimated on the basis of an analysis of the operational organisation of REPIMAT, additional data collected in surveys and interviews with network field workers and a market price listing for Chad. These costs were then compared with those of other epidemiological surveillance networks in West Africa. The study results indicate that REPIMAT costs account for 3% of the State budget allocated to the Ministry of Livestock. In Chad in general, as in other West African countries, fixed costs outweigh variable costs at every level of intervention. The cost of surveillance principally depends on what is needed for surveillance at the local level (monitoring stations) and at the intermediate level (official livestock sectors and regional livestock delegations) and on the cost of the necessary equipment. In African countries, the cost of surveillance per square kilometre depends on livestock density.

  4. Spatial analysis from remotely sensed observations of Congo basin of East African high Land to drain water using gravity for sustainable management of low laying Chad basin of Central Africa

    B. Modu; B. Herbert

    2014-01-01

    The Chad basin which covers an area of about 2.4 million kilometer square is one of the largest drainage basins in Africa in the centre of Lake Chad .This basin was formed as a result of rifting and drifting episode, as such it has no outlet to the oceans or seas. It contains large area of desert from the north to the west. The basin covers in part seven countries such as Chad, Nigeria, Central African Republic, Cameroun, Niger, Sudan and Algeria. It is named Chad basin because 43.9%...

  5. The right to health, health systems development and public health policy challenges in Chad.

    Azétsop, Jacquineau; Ochieng, Michael

    2015-02-15

    There is increasing consensus that the right to health can provide ethical, policy and practical groundings for health systems development. The goals of the right to health are congruent with those of health systems development, which are about strengthening health promotion organizations and actions so as to improve public health. The poor shape and performance of health systems in Chad question the extent of realization of the right to health. Due to its comprehensiveness and inclusiveness, the right to health has the potential of being an organizational and a normative backbone for public health policy and practice. It can then be understood and studied as an integral component of health systems development. This paper uses a secondary data analysis of existing documents by the Ministry of Public Health, Institut National de la Statistique, des Etudes Economiques et Démographiques (INSEED), the Ministry of Economy and Agence Française de Cooperation to analyze critically the shape and performance of health systems in Chad based on key concepts and components of the right to health contained in article 12 of the International Covenant on Economic, Social and Cultural Rights, and on General Comment 14. The non-realization of the right to health, even in a consistently progressive manner, raises concerns about the political commitment of state officials to public health, about the justice of social institutions in ensuring social well-being and about individual and public values that shape decision-making processes. Social justice, democratic rule, transparency, accountability and subsidiarity are important groundings for ensuring community participation in public affairs and for monitoring the performance of public institutions. The normative ideals of health systems development are essentially democratic in nature and are rooted in human rights and in ethical principles of human dignity, equality, non-discrimination and social justice. These ideals are grounded

  6. Advanced Land Use Classification for Nigeriasat-1 Image of Lake Chad Basin

    Babamaaji, R.; Park, C.; Lee, J.

    2009-12-01

    Lake Chad is a shrinking freshwater lake that has been significantly reduced to about 1/20 of its original size in the 1960’s. The severe draughts in 1970’s and 1980’s and following overexploitations of water resulted in the shortage of surface water in the lake and the surrounding rivers. Ground water resources are in scarcity too as ground water recharge is mostly made by soil infiltration through soil and land cover, but this surface cover is now experiencing siltation and expansion of wetland with invasive species. Large changes in land use and water management practices have taken place in the last 50 years including: removal of water from river systems for irrigation and consumption, degradation of forage land by overgrazing, deforestation, replacing natural ecosystems with mono-cultures, and construction of dams. Therefore, understanding the change of land use and its characteristics must be a first step to find how such changes disturb the water cycle around the lake and affect the shrinkage of the lake. Before any useful thematic information can be extracted from remote sensing data, a land cover classification system has to be developed to obtain the classes of interest. A combination of classification systems used by Global land cover, Water Resources eAtlass and Lake Chad Basin Commission gave rise to 7 land cover classes comprising of - Cropland, vegetation, grassland, water body, shrub-land, farmland ( mostly irrigated) and bareland (i.e. clear land). Supervised Maximum likelihood classification method was used with 15 reference points per class chosen. At the end of the classification, the overall accuracy is 93.33%. Producer’s accuracy for vegetation is 40% compare to the user’s accuracy that is 66.67 %. The reason is that the vegetation is similar to shrub land, it is very hard to differentiate between the vegetation and other plants, and therefore, most of the vegetation is classified as shrub land. Most of the waterbodies are occupied

  7. Cost-estimate and proposal for a development impact bond for canine rabies elimination by mass vaccination in Chad.

    Anyiam, Franziska; Lechenne, Monique; Mindekem, Rolande; Oussigéré, Assandi; Naissengar, Service; Alfaroukh, Idriss Oumar; Mbilo, Celine; Moto, Daugla Doumagoum; Coleman, Paul G; Probst-Hensch, Nicole; Zinsstag, Jakob

    2017-11-01

    Close to 69,000 humans die of rabies each year, most of them in Africa and Asia. Clinical rabies can be prevented by post-exposure prophylaxis (PEP). However, PEP is commonly not available or not affordable in developing countries. Another strategy besides treating exposed humans is the vaccination of vector species. In developing countries, the main vector is the domestic dog, that, once infected, is a serious threat to humans. After a successful mass vaccination of 70% of the dogs in N'Djaména, we report here a cost-estimate for a national rabies elimination campaign for Chad. In a cross-sectional survey in four rural zones, we established the canine : human ratio at the household level. Based on human census data and the prevailing socio-cultural composition of rural zones of Chad, the total canine population was estimated at 1,205,361 dogs (95% Confidence interval 1,128,008-1,736,774 dogs). Cost data were collected from government sources and the recent canine mass vaccination campaign in N'Djaména. A Monte Carlo simulation was used for the simulation of the average cost and its variability, using probability distributions for dog numbers and cost items. Assuming the vaccination of 100 dogs on average per vaccination post and a duration of one year, the total cost for the vaccination of the national Chadian canine population is estimated at 2,716,359 Euros (95% CI 2,417,353-3,035,081) for one vaccination round. A development impact bond (DIB) organizational structure and cash flow scenario were then developed for the elimination of canine rabies in Chad. Cumulative discounted cost of 28.3 million Euros over ten years would be shared between the government of Chad, private investors and institutional donors as outcome funders. In this way, the risk of the investment could be shared and the necessary investment could be made available upfront - a key element for the elimination of canine rabies in Chad. Copyright © 2016 The Authors. Published by Elsevier B

  8. Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

    Jonathan Lilje

    2016-11-01

    Full Text Available Behavior that has changed following promotion campaigns is usually not maintained at its initial level. Psychosocial factors for initiating behavior are often not the same as for the continuation of health behaviors such as water treatment and are much less understood. Better knowledge of factors for behavioral continuation would help to improve programs, both in the design of strategies for sustainable behavior change and by defining stronger criteria for the evaluation of sustainability. This study compared the mindsets of caregivers who continuously performed household drinking water treatment over time with individuals that stopped doing so in a population sample from Chad. Several factors from health psychology based on the Risks, Attitudes, Norms, Abilities, and Self-Regulation (RANAS model were used to compare the two groups and examine their differing development. Normative factors such as others’ behavior, personal obligation, social support and discourse, perceived self-efficacy convictions, action control, and intention best discriminated between the two groups and developed significantly more positively over time for continuers of water treatment. These factors should be considered when designing future interventions intended to lead to sustainable behavior change.

  9. Actinomadura gamaensis sp. nov., a novel actinomycete isolated from soil in Gama, Chad.

    Abagana, Adam Yacoub; Sun, Pengyu; Liu, Chongxi; Cao, Tingting; Zheng, Weiwei; Zhao, Shanshan; Xiang, Wensheng; Wang, Xiangjing

    2016-06-01

    A novel single spore-producing actinomycete, designated strain NEAU-Gz5(T), was isolated from a soil sample from Gama, Chad. A polyphasic taxonomic study was carried out to establish the status of this strain. The diamino acid present in the cell wall is meso-diaminopimelic acid. Glucose, mannose and madurose occur in whole cell hydrolysates. The polar lipids were found to consist of diphosphatidylglycerol, phosphatidylethanolamine, phosphatidylinositol mannoside and an unidentified glycolipid. The predominant menaquinones were identified as MK-9(H8) and MK-9(H6). The predominant cellular fatty acids were found to be C16:0, iso-C15:0, iso-C16:0 and C18:0 10-methyl. Phylogenetic analysis based on the 16S rRNA gene showed that strain NEAU-Gz5(T) belongs to the genus Actinomadura and is closely related to Actinomadura oligospora JCM 10648(T) (ATCC 43269(T); 98.3 % similarity). However, the low level of DNA-DNA relatedness and some different phenotypic characteristics allowed the strain to be distinguished from its close relatives. Therefore, it is concluded that strain NEAU-Gz5(T) represents a novel species of the genus of Actinomadura, for which the name Actinomadura gamaensis sp. nov. is proposed. The type strain is NEAU-Gz5(T) (= CGMCC 4.7301(T) = DSM 100815(T)).

  10. Etiological, clinical, and therapeutic aspects of acute generalized peritonitis in N'Djamena, Chad.

    Choua, O; Ali, M M; Kaboro, M; Moussa, K M; Anour, M

    2017-08-01

    Our aim was to define the epidemiological profile of acute generalized peritonitis in N'Djamena, Chad. This retrospective study, conducted in the general surgery department of the National Reference General Hospital, examined the files of 492 patients who underwent surgery for acute generalized peritonitis from June 2007 to December 2012. Epidemiological, clinical, paraclinical, and therapeutic characteristics were described. Acute generalized peritonitis accounted for 35.2 % of all visceral surgical emergencies. Male patients were at highest risk (sex-ratio 6.5). The patients' mean age was 25.8 years (range 1 to 70 years). All patients had abdominal pain. The leading cause was traumatic visceral perforation by stabbing or a firearm in 226 cases (46 %), followed by diffuse appendiceal peritonitis. Primary peritonitis was rare. The principal procedure was surgical excision and suture. The mean time to consultation was 3 days and the mean hospital stay 8.5 days. The morbidity rate was 16.8 %, dominated by wound infection. The mortality rate was 6.8 %. Abdominal trauma is the major cause of acute generalized peritonitis in N'Djamena. Prognosis depends on time to surgical management.

  11. Streptomyces gamaensis sp. nov., a novel actinomycete with antifungal activity isolated from soil in Gama, Chad.

    Zhao, Shanshan; Ye, Lan; Liu, Chongxi; Abagana, Adam Yacoub; Zheng, Weiwei; Sun, Pengyu; Li, Jiansong; Xiang, Wensheng; Wang, Xiangjing

    2017-04-01

    During an investigation exploring potential sources of novel species and natural products, a novel actinomycete with antifungal activity, designated strain NEAU-Gz11 T , was isolated from a soil sample, which was collected from Gama, Chad. The isolate was found to have morphological and chemotaxonomic characteristics typical of members of the genus Streptomyces. 16S rRNA gene sequence similarity studies showed that strain NEAU-Gz11 T belongs to the genus Streptomyces with high sequence similarity to Streptomyces hiroshimensis JCM 4098 T (98.0 %). Similarities to other type strains of the genus Streptomyces were lower than 98.0 %. However, the physiological and biochemical characteristics and low levels of DNA-DNA relatedness could differentiate the isolate genotypically and phenotypically from S. hiroshimensis JCM 4098 T . Therefore, the strain is concluded to represent a novel species of the genus Streptomyces, for which the name Streptomyces gamaensis sp. nov. is proposed. The type strain is NEAU-Gz11 T (=CGMCC 4.7304 T =DSM 101531 T ).

  12. Factors determining water treatment behavior for the prevention of cholera in Chad.

    Lilje, Jonathan; Kessely, Hamit; Mosler, Hans-Joachim

    2015-07-01

    Cholera is a well-known and feared disease in developing countries, and is linked to high rates of morbidity and mortality. Contaminated drinking water and the lack of sufficient treatment are two of the key causes of high transmission rates. This article presents a representative health survey performed in Chad to inform future intervention strategies in the prevention and control of cholera. To identify critical psychological factors for behavior change, structured household interviews were administered to N = 1,017 primary caregivers, assessing their thoughts and attitudes toward household water treatment according to the Risk, Attitude, Norm, Ability, and Self-regulation model. The intervention potential for each factor was estimated by analyzing differences in means between groups of current performers and nonperformers of water treatment. Personal risk evaluation for diarrheal diseases and particularly for cholera was very low among the study population. Likewise, the perception of social norms was found to be rather unfavorable for water treatment behaviors. In addition, self-reported ability estimates (self-efficacy) revealed some potential for intervention. A mass radio campaign is proposed, using information and normative behavior change techniques, in combination with community meetings focused on targeting abilities and personal commitment to water treatment. © The American Society of Tropical Medicine and Hygiene.

  13. Provision of healthcare in a remote base of operations in southern Chad.

    Hickey, J P

    2010-09-01

    The Irish Defence Forces maintained a presence in south eastern Chad under the authority of the United Nations Security Council from January 2008 until May 2010, operating in a peace support role as the lead contingent in a multinational battalion. In September 2009 the task of establishing a forward operating base in a remote location within the area of operations was ordered by mission headquarters. Irish and Finnish troops duly deployed and began the task of establishing a safe and secure base from which to operate. This involved securing the location, installing accommodation, electricity, lighting and facilities for ablutions, removing natural hazards, establishing secure communications and ensuring rapid access and egress in the event of hostile contact or emergency. The incidence of disease at this location was low, with the notable exception of a limited outbreak of gastroenteritis. The high standard of engineering work carried out around the camp, especially the latrines, washing facilities and other hygiene measures, significantly contributed to minimising the transmission of infectious disease. The past experiences of the Defence Forces in Congo, Lebanon, East Timor, Eritrea and Liberia have led to a high standard of forward planning and logistical awareness within the organisation which served personnel well in this latest mission. Copyright © 2010 Elsevier Ltd. All rights reserved.

  14. Milk Consumption in the Milk Bars of the City of N’Djamena in Chad

    M. O. Koussou

    2007-01-01

    Full Text Available Out-of-home milk consumption has been increasing for the past ten years in N’Djamena, capital of Chad, through small shops called milk bars. In order to understand the reasons for this new dynamic, 180 consumers chosen at random in 36 of these places were interviewed by means of a transversal survey conducted in March-April 2007. The surveyed consumers were on average 31 years old, unmarried for the majority (54%, originated from the Sahara-Sahelian region (84% and worked in the informal sector (half of them. More than one third (37% bought milk “to take away” and the rest consumed it in the bars, mostly in the evening (79%. The dairy products consisted in sweetened fresh milk (halib and cultured whole milk (rayeb often consumed with bread. Average consumed quantities per client were 11.5 L/month for fresh milk and 19.5 L/month for rayeb. Quantities varied according to the season and the origin of the client. A consumption peak occurred during the hot dry season when production was at its lowest level. However, the price of these two products was stable at 1000 FCFA/L throughout the year, because of the existence of supply contracts with the milk bars. The farm origin of fresh or fermented whole milk greatly influenced the consumers’ choice. Suggestions are made to improve milk supply during the hot season so as to meet the increasing demand.

  15. Predictive value of CHADS2 and CHA2DS2-VASc scores for acute myocardial infarction in patients with atrial fibrillation.

    Pang, Hui; Han, Bing; Fu, Qiang; Zong, Zhenkun

    2017-07-05

    The presence of acute myocardial infarction (AMI) confers a poor prognosis in atrial fibrillation (AF), associated with increased mortality dramatically. This study aimed to evaluate the predictive value of CHADS 2 and CHA 2 DS 2 -VASc scores for AMI in patients with AF. This retrospective study enrolled 5140 consecutive nonvalvular AF patients, 300 patients with AMI and 4840 patients without AMI. We identified the optimal cut-off values of the CHADS 2 and CHA 2 DS 2 -VASc scores each based on receiver operating characteristic curves to predict the risk of AMI. Both CHADS 2 score and CHA 2 DS 2 -VASc score were associated with an increased odds ratio of the prevalence of AMI in patients with AF, after adjustment for hyperlipidaemia, hyperuricemia, hyperthyroidism, hypothyroidism and obstructive sleep apnea. The present results showed that the area under the curve (AUC) for CHADS 2 score was 0.787 with a similar accuracy of the CHA 2 DS 2 -VASc score (AUC 0.750) in predicting "high-risk" AF patients who developed AMI. However, the predictive accuracy of the two clinical-based risk scores was fair. The CHA 2 DS 2 -VASc score has fair predictive value for identifying high-risk patients with AF and is not significantly superior to CHADS 2 in predicting patients who develop AMI.

  16. Advanced chronic kidney disease in non-valvular atrial fibrillation: extending the utility of R2CHADS2 to patients with advanced renal failure.

    Bautista, Josef; Bella, Archie; Chaudhari, Ashok; Pekler, Gerald; Sapra, Katherine J; Carbajal, Roger; Baumstein, Donald

    2015-04-01

    The R2CHADS2 is a new prediction rule for stroke risk in atrial fibrillation (AF) patients wherein R stands for renal risk. However, it was created from a cohort that excluded patients with advanced renal failure (defined as glomerular filtration rate of advanced renal failure and aims to compare its predictive power against the currently used CHADS and CHA2DS2VaSc. This retrospective cohort study analyzed the 1-year risk for stroke of the 524 patients with AF at Metropolitan Hospital Center. AUC and C statistics were calculated using three groups: (i) the entire cohort including patients with advanced renal failure, (ii) a cohort excluding patients with advanced renal failure and (iii) all patients with GFR statistic was highest in R2CHADS compared with CHADS or CHADSVASC in group 1 (0.718 versus 0.605 versus 0.602) and in group 2 (0.724 versus 0.584 versus 0.579). However, there was no statistically significant difference in group 3 (0.631 versus 0.629 versus 0.623). Our study supports the utility of R2CHADS2 as a clinical prediction rule for stroke risk in patients with advanced renal failure.

  17. The value of the CHA2DS2-VASc score for refining stroke risk stratification in patients with atrial fibrillation with a CHADS2 score 0-1

    Olesen, Jonas Bjerring; Torp-Pedersen, Christian; Hansen, Morten Lock

    2012-01-01

    associated with increasing CHA2DS2-VASc score was estimated in Cox regression models adjusted for year of inclusion and antiplatelet therapy. The value of adding the extra CHA2DS2-VASc risk factors to the CHADS2 score was evaluated by c-statistics, Net Reclassification Improvement (NRI) and Integrated......DS2-VASc score significantly improved the predictive value of the CHADS2 score alone and a CHA2DS2-VASc score=0 could clearly identify 'truly low risk' subjects. Use of the CHA2DS2-VASc score would significantly improve classification of AF patients at low and intermediate risk of stroke, compared......North American and European guidelines on atrial fibrillation (AF) are conflicting regarding the classification of patients at low/intermediate risk of stroke. We aimed to investigate if the CHA2DS2-VASc score improved risk stratification of AF patients with a CHADS2 score of 0-1. Using individual...

  18. High-coercivity minerals from North African Humid Period soil material deposited in Lake Yoa (Chad)

    Just, J.; Kroepelin, S.; Wennrich, V.; Viehberg, F. A.; Wagner, B.; Rethemeyer, J.; Karls, J.; Melles, M.

    2015-12-01

    The Holocene is a period of fundamental climatic change in North Africa. Humid conditions during the so-called African Humid Period (AHP) have favored the formation of big lake systems. Only very few of these lakes persist until today. One of them is Lake Yoa (19°03'N/20°31'E) in the Ounianga Basin, Chad, which maintains its water level by ground water inflow. Here we present the magnetic characteristics together with proxies for lacustrine productivity and biota of a sediment core (Co1240) from Lake Yoa, retrieved in 2010 within the framework of the Collaborative Research Centre 806 - Our Way to Europe (Deutsche Forschungsgemeinschaft). Magnetic properties of AHP sediments show strong indications for reductive diagenesis. An up to ~ 80 m higher lake level is documented by lacustrine deposits in the Ounianga Basin, dating to the early phase of the AHP. The higher lake level and less strong seasonality restricted deep mixing of the lake. Development of anoxic conditions consequently lead to the dissolution of iron oxides. An exception is an interval with high concentration of high-coercivity magnetic minerals, deposited between 7800 - 8120 cal yr BP. This interval post-dates the 8.2 event, which was dry in Northern Africa and probably caused a reduced vegetation cover. We propose that the latter resulted in the destabilization of soils around Lake Yoa. After the re-establishment of humid conditions, these soil materials were eroded and deposited in the lake. Magnetic minerals appear well preserved in the varved Late Holocene sequence, indicating (sub-) oxic conditions in the lake. This is surprising, because the occurrence of varves is often interpreted as an indicator for anoxic conditions of the lake water. However, the salinity of lake water rose strongly after the AHP. We therefore hypothesize that the conservation of varves and absence of benthic organisms rather relates to the high salinity than to anoxic conditions.

  19. Water balance-based estimation of groundwater recharge in the Lake Chad Basin

    Babamaaji, R. A.; Lee, J.

    2012-12-01

    Lake Chad Basin (LCB) has experienced drastic changes of land cover and poor water management practices during the last 50 years. The successive droughts in the 1970s and 1980s resulted in the shortage of surface water and groundwater resources. This problem of drought and shortage of water has a devastating implication on the natural resources of the Basin with great consequence on food security, poverty reduction and quality of life of the inhabitants in the LCB. Therefore, understanding the change of land use and its characteristics must be a first step to find how such changes disturb the water cycle especially the groundwater in the LCB. The abundance of groundwater is affected by the climate change through the interaction with surface water, such as lakes and rivers, and vertical recharge through an infiltration process. Quantifying the impact of climate change on the groundwater resource requires not only reliable forecasting of changes in the major climatic variables, but also accurate estimation of groundwater recharge. Spatial variations in the land use/land cover, soil texture, topographic slope, and meteorological conditions should be accounted for in the recharge estimation. In this study, we employed a spatially distributed water balance model WetSpass to simulate a long-term average change of groundwater recharge in the LCB of Africa. WetSpass is a water balance-based model to estimate seasonal average spatial distribution of surface runoff, evapotranspiration, and groundwater recharge. The model is especially suitable for studying the effect of land use/land cover change on the water regime in the LCB. The present study describes the concept of the model and its application to the development of recharge map of the LCB.

  20. The CHADS2 Score to Predict Stroke Risk in the Absence of Atrial Fibrillation in Hypertensive Patients Aged 65 Years or Older.

    Morillas, Pedro; Pallarés, Vicente; Fácila, Lorenzo; Llisterri, Jose Luis; Sebastián, María Eugenia; Gómez, Manuel; Castilla, Elena; Camarasa, Raquel; Sandin, Miriam; García-Honrubia, Antonio

    2015-06-01

    The CHADS2 score is a proven, essential tool for estimating cardioembolic risk (mainly stroke) in patients with nonvalvular atrial fibrillation, with the purpose of determining the indication for anticoagulant therapy. In this study we analyzed the use of CHADS2 in hypertensive patients without known atrial fibrillation in a Mediterranean population. The study included 887 hypertensive patients aged 65 years or older without atrial fibrillation or anticoagulant therapy, who attended a medical consultation. Data on the patients' main risk factors, cardiovascular history, and medication were collected, basic laboratory analyses and electrocardiography were performed, and the CHADS2 score (heart failure, hypertension, age ≥ 75 years, diabetes mellitus, and previous stroke or transient ischemic attack) was calculated. A clinical follow-up was carried out, recording hospital admissions for a stroke or transient ischemic attack. The median duration of follow-up was 804 days. Mean age was 72.5 (SD,5.7) years, 46.6% were men, 27.8% had diabetes, and 8.6% were smokers. During follow-up, 40 patients were hospitalized for a stroke or transient ischemic attack (4.5%). The event-free survival analysis showed significant differences according to the CHADS2 score (log rank test, P < .001). On multivariate analysis, smoking and CHADS2 ≥3 were independent predictors of stroke or transient ischemic attack. The CHADS2 may be useful for estimating the risk of stroke or transient ischemic attack in hypertensive patients without known atrial fibrillation. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  1. CHADS2 score has a better predictive value than CHA2DS2-VASc score in elderly patients with atrial fibrillation

    Xing YL

    2016-07-01

    Full Text Available Yunli Xing, Qing Ma, Xiaoying Ma, Cuiying Wang, Dai Zhang, Ying Sun Department of Geriatrics and Gerontology, Beijing Friendship Hospital, Capital Medical University, Beijing, People’s Republic of China Aim: The study aims to compare the ability of CHA2DS2-VASc (defined as congestive heart failure, hypertension, age ≥75 years [two scores], type 2 diabetes mellitus, previous stroke, transient ischemic attack, or thromboembolism [TE] [doubled], vascular disease, age 65–74 years, and sex category and CHADS2 (defined as congestive heart failure, hypertension, age ≥75 years, type 2 diabetes mellitus, previous stroke [doubled] scores to predict the risk of ischemic stroke (IS or TE among patients with nonvalvular atrial fibrillation (NVAF.Methods: A total of 413 patients with NVAF aged ≥65 years, and not on oral anticoagulants for the previous 6 months, were enrolled in the study. The predictive value of the CHA2DS2-VASc and CHADS2 scores for IS/TE events was evaluated by the Kaplan–Meier method.Results: During a follow-up period of 1.99±1.29 years, 104 (25.2% patients died and 59 (14.3% patients developed IS/TE. The CHADS2 score performed better than the CHA2DS2-VASc score in predicting IS/TE as assessed by c-indexes (0.647 vs 0.615, respectively; P<0.05. Non-CHADS2 risk factors, such as vascular disease and female sex, were not found to be predictive of IS/TE (hazard ratio 1.518, 95% CI: 0.832–2.771; hazard ratio 1.067, 95% CI: 0.599–1.899, respectively. No differences in event rates were found in patients with the CHADS2 scores of 1 and 2 (7.1% vs 7.8%. It was observed that patients with a CHADS2 score of ≥3 were most in need of anticoagulation therapy.Conclusion: In patients with NVAF aged ≥65 years, the CHADS2 score was found to be significantly better in predicting IS/TE events when compared to the CHA2DS2-VASc score. Patients with a CHADS2 score of ≥3 were associated with high risk of IS/TE events. Keywords: NVAF

  2. The genetic impact of the lake chad basin population in North Africa as documented by mitochondrial diversity and internal variation of the L3e5 haplogroup.

    Podgorná, Eliška; Soares, Pedro; Pereira, Luísa; Cerný, Viktor

    2013-11-01

    The presence of sub-Saharan L-type mtDNA sequences in North Africa has traditionally been explained by the recent slave trade. However, gene flow between sub-Saharan and northern African populations would also have been made possible earlier through the greening of the Sahara resulting from Early Holocene climatic improvement. In this article, we examine human dispersals across the Sahara through the analysis of the sub-Saharan mtDNA haplogroup L3e5, which is not only commonly found in the Lake Chad Basin (∼17%), but which also attains nonnegligible frequencies (∼10%) in some Northwestern African populations. Age estimates point to its origin ∼10 ka, probably directly in the Lake Chad Basin, where the clade occurs across linguistic boundaries. The virtual absence of this specific haplogroup in Daza from Northern Chad and all West African populations suggests that its migration took place elsewhere, perhaps through Northern Niger. Interestingly, independent confirmation of Early Holocene contacts between North Africa and the Lake Chad Basin have been provided by craniofacial data from Central Niger, supporting our suggestion that the Early Holocene offered a suitable climatic window for genetic exchanges between North and sub-Saharan Africa. In view of its younger founder age in North Africa, the discontinuous distribution of L3e5 was probably caused by the Middle Holocene re-expansion of the Sahara desert, disrupting the clade's original continuous spread. © 2013 John Wiley & Sons Ltd/University College London.

  3. CHADS2 and modified CHA2DS2-VASc scores for the prediction of congestive heart failure in patients with nonvalvular atrial fibrillation

    Yorihiko Koeda

    2017-10-01

    Conclusion: Calculation of the CHADS2 and mCHA2DS2-VASc scores in order to evaluate the risk of systemic thromboembolism was useful to predict the onset of CHF, but not all-cause death, in patients with NVAF.

  4. An Arabic-English-French Lexicon of the Dialects Spoken in the Chad-Sudan Area, 1. [Lexique des parlers arabes tchado-soudanais, 1.

    Roth-Laly, Arlette, Comp.

    This lexicon, a preliminary publication of a project dealing with Arabic dialects in the Chad-Sudan area, has been compiled from four earlier lexicons: G. Trenga, "Le bura-maband du Ouadai"; H. Carbou, "Methode pratique pour l'etude de l'arabe parle au Ouaday et a l'Est du Tchad"; G.L. Lethem, "Colloquial Arabic, Shua…

  5. Motion of left atrial appendage as a determinant of thrombus formation in patients with a low CHADS2 score receiving warfarin for persistent nonvalvular atrial fibrillation

    Ono Koji

    2012-12-01

    Full Text Available Abstract Background The aim of this study was to define the independent determinants of left atrial appendage (LAA thrombus among various echocardiographic parameters measured by Velocity Vector Imaging (VVI in patients with nonvalvular atrial fibrillation (AF receiving warfarin, particularly in patients with a low CHADS2 score. Methods LAA emptying fraction (EF and LAA peak longitudinal strain were measured by VVI using transesophageal echocardiography in 260 consecutive patients with nonvalvular persistent AF receiving warfarin. The patients were divided into two groups according to the presence (n=43 or absence (n=217 of LAA thrombus. Moreover, the patients within each group were further divided into subgroups according to a CHADS2 score ≤1. Results Multivariate logistic regression analysis showed that LAAEF was an independent determinant of LAA thrombus in the subgroup of 140 with a low CHADS2 score. Receiver operating characteristics curve analysis showed that an LAAEF of 21% was the optimal cutoff value for predicting LAA thrombus. Conclusions LAA thrombus formation depended on LAA contractility. AF patients with reduced LAA contractile fraction (LAAEF ≤21% require strong anticoagulant therapy to avoid thromboembolic events regardless of a low CHADS2 score (≤1.

  6. The Lake Chad Basin, an Isolated and Persistent Reservoir of Vibrio cholerae O1: A Genomic Insight into the Outbreak in Cameroon, 2010

    Kaas, Rolf Sommer; Ngandjio, Antoinette; Nzouankeu, Ariane

    2016-01-01

    The prevalence of reported cholera was relatively low around the Lake Chad basin until 1991. Since then, cholera outbreaks have been reported every couple of years. The objective of this study was to investigate the 2010/2011 Vibrio cholerae outbreak in Cameroon to gain insight into the genomic m...

  7. CHADS2 and CHA2DS2-VASc score to assess risk of stroke and death in patients paced for sick sinus syndrome

    Svendsen, Jesper Hastrup; Nielsen, Jens Cosedis; Darkner, Stine

    2013-01-01

    The risk of stroke in patients with atrial fibrillation (AF) can be assessed by use of the CHADS2 and the CHA2DS2-VASc score system. We hypothesised that these risk scores and their individual components could also be applied to patients paced for sick sinus syndrome (SSS) to evaluate risk of str...

  8. Community health outreach program of the Chad-Cameroon petroleum development and pipeline project.

    Utzinger, Jürg; Wyss, Kaspar; Moto, Daugla D; Tanner, Marcel; Singer, Burton H

    2004-02-01

    applying a systemic approach. Other innovations of the project in general, and the CHOP in particular, are the strong emphases on institutional-capacity building, integration, and sustainability. In countries like Chad and Cameroon, there are serious shortages of well-qualified health personnel. The CHOP described in this article provides leverage for initiating better healthcare that will reduce the high burden of disease in the developing world. Reducing mortality rates for infants and children younger than 5 years in sub-Saharan Africa requires massive scaling-up of malaria-control interventions (eg, large-scale distribution of ITNs to protect millions of African children), thereby approaching the Abuja targets (see Armstrong Schellenberg et al). The local NGOs that took a lead within the framework of the CHOP in the distribution of ITNs and accompanying health education messages can extend these activities to communities living outside the vicinity of the project area. Serious shortcomings of the current CHOP, consistently identified by the external monitoring groups, include the lack of a regional health plan, cumulative impact assessment, and provision of clean water and sanitation outside the narrowly defined project area. This point is of central importance, particularly for Chad, where access to clean water and improved sanitation facilities is low. Another limitation of the current CHOP is the insufficient amount of significance addressed to tuberculosis and the apparent lack of concerted control efforts against HIV infection, AIDS, and tuberculosis. These criticisms, however, must be balanced against the lack of clarity in international discourse about the proper extent of responsibility of the corporate sector for dealing with the health problems of countries in which they do business. In an elegant analysis, the environmental risk factor "unsafe water, sanitation and hygiene" was shown to be one of the major contributors to loss of healthy life, particularly

  9. New insights into the Lake Chad Basin population structure revealed by high-throughput genotyping of mitochondrial DNA coding SNPs.

    María Cerezo

    Full Text Available BACKGROUND: Located in the Sudan belt, the Chad Basin forms a remarkable ecosystem, where several unique agricultural and pastoral techniques have been developed. Both from an archaeological and a genetic point of view, this region has been interpreted to be the center of a bidirectional corridor connecting West and East Africa, as well as a meeting point for populations coming from North Africa through the Saharan desert. METHODOLOGY/PRINCIPAL FINDINGS: Samples from twelve ethnic groups from the Chad Basin (n = 542 have been high-throughput genotyped for 230 coding region mitochondrial DNA (mtDNA Single Nucleotide Polymorphisms (mtSNPs using Matrix-Assisted Laser Desorption/Ionization Time-Of-Flight (MALDI-TOF mass spectrometry. This set of mtSNPs allowed for much better phylogenetic resolution than previous studies of this geographic region, enabling new insights into its population history. Notable haplogroup (hg heterogeneity has been observed in the Chad Basin mirroring the different demographic histories of these ethnic groups. As estimated using a Bayesian framework, nomadic populations showed negative growth which was not always correlated to their estimated effective population sizes. Nomads also showed lower diversity values than sedentary groups. CONCLUSIONS/SIGNIFICANCE: Compared to sedentary population, nomads showed signals of stronger genetic drift occurring in their ancestral populations. These populations, however, retained more haplotype diversity in their hypervariable segments I (HVS-I, but not their mtSNPs, suggesting a more ancestral ethnogenesis. Whereas the nomadic population showed a higher Mediterranean influence signaled mainly by sub-lineages of M1, R0, U6, and U5, the other populations showed a more consistent sub-Saharan pattern. Although lifestyle may have an influence on diversity patterns and hg composition, analysis of molecular variance has not identified these differences. The present study indicates that

  10. Monitoring Recent Fluctuations of the Southern Pool of Lake Chad Using Multiple Remote Sensing Data: Implications for Water Balance Analysis

    Wenbin Zhu

    2017-10-01

    Full Text Available The drought episodes in the second half of the 20th century have profoundly modified the state of Lake Chad and investigation of its variations is necessary under the new circumstances. Multiple remote sensing observations were used in this paper to study its variation in the recent 25 years. Unlike previous studies, only the southern pool of Lake Chad (SPLC was selected as our study area, because it is the only permanent open water area after the serious lake recession in 1973–1975. Four satellite altimetry products were used for water level retrieval and 904 Landsat TM/ETM+ images were used for lake surface area extraction. Based on the water level (L and surface area (A retrieved (with coinciding dates, linear regression method was used to retrieve the SPLC’s L-A curve, which was then integrated to estimate water volume variations ( Δ V . The results show that the SPLC has been in a relatively stable phase, with a slight increasing trend from 1992 to 2016. On annual average scale, the increase rate of water level, surface area and water volume is 0.5 cm year−1, 0.14 km2 year−1 and 0.007 km3 year−1, respectively. As for the intra-annual variations of the SPLC, the seasonal variation amplitude of water level, lake area and water volume is 1.38 m, 38.08 km2 and 2.00 km3, respectively. The scatterplots between precipitation and Δ V indicate that there is a time lag of about one to two months in the response of water volume variations to precipitation, which makes it possible for us to predict Δ V . The water balance of the SPLC is significantly different from that of the entire Lake Chad. While evaporation accounts for 96% of the lake’s total water losses, only 16% of the SPLC’s losses are consumed by evaporation, with the other 84% offset by outflow.

  11. A new cichlid fish in the Sahara: The Ounianga Serir lakes (Chad), a biodiversity hotspot in the desert.

    Trape, Sébastien

    In the rare perennial bodies of water of the Sahara desert, only a few fish species have survived to increasing aridification since the end of the last humid period at the Holocene, approximately 5000 years BP. Here, I report the occurrence of an undescribed haplochomine cichlid fish in Lake Boukou, one of the seven Ounianga Serir lakes (Chad). These lakes are located in one of the most arid areas of the Sahara desert, but they persist by virtue of subsurface inflow of fresh groundwater from a large fossil aquifer. Astatotilapia tchadensis sp. nov. is characterized by a black bar between eye and corner of mouth, rounded orange spots on anal fin, scales ctenoid, lower limb of first gill arch with 7-8 gill rackers, dorsal fin with 13-14 spines and 9-11 soft rays, anal fin with 3 spines and 8-9 soft rays, 29 or 30 lateral line scales, and lower pharyngeal dentition with enlarged molariform teeth. The new species is easily distinguished from A. desfontainii and A. flaviijosephii, the northernmost haplochromine species currently isolated from its other group members, and appears close to an unnamed species of Lake Chad basin. Ounianga Serir lakes and especially Lake Boukou present a remarkable diversity of fish, the highest known in the Sahara desert with a total of at least six fish species belonging to six genera and three families. They also constitute an exceptional natural landscape inscribed on the UNESCO world heritage list in 2012 and a biodiversity hotspot for desert vertebrate species. Copyright © 2016 Académie des sciences. Published by Elsevier SAS. All rights reserved.

  12. Unexpected pattern of pearl millet genetic diversity among ethno-linguistic groups in the Lake Chad Basin.

    Naino Jika, A K; Dussert, Y; Raimond, C; Garine, E; Luxereau, A; Takvorian, N; Djermakoye, R S; Adam, T; Robert, T

    2017-05-01

    Despite of a growing interest in considering the role of sociological factors in seed exchanges and their consequences on the evolutionary dynamics of agro-biodiversity, very few studies assessed the link between ethno-linguistic diversity and genetic diversity patterns in small-holder farming systems. This is key for optimal improvement and conservation of crop genetic resources. Here, we investigated genetic diversity at 17 SSR markers of pearl millet landraces (varieties named by farmers) in the Lake Chad Basin. 69 pearl millet populations, representing 27 landraces collected in eight ethno-linguistic farmer groups, were analyzed. We found that the farmers' local taxonomy was not a good proxy for population's genetic differentiation as previously shown at smaller scales. Our results show the existence of a genetic structure of pearl millet mainly associated with ethno-linguistic diversity in the western side of the lake Chad. It suggests there is a limit to gene flow between landraces grown by different ethno-linguistic groups. This result was rather unexpected, because of the highly outcrossing mating system of pearl millet, the high density of pearl millet fields all along the green belt of this Sahelian area and the fact that seed exchanges among ethno-linguistic groups are known to occur. In the eastern side of the Lake, the pattern of genetic diversity suggests a larger efficient circulation of pearl millet genes between ethno-linguistic groups that are less numerous, spatially intermixed and, for some of them, more prone to exogamy. Finally, other historical and environmental factors which may contribute to the observed diversity patterns are discussed.

  13. Decreased Renal Function Is Associated with Elevated CHA2DS2VASC and R2CHADS2 Scores in Non-Valvular Atrial Fibrillation Patients Presenting with Stroke.

    Vindhyal, Mohinder; Vindhyal, Shravani R; Haneke, Travis; Ndunda, Paul M; Eid, Freidy; Kallail, K James

    2017-12-11

    Introduction Atrial fibrillation (AF), the most common cardiac arrhythmia, affects approximately 2.3 million patients in the United States, costing around $26 billion. Atrial fibrillation is associated with a two- to seven-fold increased risk of stroke, one of the most serious complications. Chronic kidney disease affects approximately 13% of the US population and has been associated with higher rates of AF than the general population. In patients with chronic kidney disease (CKD), the risk of stroke increases as the glomerular filtration rate (GFR) decreases, especially in CKD stages three and four. Several risks stratification scores such as CHADS2 (congestive heart failure, hypertension, age, diabetes mellitus, stroke), CHA2DS2VASc (congestive heart failure, hypertension, age, diabetes mellitus, stroke, vascular disease, age, sex), and R2CHADS2 (renal failure, congestive heart failure, age, diabetes, stroke) scores are used for stroke risk assessment in patients with non-valvular atrial fibrillation (NVAF). This study investigates the association between renal functions and risk stratification scoring systems in patients with non-valvular AF presenting with stroke. Methods Using the convenience sampling method, 171 subjects were selected from the eligible population (n = 386). A Pearson product-moment correlation coefficient was calculated to determine the association between the GFR and each of the CHA2DS2VASc and R2CHADS2 scores. In addition, a Pearson product-moment correlation coefficient was calculated to determine the association between the CHA2DS2VASc and R2CHADS2 scores. Results The selected population represented 44.3% of the eligible subjects. Of these, 88% were Caucasian, 60% were female, and the mean age was 78 years. The mean CHA2DS2VASc score was six (range 2-9). The mean eGFR was 69.77 (range 6-108). Both the mode and the median CHA2DS2VASc score was four (range 2-8). A weak, but significant, negative correlation was found between renal

  14. Long-chain 3-hydroxyacyl-coenzyme A dehydrogenase (L-CHAD) deficiency in a patient with the Bannayan-Riley-Ruvalcaba syndrome.

    Fryburg, J S; Pelegano, J P; Bennett, M J; Bebin, E M

    1994-08-01

    Bannayan-Riley-Ruvalcaba syndrome (BRRS) is an autosomal dominant condition of macrocephaly in combination with lipomas/hemangiomas, hypotonia, developmental delay, and a lipid myopathy. The etiology of the lipid storage myopathy has been unclear. We describe a black boy with findings of BRRS who also has a defect in long-chain fatty acid oxidation expressed in cultured skin fibroblasts as a deficiency of long-chain-L-3-hydroxyacyl-CoA dehydrogenase (L-CHAD). He also has an abnormal brain MRI and increased size of both lower limbs. We present this child because of his unusual combination of findings, and postulate that L-CHAD deficiency may be the cause of the lipid myopathy in BRRS.

  15. The Lake Chad Basin, an Isolated and Persistent Reservoir of Vibrio cholerae O1: A Genomic Insight into the Outbreak in Cameroon, 2010.

    Rolf S Kaas

    Full Text Available The prevalence of reported cholera was relatively low around the Lake Chad basin until 1991. Since then, cholera outbreaks have been reported every couple of years. The objective of this study was to investigate the 2010/2011 Vibrio cholerae outbreak in Cameroon to gain insight into the genomic make-up of the V. cholerae strains responsible for the outbreak. Twenty-four strains were isolated and whole genome sequenced. Known virulence genes, resistance genes and integrating conjugative element (ICE elements were identified and annotated. A global phylogeny (378 genomes was inferred using a single nucleotide polymorphism (SNP analysis. The Cameroon outbreak was found to be clonal and clustered distant from the other African strains. In addition, a subset of the strains contained a deletion that was found in the ICE element causing less resistance. These results suggest that V. cholerae is endemic in the Lake Chad basin and different from other African strains.

  16. Protecting child health and nutrition status with ready-to-use food in addition to food assistance in urban Chad: a cost-effectiveness analysis

    Puett, Chloe; Salpéteur, Cécile; Lacroix, Elisabeth; Houngbé, Freddy; Aït-Aïssa, Myriam; Israël, Anne-Dominique

    2013-01-01

    Background Despite growing interest in use of lipid nutrient supplements for preventing child malnutrition and morbidity, there is inconclusive evidence on the effectiveness, and no evidence on the cost-effectiveness of this strategy. Methods A cost effectiveness analysis was conducted comparing costs and outcomes of two arms of a cluster randomized controlled trial implemented in eastern Chad during the 2010 hunger gap by Action contre la Faim France and Ghent University. This trial assessed...

  17. Underuse of Anticoagulation in Older Patients with Atrial Fibrillation and CHADS2 Score ≥ 2: Are We Doing Better Since the Marketing of Direct Oral Anticoagulants?

    Henrard, Séverine; Vandenabeele, Caroline; Marien, Sophie; Boland, Benoit; Dalleur, Olivia

    2017-11-01

    Our objectives were to (1) describe the evolution of the underuse of anticoagulants in older people with atrial fibrillation (AF) and a CHADS 2 score ≥ 2 since direct oral anticoagulants (DOACs) were introduced to the market and (2) describe factors associated with this underuse. We conducted a retrospective cross-sectional study including geriatric patients admitted during the pre-DOAC (2008-2011) and post-DOAC (2013-2015) periods in an academic hospital in Belgium. Five inclusion criteria were met: age ≥ 75 years, diagnosis of AF, indication for anticoagulation (CHADS 2 score ≥ 2), risk of functional decline (Identification of Seniors At Risk [ISAR] score ≥ 2), and comprehensive geriatric assessment. The use of anticoagulants and antiplatelets at home before admission was recorded. Risks of stroke and bleeding were calculated using CHADS 2 and HEMORR 2 HAGES scores, respectively. Three different logistic regression models were performed to describe the evolution of and factors associated with the underuse of anticoagulants after DOAC marketing. Anticoagulant underuse, present in 209 of 614 (34%) geriatric patients with AF, was lower in patients with a history of stroke (28.5%) or congestive heart failure (26.9%) but higher in those receiving antiplatelets (56.2%) and in older individuals. Anticoagulant underuse decreased significantly from the pre-DOAC (37.3%) to the post-DOAC (29.7%) era, as shown by two analyses using propensity scores. In older patients with AF, anticoagulant underuse was mainly associated with antiplatelet use. Anticoagulant underuse and antiplatelet use have both decreased since DOAC marketing. Underuse of anticoagulants was still a concern for three in ten geriatric patients with AF at high risk of stroke (CHADS 2 score ≥ 2).

  18. The Chad-Cameroon petroleum project: loaded dices on the pipeline; Projet petrolier Tchad-Cameroun: des pipes sur le pipe-line

    NONE

    1999-07-01

    The project of a oil pipeline starting from Chad and passing threw Cameroon has raised several controversies. History has shown several times in the past that oil discovery in Africa is very often synonymous of the increase of corruption and dictatorship. Talking into account the political situation of both countries, this book explains how this project can be a source of anxiety, in particular concerning the populations' rights and the environment protection. (J.S.)

  19. The Chad-Cameroon petroleum project: loaded dices on the pipeline; Projet petrolier Tchad-Cameroun: des pipes sur le pipe-line

    NONE

    1999-07-01

    The project of a oil pipeline starting from Chad and passing threw Cameroon has raised several controversies. History has shown several times in the past that oil discovery in Africa is very often synonymous of the increase of corruption and dictatorship. Talking into account the political situation of both countries, this book explains how this project can be a source of anxiety, in particular concerning the populations' rights and the environment protection. (J.S.)

  20. Lake Chad Total Surface Water Area as Derived from Land Surface Temperature and Radar Remote Sensing Data

    Frederick Policelli

    2018-02-01

    Full Text Available Lake Chad, located in the middle of the African Sahel belt, underwent dramatic decreases in the 1970s and 1980s leaving less than ten percent of its 1960s surface water extent as open water. In this paper, we present an extended record (dry seasons 1988–2016 of the total surface water area of the lake (including both open water and flooded vegetation derived using Land Surface Temperature (LST data (dry seasons 2000–2016 from the NASA Terra MODIS sensor and EUMETSAT Meteosat-based LST measurements (dry seasons 1988–2001 from an earlier study. We also examine the total surface water area for Lake Chad using radar data (dry seasons 2015–2016 from the ESA Sentinel-1a mission. For the limited number of radar data sets available to us (18 data sets, we find on average a close match between the estimates from these data and the corresponding estimates from LST, though we find spatial differences in the estimates using the two types of data. We use these spatial differences to adjust the record (dry seasons 2000–2016 from MODIS LST. Then we use the adjusted record to remove the bias of the existing LST record (dry seasons 1988–2001 derived from Meteosat measurements and combine the two records. From this composite, extended record, we plot the total surface water area of the lake for the dry seasons of 1988–1989 through 2016–2017. We find for the dry seasons of 1988–1989 to 2016–2017 that the maximum total surface water area of the lake was approximately 16,800 sq. km (February and May, 2000, the minimum total surface water area of the lake was approximately 6400 sq. km (November, 1990, and the average was approximately 12,700 sq. km. Further, we find the total surface water area of the lake to be highly variable during this period, with an average rate of increase of approximately 143 km2 per year.

  1. Relationship of CHA2DS2-VASc and CHADS2 score to left atrial remodeling detected by velocity vector imaging in patients with atrial fibrillation.

    Yihui Li

    Full Text Available BACKGROUND: The CHADS2/CHA2DS2-VASc scores are used to predict thrombo-embolic/stroke in patients with nonvalvular atrial fibrillation (AF. Nevertheless, limited data are available regarding the association between these risk stratification for stroke and left atrial (LA remodeling status of AF patients. The purpose of this study was to explore the association between these scores and LA remodeling status assessed quantificationally by echocardiography in AF patients. METHODS: One hundred AF patients were divided into 3 groups based on the CHA2DS2-VASc/CHADS2 score: the score of 0 (low stroke risk, the score of 1 (moderate stroke risk and the score of ≥2 (high stroke risk. All patients were performed through conventional and velocity vector imaging echocardiography. Echocardiographic parameters: maximum LA volume index (LAVImax, LA total emptying fraction (LAEFt and LA mean strain were obtained to assess quantificationally LA remodeling status. RESULTS: On categorizing with CHA2DS2-VASc, the score of 1 group showed augment in LAVImax and attenuation in LA mean strain derived from VVI, compared with the score of 0 group (LAVImax: 40.27±21.91 vs. 26.79±7.87, p=0.002; LA mean strain: 15.18±6.36 vs. 22±8.54, p=0.001. On categorizing with the CHADS2 score, similar trends were seen between the score of ≥2 and 1 groups (LAVImax: 43.72±13.77 vs. 31.41±9.50, p<0.001; LA mean strain: 11.01±5.31 vs. 18.63±7.00, p<0.001. With multivariate logistic regression, LAVImax (odds ratio: 0.92 , 95% C=I: 0.85 to 0.98, p= 0.01 and LA mean strain reflecting LA remodeling (odds ratio: 1.10, 95% CI: 1.02 to 1.19, p=0.01 were strongly predictive of the CHA2DS2-VASc score of 0. CONCLUSIONS: The superiority of the CHADS2 score may lay in identifying LA remodeling of AF patients with high stroke risk. Whereas, the CHA2DS2-VASc score was better than the CHADS2 score at identifying LA remodeling of AF patients presenting low stroke risk.

  2. Are Salmonella-Induced Gastroenteritis Neglected in Developing Countries? Feedback from Microbiological Investigations in N'Djamena Hospitals, Chad.

    Djim-Adjim Tabo

    Full Text Available Salmonella is considered to be one of the main pathogens causing human gastroenteritis worldwide. Looking for Salmonella in Africa in patients suffering from gastroenteritis is rather unusual, and the use of antibiotics is not subject to any regulation. This study intends for stressing the possible prominent importance of Salmonella in digestive diseases in Africa as well as identifying antimicrobial resistance of Salmonella isolates from faeces samples of human origin. All samples were collected from five N'Djamena hospitals, from patients suffering from diarrhoea. The collecting was undertaken over two periods of six months each: from August 2010 to January 2011 and from September 2011 to February 2012. Salmonella isolates were obtained by standard cultivation and serotyping methods. A total of 43 Salmonella isolates were identified, belonging to 21 different serovars. The most prevalent serovar was Salmonella Stanleyville (n = 7, followed by S. Anatum (n = 4 and S. Kottbus (n = 3. The other serovars were under-represented. The majority of these isolates were susceptible to all antibiotics tested (CLSI Standards, except two S. Enteritidis isolates that exhibited resistance to fluoroquinolones. The different serovars and antibiotic resistance profiles that were observed highlight the substantial diversity of Salmonella in N'Djamena, Chad. Roughly, one out of ten patients who consulted for gastroenteritis was shedding Salmonella spp. and none of them would have been diagnosed outside the context of this research program. This study may encourage local clinicians to explore more often salmonellosis suspicion in their daily practice.

  3. Nutritional Characterization and Phenolic Profiling of Moringa oleifera Leaves Grown in Chad, Sahrawi Refugee Camps, and Haiti.

    Leone, Alessandro; Fiorillo, Giovanni; Criscuoli, Franca; Ravasenghi, Stefano; Santagostini, Laura; Fico, Gelsomina; Spadafranca, Angela; Battezzati, Alberto; Schiraldi, Alberto; Pozzi, Federica; di Lello, Sara; Filippini, Sandro; Bertoli, Simona

    2015-08-12

    Moringa oleifera is a plant that grows in tropical and subtropical areas of the world. Its leaves are rich of nutrients and bioactive compounds. However, several differences are reported in the literature. In this article we performed a nutritional characterization and a phenolic profiling of M. oleifera leaves grown in Chad, Sahrawi refugee camps, and Haiti. In addition, we investigated the presence of salicylic and ferulic acids, two phenolic acids with pharmacological activity, whose presence in M. oleifera leaves has been scarcely investigated so far. Several differences were observed among the samples. Nevertheless, the leaves were rich in protein, minerals, and β-carotene. Quercetin and kaempferol glycosides were the main phenolic compounds identified in the methanolic extracts. Finally, salicylic and ferulic acids were found in a concentration range of 0.14-0.33 and 6.61-9.69 mg/100 g, respectively. In conclusion, we observed some differences in terms of nutrients and phenolic compounds in M. oleifera leaves grown in different countries. Nevertheless, these leaves are a good and economical source of nutrients for tropical and sub-tropical countries. Furthermore, M. oleifera leaves are a source of flavonoids and phenolic acids, among which salicylic and ferulic acids, and therefore they could be used as nutraceutical and functional ingredients.

  4. Is drinking water from 'improved sources' really safe? A case study in the Logone valley (Chad-Cameroon).

    Sorlini, S; Palazzini, D; Mbawala, A; Ngassoum, M B; Collivignarelli, M C

    2013-12-01

    Within a cooperation project coordinated by the Association for Rural Cooperation in Africa and Latin America (ACRA) Foundation, water supplies were sampled across the villages of the Logone valley (Chad-Cameroon) mostly from boreholes, open wells, rivers and lakes as well as from some piped water. Microbiological analyses and sanitary inspections were carried out at each source. The microbiological quality was determined by analysis of indicators of faecal contamination, Escherichia coli, Enterococci and Salmonellae, using the membrane filtration method. Sanitary inspections were done using WHO query forms. The assessment confirmed that there are several parameters of health concern in the studied area; bacteria of faecal origins are the most significant. Furthermore, this study demonstrated that Joint Monitoring Programme (JMP) classification and E. coli measurement are not sufficient to state water safety. In fact, in the studied area, JMP defined 'improved sources' may provide unsafe water depending on their structure and sources without E. coli may have Enterococci and Salmonellae. Sanitary inspections also revealed high health risks for some boreholes. In other cases, sources with low sanitary risk and no E. coli were contaminated by Enterococci and Salmonellae. Better management and protection of the sources, hygiene improvement and domestic water treatment before consumption are possible solutions to reduce health risks in the Logone valley.

  5. Market integration of pastoral systems in the south of Chad : case of the milk trade in Moundu

    G. Duteurtre

    2000-03-01

    Full Text Available Since 1980, livestock husbandry has steadily increased in the south of Chad, particularly because of transhumant herd moves from the center to the south of the country. Supplying cities and villages with dairy products is an important trade for the breeders. This trade was the foundation for pastoral breeders to settle down around the city of Moundu. Can such a livestock system respond in a sustainable way to the quickly growing demand of the population? Does it change as a result of integrating the market? Suburban dairy producers, dairy processors, salespersons and consumers were surveyed to better understand the organization of this subsector. Results show that the traditional dairy product trade is dynamic. More than 5000 liters originating from suburban Fulani settlements reach city markets every day. The livestock system is also adapting itself well to the new trade environment, while keeping its intrinsic mobility, even on short distances. In addition, urban dairy processors (cheesemakers and dairy bars boost this subsector. Finally, there is not much competition with imports due to the area being enclosed and consumers’ preference for traditional products. However, Fulani pastoralist settlements generate some conflicts on land use. This study shows the need to initiate more talks between livestock breeders and cotton producers, to reorganize the cotton oilseed cake market, and to develop small dairy-processing units.

  6. Ground-water hydrology of the Chad Basin in Bornu and Dikwa Emirates, northeastern Nigeria, with special emphasis on the flow life of the artesian system

    Miller, Raymond E.; Johnston, R.H.; Olowu, J.A.I.; Uzoma, J.U.

    1968-01-01

    Bornu and Dikwa Emirates lie in the Nigerian sector of the Chad Basin, a vast region of interior drainage encompassing about 600,000 square miles of north-central Africa. The report area includes about 25,000 square miles of the basin that lie in Nigeria. Most of the area is a featureless plain that slopes gently northeast and east from the uplands of central Nigeria towards Lake Chad. On its eastern side the lake has one surface outlet which overflows only during exceptionally high stages of the lake. This outlet spills into the channel of Bahr al Ghazal, which in turn drains into the Bod616 depression. Because the lake is shallow, the shoreline fluctuates markedly with high and low stages corresponding to the wet and dry seasons. The semiarid climate of Bornu and Dikwa Emirates is characterized by a long dry season and a short wet season that correspond to seasonal winds. Annual rainfall ranges from 15 inches in the northern part of the area to 32 inches in the southern. The Chad Basin in Dikwa and Bornu Emirates is underlain by interbedded sand and clay, collectively termed the Chad Formation. These alluvial and lactustrine sediments were deposited in or near Lake Chad whet it occupied a much greater area during Pliocene and Pleistocene time. The Chad Formation has a very slight primary dip in the direction of Lake Chad and conforms to the gentle slope of land surface. The known thickness of the formation ranges from a few feet where it overlies bedrock on the periphery of the basin to at least 1,800 feet at Maiduguri; however, its total thickness probably exceeds 2,000 feet in the central part of the basin. Three water-bearing units termed upper, middle, and lower zones occur within the Chad Formation. The upper zone yields water to numerous dug wells throughout the rural areas and also is .the major source of the Maiduguri municipal water .supply. The middle zone yields water from flowing artesian boreholes that have heads ranging from a few feet to 70 feet

  7. Perceptions of the usefulness of external support to immunization coverage in Chad: an analysis of the GAVI-Alliance cash-based support.

    Ferrinho, Paulo; Dramé, Mohammed; Tumusiime, Prosper

    2013-01-01

    Chad is one of the countries supported by the GAVI-Alliance that remains with unsatisfactory vaccination coverage. This paper tries to understand the main barriers to better coverage. These barriers were categorised as up or downstream against the health system building blocks as proposed by WHO and compared with barriers and activities identified by the country in its health system's strengthening grant proposal as approved by the GAVI Alliance in 2007. Data were collected using a modified Delphi system and by analysis of grant and annual report documents. Most of the activities anticipated under the GAVI health system's strengthening proposal are activities targeting downstream barriers (the neglect of upstream issues is of major importance in a decentralised state like Chad) and aligned with, not complementary to, immunization services strengthening activities. Further, both set of cash grants are blind to important recommendations such as the need to address barriers at the level of leadership and governance and at the level of the financing system and also about initiatives to promote community demand of vaccination services. IN CHAD SLOW VACCINATION PROGRESS IS AGGRAVATED BY SEVERAL CONTEXTUAL BARRIERS: the size of the country, the low population density, the nomadic nature of a significant part of its peoples, the recent civil war, associated with civil unrest and political instability and its geographical localization. In this situation it would be important to sustain downstream operations (the major focus of the ISS grant) while taking a long term view of the needs of the health system. The GAVI effectively supports downstream operations, but neglects the long term view.

  8. A new species of Nyanzachoerus (Cetartiodactyla: Suidae from the late Miocene Toros-Ménalla, Chad, central Africa.

    Jean-Renaud Boisserie

    Full Text Available During the latest Miocene and the early Pliocene, tetraconodontine suids were the most predominant large omnivorous mammals in Africa. Yet, new species were often identified on the grounds of limited evidence, a situation impacting their value for biochronological correlations as well as for environmental and biogeographical reconstructions. The description of the most abundant known collection of craniodental remains attributed to the tetraconodontine Nyanzachoerus helps to improve this situation. These specimens were collected in the upper Miocene deposits at Toros-Ménalla, northern Chad, central Africa, by the Mission Paléoanthropologique Franco-Tchadienne. We compared them with Nyanzachoerus from eastern and southern Africa, using extant species as a reference for patterns of morphological variation. Thanks to a large sample of observations, our work focused as much on craniomandibular morphology as on dental morphology and metrics (improved by an index scoring for the complexity of distal third molars and a detailed investigation of premolar-molar ratios. We recognized two taxa at Toros-Ménalla: Nyanzachoerus khinzir nov. sp. and Ny. cf. australis. We also revised the taxonomic status for other species, including: the restriction of Ny. syrticus to its holotype specimen from Sahabi (Libya, the resurrection of the nomen Ny. tulotos, and the synonymy of Ny. kuseralensis with Ny. waylandi. At Toros-Ménalla, Ny. khinzir was the only suid coexisting with the anthracotheriid Libycosaurus and the hominid Sahelanthropus, whereas Ny. cf. australis was associated with a different, probably younger faunal context. Nyanzachoerus. khinzir, which probably had a diversified diet, supports a latest Miocene biogeographical distinction between central Africa and eastern Africa.

  9. Assessing health impacts of the Chad-Cameroon petroleum development and pipeline project: challenges and a way forward

    Utzinger, Juerg; Wyss, Kaspar; Moto, Daugla D.; Yemadji, N'Diekhor; Tanner, Marcel; Singer, Burton H.

    2005-01-01

    Health impact assessment (HIA) of projects, programmes and policies is increasingly recognized as a powerful methodology for mitigating negative health impacts and enhancing equitable and sustainable development, yet applications in the developing world are sparse. Here, we focus on a large infrastructure development in sub-Saharan Africa, namely the Chad-Cameroon petroleum development and pipeline project. We adapted a five-step process for HIA, consisting of (1) screening of project documents, (2) profiling of affected communities, (3) identifying priority health areas, predicting potential impacts, and proposing mitigation measures, (4) implementing interventions, and (5) monitoring and evaluation of health impacts. We found that project scoping was broad, including extensive environmental and social assessments. Innovative features of the project include the high degree of public-private partnerships, and the management of oil revenues for purposes of poverty reduction. The project also addressed occupational and public health issues, and developed and implemented measures to prevent or mitigate potential health impacts. However, there was a disproportionate emphasis on workers' health, particularly on the prevention/mitigation of construction-related injuries, sexually transmitted infections (STIs; mainly HIV/AIDS), and malaria. Health impacts among surrounding communities, and cumulative health impacts in the larger region were not considered in a comprehensive way. Concluding, there is a need for a more systemic approach to HIA and its incorporation within 'Equator Principles', which are increasingly adopted by the international financial community. This process would include clarification of corporate social responsibility beyond the project fence line in the mitigation of health problems at regional levels. Finally, we propose the establishment and running of a longitudinal demographic surveillance system, which--coupled with regular household surveys

  10. Effects of a behavior change campaign on household drinking water disinfection in the Lake Chad basin using the RANAS approach.

    Lilje, Jonathan; Mosler, Hans-Joachim

    2018-04-01

    Worldwide, an estimated 700 million people rely on unimproved drinking water sources; even more consume water that is not safe to drink. Inadequate drinking water quality constitutes a major risk factor for cholera and other diarrheal diseases around the globe, especially for young children in developing countries. Household water treatment and safe storage systems represent an intermediate solution for settings that lack infrastructure supplying safe drinking water. However, the correct and consistent usage of such treatment technologies rely almost exclusively on the consumer's behavior. This study targeted at evaluating effects of a behavior change campaign promoting the uptake of household drinking water chlorination in communities along the Chari and Logone rivers in Chad. The campaign was based on formative research using health psychological theory and targeted several behavioral factors identified as relevant. A total of 220 primary caregivers were interviewed concerning their household water treatment practices and mindset related to water treatment six months after the campaign. The Risks, Attitudes, Norms, Abilities, and Self-regulation (RANAS) model was used to structure the interviews as the RANAS approach had been used for designing the campaign. Results show significantly higher self-reported drinking water chlorination among participants of the intervention. Significant differences from a control group were identified regarding several behavioral factors. Mediation analysis revealed that the intervention positively affected participants' individual risk estimation for diarrheal disease, health knowledge, perceived efforts and benefits of water treatment, social support strategies, knowledge of how to perform chlorination, and perceived ability to do so. The campaign's effect on water treatment was mainly mediated through differences in health knowledge, changes in norms, and self-efficacy convictions. The findings imply that water treatment behavior

  11. Migration of Chadic speaking pastoralists within Africa based on population structure of Chad Basin and phylogeography of mitochondrial L3f haplogroup

    Černý, Viktor; Fernandes, Verónica; Costa, Marta D; Hájek, Martin; Mulligan, Connie J; Pereira, Luísa

    2009-01-01

    Background Chad Basin, lying within the bidirectional corridor of African Sahel, is one of the most populated places in Sub-Saharan Africa today. The origin of its settlement appears connected with Holocene climatic ameliorations (aquatic resources) that started ~10,000 years before present (YBP). Although both Nilo-Saharan and Niger-Congo language families are encountered here, the most diversified group is the Chadic branch belonging to the Afro-Asiatic language phylum. In this article, we investigate the proposed ancient migration of Chadic pastoralists from Eastern Africa based on linguistic data and test for genetic traces of this migration in extant Chadic speaking populations. Results We performed whole mitochondrial genome sequencing of 16 L3f haplotypes, focused on clade L3f3 that occurs almost exclusively in Chadic speaking people living in the Chad Basin. These data supported the reconstruction of a L3f phylogenetic tree and calculation of times to the most recent common ancestor for all internal clades. A date ~8,000 YBP was estimated for the L3f3 sub-haplogroup, which is in good agreement with the supposed migration of Chadic speaking pastoralists and their linguistic differentiation from other Afro-Asiatic groups of East Africa. As a whole, the Afro-Asiatic language family presents low population structure, as 92.4% of mtDNA variation is found within populations and only 3.4% of variation can be attributed to diversity among language branches. The Chadic speaking populations form a relatively homogenous cluster, exhibiting lower diversification than the other Afro-Asiatic branches (Berber, Semitic and Cushitic). Conclusion The results of our study support an East African origin of mitochondrial L3f3 clade that is present almost exclusively within Chadic speaking people living in Chad Basin. Whole genome sequence-based dates show that the ancestral haplogroup L3f must have emerged soon after the Out-of-Africa migration (around 57,100 ± 9,400 YBP), but

  12. Migration of Chadic speaking pastoralists within Africa based on population structure of Chad Basin and phylogeography of mitochondrial L3f haplogroup

    Mulligan Connie J

    2009-03-01

    Full Text Available Abstract Background Chad Basin, lying within the bidirectional corridor of African Sahel, is one of the most populated places in Sub-Saharan Africa today. The origin of its settlement appears connected with Holocene climatic ameliorations (aquatic resources that started ~10,000 years before present (YBP. Although both Nilo-Saharan and Niger-Congo language families are encountered here, the most diversified group is the Chadic branch belonging to the Afro-Asiatic language phylum. In this article, we investigate the proposed ancient migration of Chadic pastoralists from Eastern Africa based on linguistic data and test for genetic traces of this migration in extant Chadic speaking populations. Results We performed whole mitochondrial genome sequencing of 16 L3f haplotypes, focused on clade L3f3 that occurs almost exclusively in Chadic speaking people living in the Chad Basin. These data supported the reconstruction of a L3f phylogenetic tree and calculation of times to the most recent common ancestor for all internal clades. A date ~8,000 YBP was estimated for the L3f3 sub-haplogroup, which is in good agreement with the supposed migration of Chadic speaking pastoralists and their linguistic differentiation from other Afro-Asiatic groups of East Africa. As a whole, the Afro-Asiatic language family presents low population structure, as 92.4% of mtDNA variation is found within populations and only 3.4% of variation can be attributed to diversity among language branches. The Chadic speaking populations form a relatively homogenous cluster, exhibiting lower diversification than the other Afro-Asiatic branches (Berber, Semitic and Cushitic. Conclusion The results of our study support an East African origin of mitochondrial L3f3 clade that is present almost exclusively within Chadic speaking people living in Chad Basin. Whole genome sequence-based dates show that the ancestral haplogroup L3f must have emerged soon after the Out-of-Africa migration (around

  13. Comparison of milk fatty acid profiles measured on Kouri cows near Lake Chad and on dairy cattle as reported by meta-analytical data.

    Bada Algom, O; Fabry, C; Leroy, P L; Hornick, J-L

    2017-06-01

    Kouri (Bos taurus) is a breed aboriginal from Lake Chad and threatened with extinction. This study aimed to compare milk fatty acid profiles measured on Kouri cows and on high-yielding dairy cattle in Europe and elsewhere as reported by meta-analytical data (22 experimentations). Milk samples were collected from 14 Kouri dairy cows in dry season (March to June) and fatty acids (FA) were determined by gas chromatography. Overall, 32 FA have been identified. Kouri showed lower values (P pastures by Kouri cows.

  14. Migration of Chadic speaking pastoralists within Africa based on population structure of Chad Basin and phylogeography of mitochondrial L3f haplogroup.

    Cerný, Viktor; Fernandes, Verónica; Costa, Marta D; Hájek, Martin; Mulligan, Connie J; Pereira, Luísa

    2009-03-23

    Chad Basin, lying within the bidirectional corridor of African Sahel, is one of the most populated places in Sub-Saharan Africa today. The origin of its settlement appears connected with Holocene climatic ameliorations (aquatic resources) that started ~10,000 years before present (YBP). Although both Nilo-Saharan and Niger-Congo language families are encountered here, the most diversified group is the Chadic branch belonging to the Afro-Asiatic language phylum. In this article, we investigate the proposed ancient migration of Chadic pastoralists from Eastern Africa based on linguistic data and test for genetic traces of this migration in extant Chadic speaking populations. We performed whole mitochondrial genome sequencing of 16 L3f haplotypes, focused on clade L3f3 that occurs almost exclusively in Chadic speaking people living in the Chad Basin. These data supported the reconstruction of a L3f phylogenetic tree and calculation of times to the most recent common ancestor for all internal clades. A date ~8,000 YBP was estimated for the L3f3 sub-haplogroup, which is in good agreement with the supposed migration of Chadic speaking pastoralists and their linguistic differentiation from other Afro-Asiatic groups of East Africa. As a whole, the Afro-Asiatic language family presents low population structure, as 92.4% of mtDNA variation is found within populations and only 3.4% of variation can be attributed to diversity among language branches. The Chadic speaking populations form a relatively homogenous cluster, exhibiting lower diversification than the other Afro-Asiatic branches (Berber, Semitic and Cushitic). The results of our study support an East African origin of mitochondrial L3f3 clade that is present almost exclusively within Chadic speaking people living in Chad Basin. Whole genome sequence-based dates show that the ancestral haplogroup L3f must have emerged soon after the Out-of-Africa migration (around 57,100 +/- 9,400 YBP), but the "Chadic" L3f3 clade has

  15. Incidencia del conflicto armado de Darfur en las relaciones políticas entre Sudán y Chad durante el período 2005-2009.

    España Feria, Olga Patricia

    2012-01-01

    Las relaciones políticas entre Sudán y Chad en el período 2005-2009 se vieron afectadas por el conflicto armado de Darfur, que trajo consigo consecuencias graves para ambos países. La configuración étnica similar, los antecedentes históricos que muestran fuertes vínculos entre Sudán y Chad y las continuas acusaciones entre Omar Al-Bashir e Idriss Déby, hicieron que las tensiones entre los dos gobiernos llamaran la atención de la comunidad internacional y causara preocupación por una posible d...

  16. ChAd63-MVA-vectored blood-stage malaria vaccines targeting MSP1 and AMA1: assessment of efficacy against mosquito bite challenge in humans.

    Sheehy, Susanne H; Duncan, Christopher J A; Elias, Sean C; Choudhary, Prateek; Biswas, Sumi; Halstead, Fenella D; Collins, Katharine A; Edwards, Nick J; Douglas, Alexander D; Anagnostou, Nicholas A; Ewer, Katie J; Havelock, Tom; Mahungu, Tabitha; Bliss, Carly M; Miura, Kazutoyo; Poulton, Ian D; Lillie, Patrick J; Antrobus, Richard D; Berrie, Eleanor; Moyle, Sarah; Gantlett, Katherine; Colloca, Stefano; Cortese, Riccardo; Long, Carole A; Sinden, Robert E; Gilbert, Sarah C; Lawrie, Alison M; Doherty, Tom; Faust, Saul N; Nicosia, Alfredo; Hill, Adrian V S; Draper, Simon J

    2012-12-01

    The induction of cellular immunity, in conjunction with antibodies, may be essential for vaccines to protect against blood-stage infection with the human malaria parasite Plasmodium falciparum. We have shown that prime-boost delivery of P. falciparum blood-stage antigens by chimpanzee adenovirus 63 (ChAd63) followed by the attenuated orthopoxvirus MVA is safe and immunogenic in healthy adults. Here, we report on vaccine efficacy against controlled human malaria infection delivered by mosquito bites. The blood-stage malaria vaccines were administered alone, or together (MSP1+AMA1), or with a pre-erythrocytic malaria vaccine candidate (MSP1+ME-TRAP). In this first human use of coadministered ChAd63-MVA regimes, we demonstrate immune interference whereby responses against merozoite surface protein 1 (MSP1) are dominant over apical membrane antigen 1 (AMA1) and ME-TRAP. We also show that induction of strong cellular immunity against MSP1 and AMA1 is safe, but does not impact on parasite growth rates in the blood. In a subset of vaccinated volunteers, a delay in time to diagnosis was observed and sterilizing protection was observed in one volunteer coimmunized with MSP1+AMA1-results consistent with vaccine-induced pre-erythrocytic, rather than blood-stage, immunity. These data call into question the utility of T cell-inducing blood-stage malaria vaccines and suggest that the focus should remain on high-titer antibody induction against susceptible antigen targets.

  17. A-type granites from the Guéra Massif, Central Chad: Petrology, geochemistry, geochronology, and petrogenesis.

    Pham, Ngoc Ha T.; Shellnutt, J. Gregory; Yeh, Meng-Wan; Lee, Tung-Yi

    2017-04-01

    The poorly studied Saharan Metacraton of North-Central Africa is located between the Arabian-Nubian Shield in the east, the Tuareg Shield in the west and the Central African Orogenic Belt in the south. The Saharan Metacraton is composed of Neoproterozoic juvenile crust and the relics of pre-Neoproterozoic components reactivated during the Pan-African Orogeny. The Republic of Chad, constrained within the Saharan Metacraton, comprises a Phanerozoic cover overlying Precambrian basement outcroppings in four distinct massifs: the Mayo Kebbi, Tibesti, Ouaddaï, and the Guéra. The Guéra massif is the least studied of the four massifs but it likely preserves structures that were formed during the collision between Congo Craton and Saharan Metacraton. The Guéra Massif is composed of mostly granitic rocks. The granitoids have petrologic features that are consistent with A-type granite, such as micrographic intergrowth of sodic and potassic feldspar, the presence of sodic- and iron-rich amphibole, and iron-rich biotite. Compositionally, the granitic rocks of the Guéra Massif have high silica (SiO2 ≥ 68.9 wt.%) content and are metaluminous to marginally peraluminous. The rocks are classified as ferroan calc-alkalic to alkali-calcic with moderately high to very high Fe* ratios. The first zircon U/Pb geochronology of the silicic rocks from the Guéra Massif yielded three main age groups: 590 Ma, 570 Ma, 560 Ma, while a single gabbro yielded an intermediate age ( 580 Ma). A weakly foliated biotite granite yielded two populations, in which the emplacement age is interpreted to be 590 ± 10 Ma, whereas the younger age (550 ± 11 Ma) is considered to be a deformation age. Furthermore, inherited Meso- to Paleoproterozoic zircons are found in this sample. The geochemical and geochronology data indicate that there is a temporal evolution in the composition of rocks with the old, high Mg# granitoids shifting to young, low Mg# granitoids. This reveals that the A-type granites in

  18. Effects of Land Cover / Land Use, Soil Texture, and Vegetation on the Water Balance of Lake Chad Basin

    Babamaaji, R. A.; Lee, J.

    2013-12-01

    Lake Chad Basin (LCB) has experienced drastic changes of land cover and poor water management practices during the last 50 years. The successive droughts in the 1970s and 1980s resulted in the shortage of surface water and groundwater resources. This problem of drought has a devastating implication on the natural resources of the Basin with great consequence on food security, poverty reduction and quality of life of the inhabitants in the LCB. Therefore, understanding the effects of land use / land cover must be a first step to find how they disturb cycle especially the groundwater in the LCB. The abundance of groundwater is affected by the climate change through the interaction with surface water, such as lakes and rivers, and disuse recharge through an infiltration process. Quantifying the impact of climate change on the groundwater resource requires reliable forecasting of changes in the major climatic variables and other spatial variations including the land use/land cover, soil texture, topographic slope, and vegetation. In this study, we employed a spatially distributed water balance model WetSpass to simulate a long-term average change of groundwater recharge in the LCB of Africa. WetSpass is a water balance-based model to estimate seasonal and spatial distribution of surface runoff, interception, evapotranspiration, and groundwater recharge. The model is especially suitable for studying the effect of land use/land cover change on the water regime in the LCB. The present study describes the concept of the model and its application to the development of recharge map of the LCB. The study shows that major role in the water balance of LCB. The mean yearly actual evapotranspiration (ET) from the basin range from 60mm - 400 mm, which is 90 % (69mm - 430) of the annual precipitation from 2003 - 2010. It is striking that about 50 - 60 % of the total runoff is produced on build-up (impervious surfaces), while much smaller contributions are obtained from vegetated

  19. Mineral dust emission from the Bodélé Depression, northern Chad, during BoDEx 2005

    Todd, Martin C.; Washington, Richard; Martins, José Vanderlei; Dubovik, Oleg; Lizcano, Gil; M'bainayel, Samuel; Engelstaedter, Sebastian

    2007-03-01

    Mineral dust in the atmosphere is an important component of the climate system but is poorly quantified. The Bodélé Depression of northern Chad stands out as the world's greatest source region of mineral dust into the atmosphere. Frequent dust plumes are a distinguishing feature of the region's climate. There is a need for more detailed information on processes of dust emission/transport and dust optical properties to inform model simulations of this source. During the Bodélé Dust Experiment (BoDEx) in 2005, instrumentation was deployed to measure dust properties and boundary layer meteorology. Observations indicate that dust emission events are triggered when near-surface wind speeds exceed 10 ms-1, associated with synoptic-scale variability in the large-scale atmospheric circulation. Dust emission pulses in phase with the diurnal cycle of near-surface winds. Analysis of dust samples shows that the dust consists predominantly of fragments of diatomite sediment. The particle size distribution of this diatomite dust estimated from sun photometer data, using a modified Aeronet retrieval algorithm, indicates a dominant coarse mode (radius centered on 1-2 μm) similar to other Saharan dust observations. Single-scattering albedo values are high, broadly in line with other Saharan dust even though the diatomite composition of dust from the Bodélé is likely to be unusual. The radiative impact of high dust loadings results in a reduction in surface daytime maximum temperature of around 7°C in the Bodélé region. Using optical and physical properties of dust obtained in the field, we estimate the total dust flux emitted from the Bodélé to be 1.18 ± 0.45 Tg per day during a substantial dust event. We speculate that the Bodélé Depression (˜10,800 km2) may be responsible for between 6-18% of global dust emissions, although the uncertainty in both the Bodélé and global estimates remains high.

  20. Policy dialogues - the "bolts and joints" of policy-making: experiences from Cabo Verde, Chad and Mali.

    Dovlo, Delanyo; Nabyonga-Orem, Juliet; Estrelli, Yolanda; Mwisongo, Aziza

    2016-07-18

    Policy processes that yield good outcomes are inherently complex, requiring interactions of stakeholders in problem identification, generation of political will and selection of practical solutions. To make policy processes rational, policy dialogues are increasingly being used as a policy-making tool. Despite their increasing use for policy-making in Africa, evidence is limited on how they have evolved and are being used on the continent or in low and middle income countries elsewhere. This was an exploratory study using qualitative methods. It utilised data related to policy dialogues for three specific policies and strategies to understand the interplay between policy dialogue and policy-making in Cabo Verde, Chad and Mali. The specific methods used to gather data were key informant interviews and document review. Data were analysed inductively and deductively using thematic content analysis. Participation in the policy dialogues was inclusive, and in some instances bottom-up participatory approaches were used. The respondents felt that the execution of the policy dialogues had been seamless, and the few divergent views expressed often were resolved in a unanimous manner. The policies and strategies developed were seen by all stakeholders as relating to priority issues. Other specific process factors that contributed to the success of the dialogues included the use of innovative approaches, good facilitation, availability of resources for the dialogues, good communication, and consideration of the different opinions. Among the barriers were contextual issues, delays in decision-making and conflicting coordination roles and mandates. Policy dialogues have proved to be an effective tool in health sector management and could be a crucial component of the governance dynamics of the sector. The policy dialogue process needs to be institutionalised for continuity and maintenance of institutional intelligence. Other essential influencing factors include building

  1. Re-infection with Fasciola gigantica 6-month post-treatment with triclabendazole in cattle from mobile pastoralist husbandry systems at Lake Chad.

    Greter, Helena; Batil, Annour A; Alfaroukh, Idriss O; Grimm, Felix; Ngandolo, Bongo N; Keiser, Jennifer; Utzinger, Jürg; Zinsstag, Jakob; Hattendorf, Jan

    2016-10-30

    At Lake Chad in central Africa, livestock fascioliasis caused by Fasciola gigantica represents a major veterinary health problem, particularly in cattle reared in mobile pastoralist husbandry systems. We assessed re-infection after a single dose of triclabendazole with fascioliasis in cattle in a mobile pastoralist setting towards the end of the dry season. Within the cattle herds of 14 groups of mobile pastoralists, 375 cattle were randomly selected. A faecal sample was obtained from each animal to determine the prevalence of F. gigantica. Animals were administered a single oral dose of triclabendazole (12mg/kg). A second faecal sample was obtained 6-month post-treatment after cattle had returned from the annual migration cycle. Faecal samples were fixed in sodium acetate-acetic acid-formalin (SAF), and examined for F. gigantica using the sedimentation technique. From the 375 cattle enrolled at baseline, 198 animals (53%) in 12 groups of mobile pastoralists were re-sampled at the 6-month follow-up. Baseline prevalence did not differ noteworthy between animals lost to follow-up and those re-examined. At baseline, bovine fascioliasis prevalence in cattle with follow-up data was 41.9% (95% confidence interval (CI) 35.2-48.9%). At the 6-month post-treatment follow-up, the prevalence was 46.0% (95% CI 39.2-52.9%), ranging between 0% and 75% at the herd level. The mean faecal egg counts at the unit of the herd were higher at follow-up compared to baseline. The observed persistent high prevalence of F. gigantica infection in cattle shows that a single pre-rainy season treatment does not prevent rapid re-infection despite the partial migration away from the high-risk areas at Lake Chad into drier areas. A locally adapted strategic control package for fascioliasis in cattle in the Lake Chad area ought to integrate targeted triclabendazole treatment and seasonal transhumance practices. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Effect of a serogroup A meningococcal conjugate vaccine (PsA-TT) on serogroup A meningococcal meningitis and carriage in Chad: a community study [corrected].

    Daugla, D M; Gami, J P; Gamougam, K; Naibei, N; Mbainadji, L; Narbé, M; Toralta, J; Kodbesse, B; Ngadoua, C; Coldiron, M E; Fermon, F; Page, A-L; Djingarey, M H; Hugonnet, S; Harrison, O B; Rebbetts, L S; Tekletsion, Y; Watkins, E R; Hill, D; Caugant, D A; Chandramohan, D; Hassan-King, M; Manigart, O; Nascimento, M; Woukeu, A; Trotter, C; Stuart, J M; Maiden, McJ; Greenwood, B M

    2014-01-04

    A serogroup A meningococcal polysaccharide-tetanus toxoid conjugate vaccine (PsA-TT, MenAfriVac) was licensed in India in 2009, and pre-qualified by WHO in 2010, on the basis of its safety and immunogenicity. This vaccine is now being deployed across the African meningitis belt. We studied the effect of PsA-TT on meningococcal meningitis and carriage in Chad during a serogroup A meningococcal meningitis epidemic. We obtained data for the incidence of meningitis before and after vaccination from national records between January, 2009, and June, 2012. In 2012, surveillance was enhanced in regions where vaccination with PsA-TT had been undertaken in 2011, and in one district where a reactive vaccination campaign in response to an outbreak of meningitis was undertaken. Meningococcal carriage was studied in an age-stratified sample of residents aged 1-29 years of a rural area roughly 13-15 and 2-4 months before and 4-6 months after vaccination. Meningococci obtained from cerebrospinal fluid or oropharyngeal swabs were characterised by conventional microbiological and molecular methods. Roughly 1·8 million individuals aged 1-29 years received one dose of PsA-TT during a vaccination campaign in three regions of Chad in and around the capital N'Djamena during 10 days in December, 2011. The incidence of meningitis during the 2012 meningitis season in these three regions was 2·48 per 100,000 (57 cases in the 2·3 million population), whereas in regions without mass vaccination, incidence was 43·8 per 100,000 (3809 cases per 8·7 million population), a 94% difference in crude incidence (pvaccinated regions. 32 serogroup A carriers were identified in 4278 age-stratified individuals (0·75%) living in a rural area near the capital 2-4 months before vaccination, whereas only one serogroup A meningococcus was isolated in 5001 people living in the same community 4-6 months after vaccination (adjusted odds ratio 0·019, 95% CI 0·002-0·138; p<0·0001). PSA-TT was highly

  3. Changes in growth and yield attributes of two selected maize varieties as influenced by application of chemical (npk) and organic (bat's manure) fertilizers in pala (chad) grown field

    Ridine, W.; Ngakou, A.; Mbaiguinam, M.; Namba, F.; Anna, P

    2014-01-01

    The present experiment was conducted in Pala, region of the Mayo-Kebi West division, in a contribution to improve maize production in Chad. The work was oriented towards the evaluation of the interactions between chemical (NPK) and organic (bat's manure) fertilizers on growth and yield attributes of TZEE-W and IB selected maize varieties. The experimental design was a (5x2)x4 factorial design in which the main factor was the proportion of organic/chemical fertilizer (%), and the maize variety as the secondary factor, comprising the following six treatments repeated four times: control (T0) with 0 % NPK and 0 % bat's manure; T1 with 100% NPK; T2 with 100% bat's manure; T3 with 75% NPK and 25% bat's manure; T4 with 75% bat's manure and 25% NPK; T5 with 50% bat's manure and 50% NPK. Results show a variation in experimental soils pH of treatments from 5.91 to 7.92, depending on the proportion of the fertilizers applied. There were significant yield differences among treatments, as well as maize varieties. The 50% NPK+50% bat's manure was found as the best treatment to significantly (p<0.0001) enhance the yield of IB (51.2 t/ha) and TZEE-W (37.9 t/ha) maize varieties compared to their respective controls (7.25 t/ha and 6.76 t/ha). These results suggest that the combination at equal proportion of NPK and bat's manure could be recommended to sustainably improve maize production in Pala-Chad, thus with a considerable alleviation of the pollution risks that have been attributed to chemical fertilizer. (author)

  4. Malnutrition and Mortality Patterns among Internally Displaced and Non-Displaced Population Living in a Camp, a Village or a Town in Eastern Chad

    Guerrier, Gilles; Zounoun, Malaïka; Delarosa, Olimpia; Defourny, Isabelle; Lacharite, Michelo; Brown, Vincent; Pedalino, Biagio

    2009-01-01

    Background Certain population groups have been rendered vulnerable in Chad because of displacement of more than 200,000 people over the last three years as a result of mass violence against civilians in the east of the country. The objective of the study was to assess mortality and nutritional patterns among displaced and non-displaced population living in camps, villages and a town in the Ouddaï and Salamat regions of Chad. Methodology Between May and October 2007, two stage, 30-cluster household surveys were conducted among 43,900 internally displaced persons (IDPs) living in camps in Ouaddai region (n = 898 households), among 19,400 non-displaced persons (NDPs) living in 42 villages in Ouaddai region (n = 900 households) and among 17,000 NDPs living in a small town in Salamat region (n = 901 households). Data collection included anthropometric measurements, measles vaccination rates and retrospective mortality. Crude mortality rate (CMR), mortality rate among children younger than 5 years (U5MR), causes of death and the prevalence of wasting (weight-for-height z score malnutrition rates (according to the WHO definition) among 904 IDP children, 956 NDPs children living in a village, 901 NDP children living in a town aged 6 to 59 months were 20.6% (95% CI, 17.9%–23.3%), 16.4% (95% CI, 14.0%–18.8%) and 10.1% (95% CI, 8.1%–12.2%) respectively. The study found a high mortality rate among IDPs and an elevated prevalence of wasting not only in IDP camps but also in villages located in the same region. The town-dweller population remains at risk of malnutrition. Appropriate contingency plans need to be made to ensure acceptable living standards for these populations. PMID:19956627

  5. Remote sensing appraisal of Lake Chad shrinkage connotes severe impacts on green economics and socio-economics of the catchment area.

    Onamuti, Olapeju Y; Okogbue, Emmanuel C; Orimoloye, Israel R

    2017-11-01

    Lake Chad commonly serves as a major hub of fertile economic activities for the border communities and contributes immensely to the national growth of all the countries that form its boundaries. However, incessant and multi-decadal drying via climate change pose greater threats to this transnational water resource, and adverse effects on ecological sustainability and socio-economic status of the catchment area. Therefore, this study assessed the extent of shrinkage of Lake Chad using remote sensing. Landsat imageries of the lake and its surroundings between 1987 and 2005 were retrieved from Global Land Cover Facility website and analysed using Integrated Land and Water Information System version 3.3 (ILWIS 3.3). Supervised classification of area around the lake was performed into various land use/land cover classes, and the shrunk part of its environs was assessed based on the land cover changes. The shrinkage trend within the study period was also analysed. The lake water size reduced from 1339.018 to 130.686 km 2 (4.08-3.39%) in 1987-2005. The supervised classification of the Landsat imageries revealed an increase in portion of the lake covered by bare ground and sandy soil within the reference years (13 490.8-17 503.10 km 2 ) with 4.98% total range of increase. The lake portion intersected with vegetated ground and soil also reduced within the period (11 046.44-10 078.82 km 2 ) with 5.40% (967.62 km 2 ) total decrease. The shrunk part of the lake covered singly with vegetation increased by 2.74% from 1987 to 2005. The shrunk part of the lake reduced to sand and turbid water showed 5.62% total decrease from 1987 to 2005 and a total decrease of 1805.942 km 2 in area. The study disclosed an appalling rate of shrinkage and damaging influences on the hydrologic potential, eco-sustainability and socio-economics of the drainage area as revealed using ILWIS 3.3.

  6. Nutritional State of the Children from 6 to 24 Months Seen in Paediatric Consultation at the General Hospital of National Reference of N'Djamena (Chad)

    Morgaye, Aicha; Ag Iknane, Akory

    2014-01-01

    Full text: Summary: Objectives: Infantile malnutrition is a problem of public health major in the Development Countries. In Chad, it constitutes a real problem of public health in particular in the children of less than 24 months. The present study aims at evaluating the nutritional statute of the children from 6 to 24 months seen in pediatric consultation at the general hospital of reference of Djamena to Chad. We proposed to make a descriptive cross-sectional study allowing to make the photography of the situation at a given time. Methods: A descriptive exploratory study proceeded for two months and concerned 400 old children from 6 to 24 months, seen in pediatric consultation at the general hospital of national reference. Results: The nutritional statute of the children in hospital medium with the HGRN of Djamena is not alarming with a prevalence of 41,5% from emaciation, 33,3% of delay of growth and 52% of underweight according to NHCS. The fever was the most frequent sign having pushed the mother to consult, that is to say 40% of the children consulted for the fever, 25% for the acute respiratory infections, 24% for the diarrhoea. Our study found 56,8% of the mothers living in polygamies. 36% of the questioned women had a primary level but 37% were still illiterate. approximately 38% of the mothers of the children of 12 à17 month were illiterate and depended on their husband. 29,5% of the mothers were multipares and 6% were large multipares. 46% pauci avoid and 18,5% first calf cow. The level of knowledge of the mothers remains acceptable on the food diversification of the children because more the share began it between 6 and 24 months, are 65,5% had a liquid feeding, 89% had a semi-fluid feeding and 86% had a solid feeding between 6 and 24 months. The enriched pulp was the food more used by approximately 75% of the mothers. We noted 26,3% children separated before 24 months whose more share are those from 18 to 24 months. The reason for weaning according to

  7. Access to antiretroviral treatment, issues of well-being and public health governance in Chad: what justifies the limited success of the universal access policy?

    Azétsop, Jacquineau; Diop, Blondin A

    2013-08-01

    Universal access to antiretroviral treatment (ART) in Chad was officially declared in December 2006. This presidential initiative was and is still funded 100% by the country's budget and external donors' financial support. Many factors have triggered the spread of AIDS. Some of these factors include the existence of norms and beliefs that create or increase exposure, the low-level education that precludes access to health information, social unrest, and population migration to areas of high economic opportunities and gender-based discrimination. Social forces that influence the distribution of dimensions of well-being and shape risks for infection also determine the persistence of access barriers to ART. The universal access policy is quite revolutionary but should be informed by the systemic barriers to access so as to promote equity. It is not enough to distribute ARVs and provide health services when health systems are poorly organized and managed. Comprehensive access to ART raises many organizational, ethical and policy problems that need to be solved to achieve equity in access. This paper argues that the persistence of access barriers is due to weak health systems and a poor public health leadership. AIDS has challenged health systems in a manner that is essentially different from other health problems.

  8. Occurrence of water-borne enteric viruses in two settlements based in Eastern Chad: analysis of hepatitis E virus, hepatitis A virus and human adenovirus in water sources.

    Guerrero-Latorre, Laura; Carratala, Anna; Rodriguez-Manzano, Jesus; Calgua, Byron; Hundesa, Ayalkibet; Girones, Rosina

    2011-09-01

    Hepatitis E virus (HEV) is a common cause of water-borne acute hepatitis in areas with poor sanitation. In 2004 an outbreak of HEV infection affected around 2,000 people in Eastern Chad (Dar Sila). This paper describes the decrease in the incidence of acute jaundice syndrome (AJS) from 2004 until 2009 when a mean incidence of 0.48 cases/1,000 people/year was recorded in the region. Outbreaks of AJS were identified in some of the camps in 2007 and 2008. Moreover, water samples from drinking water sources were screened for human adenoviruses considered as viral indicators and for hepatitis A virus and HEV. Screening of faecal samples from donkeys for HEV gave negative results. Some of the samples were also analysed for faecal coliforms showing values before disinfection treatment between 3 and >50 colony forming units per 100 mL. All water samples tested were negative for HEV and HAV; however, the presence of low levels of human adenoviruses in 4 out of 16 samples analysed indicates possible human faecal contamination of groundwater. Consequently, breakdowns in the treatment of drinking water and/or increased excretion of hepatitis viruses, which could be related to the arrival of a new population, could spread future outbreaks through drinking water.

  9. The transboundary non-renewable Nubian Aquifer System of Chad, Egypt, Libya and Sudan: classical groundwater questions and parsimonious hydrogeologic analysis and modeling

    Voss, Clifford I.; Soliman, Safaa M.

    2014-03-01

    Parsimonious groundwater modeling provides insight into hydrogeologic functioning of the Nubian Aquifer System (NAS), the world's largest non-renewable groundwater system (belonging to Chad, Egypt, Libya, and Sudan). Classical groundwater-resource issues exist (magnitude and lateral extent of drawdown near pumping centers) with joint international management questions regarding transboundary drawdown. Much of NAS is thick, containing a large volume of high-quality groundwater, but receives insignificant recharge, so water-resource availability is time-limited. Informative aquifer data are lacking regarding large-scale response, providing only local-scale information near pumps. Proxy data provide primary underpinning for understanding regional response: Holocene water-table decline from the previous pluvial period, after thousands of years, results in current oasis/sabkha locations where the water table still intersects the ground. Depletion is found to be controlled by two regional parameters, hydraulic diffusivity and vertical anisotropy of permeability. Secondary data that provide insight are drawdowns near pumps and isotope-groundwater ages (million-year-old groundwaters in Egypt). The resultant strong simply structured three-dimensional model representation captures the essence of NAS regional groundwater-flow behavior. Model forecasts inform resource management that transboundary drawdown will likely be minimal—a nonissue—whereas drawdown within pumping centers may become excessive, requiring alternative extraction schemes; correspondingly, significant water-table drawdown may occur in pumping centers co-located with oases, causing oasis loss and environmental impacts.

  10. Tectono-stratigraphy of the Lower Cretaceous Syn-rift Succession in Bongor Basin, Chad: Insights into Structural Controls on Sedimentary Infill of a Continental Rift

    Chen, C.; Ji, Y.; Wei, X.; An, F.; Li, D.; Zhu, R.

    2017-12-01

    In a rift basin, the dispersal and deposition of sediments is significantly influenced by the paleo-topography, which is highly controlled by the evolution and interaction of normal faults in different scales. To figure out the impact of faults evolution and topographic elements towards sedimentary fillings, we investigated the Lower Cretaceous syn-rift package in Bongor Basin, south of Chad Republic. Constrained with 2D and 3D seismic data, core data and logging information, a sequence stratigraphy architecture and a variety of depositional systems are recognized, including fan delta, braided delta, sub-lacustrine fan and lacustrine system. We also studied the spatial distribution and temporal evolution of clastic depositional systems of the syn-rift complex, and valuable insights into structural controls of sequence architectures and depositional systems are provided. During the evolution of rift basin, marginal structures such as relay ramps and strike-slipping boundary transfer fault are major elements that influence the main sediments influx points. Release faults in the hanging-wall could form a differential evolution pattern for accommodation, and effect the deposition systems in the early stage of rift evolution. Oblique crossing-faults, minor faults that develop on the erosional uplift in the interior foot-wall, would cut the uplifts and provide faulted-through paths for the over-filled sediments in the accommodation space, making it possible to develop sedimentary systems towards the center of basin during the early stage of rift evolution, although the origins of such minor faults still need further discussion. The results of this research indicate that different types of fault interactions have a fundamental control on patterns of sediment dispersal during early stage of rift basins.

  11. Assessment of groundwater potential of the crystalline basement of Wadi-Fira (Eastern Chad) using a multi-criteria correlation analysis and Remote Sensing data

    Brahim Mahamat, Hamza; Coz Mathieu, Le; Abderamane, Hamit; Razack, Moumtaz

    2017-04-01

    Access to water in the Wadi-Fira aquifer system is a crucial problem in Eastern Chad because of (i) the complexity of the hydrogeological context (fractured basement), (ii) large extent of the study area (50,000 km2); And (iii) hard-to-access field data (only 34 water points were available to determine physicochemical and hydrodynamic parameters) often associated with high uncertainty. This groundwater resource is paramount in this arid environment, to meet the water needs of an increasingly growing population (refugees from Darfur) with a predominant pastoral activity. In order to optimally exploit the available data, correlative analyzes are carried out by integrating the spatial dimension of the data with GIS tools. A three-step strategy is thus implemented, based on: (i) point field data with physicochemical and hydrodynamic parameters; (ii) maps interpolated from point data, to increase the number of ''comparable'' parameters for each site; and (iii) interpolated maps coupled to maps from Remote Sensing results describing the area's structural geomorphology (slopes, hydrographic network, faults). The first results show marked correlations between physico-chemical and hydrodynamical parameters. According to the correlation matrix, the static level correlates significantly with the dominant cations (Ca2+ ; R = 0.52) and anions (HCO3- ; R = 0.53). Correlations are lower between electrical conductivity and transmissivity, and electrical conductivity and measured static level. A negative correlation is observed between Fluorine and transmissivity (r = -0.65), and the altered horizon (r = -0.5). The most significant discharges are obtained in fissured horizons. The correlative analysis allowsto differentiate mapped sectors according to the productivity and chemical quality regarding groundwater resource. Keywords: Hydrodynamics, Hydrochemistry, Remote Sensing, SRTM, Basement aquifer, Alteration, Lineaments, Wadi-Fira, Tchad.

  12. The Importance of a Participatory and Integrated One Health Approach for Rabies Control: The Case of N’Djaména, Chad

    Monique Lechenne

    2017-08-01

    Full Text Available This study compares data on animal rabies cases from the Chadian national rabies laboratory, hosted at the Insitut de Recherche en Elevage pour le Developpement (IRED, with bite case reporting from health facilities. The data collection accompanied a mass dog vaccination intervention over two years in N’Djaména, Chad. This allowed for a comparison of the dynamics of the incidence of animal rabies cases, human bite exposure incidence and post-exposure prophylaxis (PEP demand during a dog rabies elimination attempt. Following the mass vaccination, the monthly animal rabies incidence dropped from 1.1/10,000 dogs, as observed prior to the campaign in 2012, to 0.061/10,000 dogs in 2014. However, the PEP demand was found to be largely unaffected. The suspicion of the rabies exposure as reported by health personnel in most cases did not reflect the status of the biting animal but rather the severity of the bite wound, resulting in inappropriate PEP recommendations. In addition, the levels of reporting dead or killed animals to the rabies laboratory was found to be very low. These results reveal a profound lack of communication between health facilities and veterinary structures and the absence of an integrated bite case management (IBCM approach. Improved communication between human health and veterinary workers is imperative to prevent human rabies deaths through the appropriate use of PEP and to further translate success in animal rabies control into cost savings for the public health sector through a lower PEP demand. Improved training of health and veterinary personnel and the sensitisation of the public are needed to achieve good IBCM practice, to increase the rate of diagnostic testing, to provide adequate and timely PEP, and to reduce the wastage of scarce vaccine resources.

  13. Adherence to treatment guidelines: the association between stroke risk stratified comparing CHADS2 and CHA2DS2-VASc score levels and warfarin prescription for adult patients with atrial fibrillation.

    Chapman, Scott A; St Hill, Catherine A; Little, Meg M; Swanoski, Michael T; Scheiner, Shellina R; Ware, Kenric B; Lutfiyya, M Nawal

    2017-02-11

    Ischemic stroke is a risk associated with atrial fibrillation (AF) and is estimated to occur five times more often in afflicted patients than in those without AF. Anti-thrombotic therapy is recommended for the prevention of ischemic stroke. Risk stratification tools, such as the CHADS 2 , and more recently the CHA 2 DS 2 -VASc, for predicting stroke in patients with AF have been developed to determine the level of stroke risk and assist clinicians in the selection of antithrombotic therapy. Warfarin, for stroke prevention in AF, is the most commonly prescribed anticoagulant in North America. The purpose of this study was to examine the utility of using the CHADS 2 score levels (low and high) in contrast to the CHA 2 DS 2 -VASc when examining the outcome of warfarin prescriptions for adult patients with AF. The CHA 2 DS 2 -VASc tool was not widely used in 2010, when the data analyzed were collected. It has only been since 2014 that CHA 2 DS 2 -VASc criteria has been recommended to guide anticoagulant treatment in updated AF treatment guidelines. Bivariate and multivariate data analysis strategies were used to analyze 2010 National Ambulatory Care Survey (NAMCS) data. NAMCS is designed to collect data on the use and provision of ambulatory care services nationwide. The study population for this research was US adults with a diagnosis of AF. Warfarin prescription was the dependent variable for this study. The study population was 7,669,844 AF patients. Bivariate analysis revealed that of those AF patients with a high CHADS 2 score, 25.1% had received a warfarin prescription and 18.8 for those with a high CHA 2 DS 2 -VASc score. Logistic regression analysis yielded that patients with AF had higher odds of having a warfarin prescription if they had a high CHADS 2 score, were Caucasian, lived in a zip code where guideline adherence in alignment with risk stratification for stroke prevention. Interprofessional health care teams can provide improved medical management of

  14. 89. Estudio multicéntrico español de la capacidad predictiva de las escalas de riesgo CHADS2 y CHA2DS2vasc en el accidente cerebrovascular tras cirugía coronaria aislada

    E. Martín

    2012-04-01

    Resultados: Veinte mil novecientos ochenta pacientes incluidos, 282 desarrollaron ACV postoperatorio (1,34%. La incidencia de ACV fue superior en pacientes con insuficiencia cardíaca congestiva (ICC y/o fracción de eyección inferior al 40% (4,10 vs 0,83%, diabéticos (1,70 vs 1,11%, hipertensos (1,60 vs 0,98%, ACV previo (2,72 vs 1,26% y a enfermedad arterial periférica (EAP (3,04 vs 1,04%; p < 0,05. En el análisis multivariante, ICCC (odds ratio [OR]: 4,06, ACV previo (OR: 1,48, EAP (OR: 1,49 constituyeron factores de riesgo independientes para el desarrollo de ACV postoperatorio (p < 0,05. El AUC para CHADS2 fue 0,666, y para CHA2DS2VASc 0,655 (p < 0,0001. La distribución de las tasas de ACV postoperatorio según las puntuaciones de las anteriores escalas se recoge en la figura 1 (p < 0,0001. Conclusiones: Las escalas de riesgo CHADS2 y CHA2DS-2VASC pueden resultar útiles en la práctica clínica para estratificar el riesgo de desarrollo de ACV postoperatorio en pacientes sometidos a CCA.

  15. Assessment of humoral immune responses to blood-stage malaria antigens following ChAd63-MVA immunization, controlled human malaria infection and natural exposure.

    Biswas, Sumi; Choudhary, Prateek; Elias, Sean C; Miura, Kazutoyo; Milne, Kathryn H; de Cassan, Simone C; Collins, Katharine A; Halstead, Fenella D; Bliss, Carly M; Ewer, Katie J; Osier, Faith H; Hodgson, Susanne H; Duncan, Christopher J A; O'Hara, Geraldine A; Long, Carole A; Hill, Adrian V S; Draper, Simon J

    2014-01-01

    The development of protective vaccines against many difficult infectious pathogens will necessitate the induction of effective antibody responses. Here we assess humoral immune responses against two antigens from the blood-stage merozoite of the Plasmodium falciparum human malaria parasite--MSP1 and AMA1. These antigens were delivered to healthy malaria-naïve adult volunteers in Phase Ia clinical trials using recombinant replication-deficient viral vectors--ChAd63 to prime the immune response and MVA to boost. In subsequent Phase IIa clinical trials, immunized volunteers underwent controlled human malaria infection (CHMI) with P. falciparum to assess vaccine efficacy, whereby all but one volunteer developed low-density blood-stage parasitemia. Here we assess serum antibody responses against both the MSP1 and AMA1 antigens following i) ChAd63-MVA immunization, ii) immunization and CHMI, and iii) primary malaria exposure in the context of CHMI in unimmunized control volunteers. Responses were also assessed in a cohort of naturally-immune Kenyan adults to provide comparison with those induced by a lifetime of natural malaria exposure. Serum antibody responses against MSP1 and AMA1 were characterized in terms of i) total IgG responses before and after CHMI, ii) responses to allelic variants of MSP1 and AMA1, iii) functional growth inhibitory activity (GIA), iv) IgG avidity, and v) isotype responses (IgG1-4, IgA and IgM). These data provide the first in-depth assessment of the quality of adenovirus-MVA vaccine-induced antibody responses in humans, along with assessment of how these responses are modulated by subsequent low-density parasite exposure. Notable differences were observed in qualitative aspects of the human antibody responses against these malaria antigens depending on the means of their induction and/or exposure of the host to the malaria parasite. Given the continued clinical development of viral vectored vaccines for malaria and a range of other diseases

  16. Gradual aridification of the Sahara during the last 11,000 years revealed by plant wax δD analyses of Lake Yoa (Chad)

    Rethemeyer, Janet; Kröpelin, Stefan; Karls, Jens; Thienemann, Matthias; Melles, Martin; Schefuß, Enno

    2014-05-01

    It is still an ongoing debate whether the transition of the last 'green Sahara' period to today's large desert during the Holocene, the African Humid Period (AHP), was a progressive or an abrupt change in hydrological conditions. Several climate records mainly from East Africa suggest a rapid decline of moisture availability at the end of the AHP including new data from a marine sequence off the Horn of Africa (Tierney & deMenocal, 2013). Other archives including sedimentological, geochemical and palynological data from the central North African Lakes Chad and Lake Yoa point to a gradual rather than an abrupt transition near 5,000 years ago (Amaral et al., 2013; Kröpelin et al., 2008). The discrepancy of the available paleo-hydrological reconstructions underline the importance of proxy parameters directly related to hydrological conditions for accurate assessment of continental rainfall changes. Here, we present the first molecular-isotopic data from Lake Yoa documenting the hydrologic evolution over the entire Holocene. Compound-specific carbon and hydrogen isotope analyses were performed on long-chain n-alkanes. Our data indicate relative high but variable contributions of plant-derived long-chain n-alkanes carrying a distinct leaf-wax signature, i.e., a high Carbon Preference Index (CPI). A trend towards higher CPI values since 7,300 years ago suggests declining soil degradation and vegetation cover under increasingly drier conditions. In parallel, the average-chain-length of the long-chain n-alkanes increases gradually towards the present implying higher relative contributions from grasses. Compound-specific carbon isotope data confirm this finding, indicating a mixed C3/C4 contribution in the early and mid-Holocene changing towards a C4-grass dominated vegetation in the late Holocene. Most importantly, compound-specific hydrogen isotope data reveal a continuous increase from 8,100 years ago towards the present, reflecting a gradual aridification. The large

  17. A large outbreak of Hepatitis E virus genotype 1 infection in an urban setting in Chad likely linked to household level transmission factors, 2016-2017.

    Alexander Spina

    Full Text Available In September 2016, three acutely jaundiced (AJS pregnant women were admitted to Am Timan Hospital, eastern Chad. We described the outbreak and conducted a case test-negative study to identify risk factors for this genotype of HEV in an acute outbreak setting.Active case finding using a community based surveillance network identified suspected AJS cases. Pregnant or visibly ill AJS cases presenting at hospital were tested with Assure® IgM HEV rapid diagnostic tests (RDTs and some with Polymerase Chain Reaction (PCR in Amsterdam; confirmed cases were RDT-positive and controls were RDT-negative. All answered questions around: demographics, household makeup, area of residence, handwashing practices, water collection behaviour and clinical presentation. We calculated unadjusted odds ratios (ORs and 95% confidence intervals (95% CI.Between September and April 2017, 1443 AJS cases (1293 confirmed were detected in the town(attack rate: 2%; estimated 65,000 population. PCR testing confirmed HEV genotype 1e. HEV RDTs were used for 250 AJS cases; 100 (40% were confirmed. Risk factors for HEV infection, included: having at least two children under the age of 5 years (OR 2.1, 95%CI 1.1-4.3, having another household member with jaundice (OR 2.4, 95%CI 0.90-6.3 and, with borderline significance, living in the neighbourhoods of Riad (OR 3.8, 95%CI 1.0-1.8 or Ridina (OR 3.3, 95%CI 1.0-12.6. Cases were more likely to present with vomiting (OR 3.2, 9%CI 1.4-7.9 than controls; possibly due to selection bias. Cases were non-significantly less likely to report always washing hands before meals compared with controls (OR 0.33, 95%CI 0.1-1.1.Our study suggests household factors and area of residence (possibly linked to access to water and sanitation play a role in HEV transmission; which could inform future outbreak responses. Ongoing sero-prevalence studies will elucidate more aspects of transmission dynamics of this virus with genotype 1e.

  18. Assessment of humoral immune responses to blood-stage malaria antigens following ChAd63-MVA immunization, controlled human malaria infection and natural exposure.

    Sumi Biswas

    Full Text Available The development of protective vaccines against many difficult infectious pathogens will necessitate the induction of effective antibody responses. Here we assess humoral immune responses against two antigens from the blood-stage merozoite of the Plasmodium falciparum human malaria parasite--MSP1 and AMA1. These antigens were delivered to healthy malaria-naïve adult volunteers in Phase Ia clinical trials using recombinant replication-deficient viral vectors--ChAd63 to prime the immune response and MVA to boost. In subsequent Phase IIa clinical trials, immunized volunteers underwent controlled human malaria infection (CHMI with P. falciparum to assess vaccine efficacy, whereby all but one volunteer developed low-density blood-stage parasitemia. Here we assess serum antibody responses against both the MSP1 and AMA1 antigens following i ChAd63-MVA immunization, ii immunization and CHMI, and iii primary malaria exposure in the context of CHMI in unimmunized control volunteers. Responses were also assessed in a cohort of naturally-immune Kenyan adults to provide comparison with those induced by a lifetime of natural malaria exposure. Serum antibody responses against MSP1 and AMA1 were characterized in terms of i total IgG responses before and after CHMI, ii responses to allelic variants of MSP1 and AMA1, iii functional growth inhibitory activity (GIA, iv IgG avidity, and v isotype responses (IgG1-4, IgA and IgM. These data provide the first in-depth assessment of the quality of adenovirus-MVA vaccine-induced antibody responses in humans, along with assessment of how these responses are modulated by subsequent low-density parasite exposure. Notable differences were observed in qualitative aspects of the human antibody responses against these malaria antigens depending on the means of their induction and/or exposure of the host to the malaria parasite. Given the continued clinical development of viral vectored vaccines for malaria and a range of other

  19. 14 February 2012 - Ambassadors from Algeria, Brunei Darussalam, Canada, Chad, Tunisia, Permanent Representatives to the United Nations Office at Geneva in the LHC tunnel at Point 1, ATLAS visitor centre, and ATLAS underground experimental area, throughout accompanied by Advisers P. Fassnacht, E. Tsesmelis and R. Voss

    Jean-Claude Gadmer

    2012-01-01

    14 February 2012 - Ambassadors from Algeria, Brunei Darussalam, Canada, Chad, Tunisia, Permanent Representatives to the United Nations Office at Geneva in the LHC tunnel at Point 1, ATLAS visitor centre, and ATLAS underground experimental area, throughout accompanied by Advisers P. Fassnacht, E. Tsesmelis and R. Voss

  20. Prevention of Acute Malnutrition during the hunger gap in urban Chad using Ready-to-Use Supplementary Food: Challenges and lessons learned from a Randomized Controlled Trial

    Huybregts, Lieven; Salpeteur, Cecile; Houngbe, Freddy Gloria; Ait Aissa, Myriam; Kolsteren, Patrick

    2014-01-01

    Full text: Background: In Abeche town in eastern Chad, Action contre la Faim - France (ACF-France) implemented a food-based intervention during the seasonal ‘hunger gap’ in 2010. The objectives were to assess the acceptability, effectiveness and cost-effectiveness of RUSF to prevent acute malnutrition or wasting (WH <80% of the median of NCHS reference and/or presence of bilateral pitting edema) among children 6-36 months living in vulnerable households. Method: The study was a two-arm cluster randomized controlled intervention. All enrolled households in the project received a monthly food package provided by World Food Program (WFP), estimated to cover approximately 1800 kcal/day. Number of food rations received per household was proportional to its size. The intervention group was given a daily 46g of RUSF (Plumpy Doz®, Nutriset, Malaunay, France) during 6 months. A follow up visit was organized 2 months after the last distribution. All analyses were done on an intention-to-treat basis. All the data were double entered in EpiData version 3.1. Statistical analyses were conducted using STATA 11.2 (Statacorp, USA). The statistical significance for all analyses was set at 5% and all tests were two-sided. Results: In the end, the intervention achieved a sample of 1038 children. Adding RUSF to a package of monthly household food rations did not result in an important reduction in cumulative incidence of wasting (Incidence Risk Ratio: 0.86; 95%CI: 0.67, 1.11; P = 0.25). However, the intervention group had a modestly higher Height-for-Age gain (+0.03 Z-score per month; 95%CI: 0.02, 0.05; P<0.001). In addition, children from the intervention group had a significantly higher hemoglobin concentration at the end of the study compared to children from the control group (+3.8g/L; 95%CI: 0.6, 7.0; P = 0.02), thereby reducing the odds of anemia (Odds Ratio: 0.52; 95%CI: 7.1, 23.9; P = 0.004). Adding RUSF also resulted in a significantly lower risk of self-reported diarrhea

  1. Reliability of the Anthropometric Indicators of Acute Malnutrition in Pastoralist Populations: Secondary Analysis of a Recent Survey in Bahr-El-Ghazal, Chad

    Guesdon, Benjamin; Camara, Facely; Ait Aissa, Myriam

    2014-01-01

    Full text: A cross-sectional survey conducted by ACF among the Gorane pastoralist population of the north Bahr-El-Ghazal region, Chad, in April 2013, confirmed the existence of a massive difference in the diagnosis of acute malnutrition according to Mid Upper Arm Circumference (MUAC) and Weight-for-Height Z-score (WHZ), with WHZ returning much larger estimates of acute malnutrition than MUAC. While both indicators are recommended proxies to identify 6 to 59 months old children suffering from non-oedematous acute malnutrition, a previously formulated hypothesis is that WHZ overestimates the diagnosis of acute malnutrition among pastoralist children because of their assumed slender morphology. An alternative hypothesis is that MUAC underestimates acute malnutrition in the older, male, and non-stunted children. We aimed at testing these hypotheses, as well as evaluating if MUAC could be considered as a suitable stand-alone criterion in this context. Besides anthropometric measurements (including sitting height), statements of the caretaker regarding child’s morbidity, loss of weight and lack of food intake has been collected. We first assessed the association between risk factors such as age, sex, stunting and proportion of legs in total body size, and MUAC- or WHZ-based diagnoses. We then described the cases of moderate or severe acute malnutrition diagnosed by WHZ but not by MUAC in terms of slender morphology (high height-for-age and/or long legs compared to the trunk) and vulnerability (anthropometric deficits and caretaker’s anamnesis). Finally, we defined alternative indicators of acute malnutrition by combining subjective statements of the caretaker and anthropometric deficits (underweight without stunting). We assessed if MUAC diagnosis was, more than WHZ, associated with these indicators, first through sensitivity and specificity calculations, then through logistic regression. Analyses were further stratified by legs proportion. Having a high proportion

  2. Rapid Contraceptive Uptake and Changing Method Mix With High Use of Long-Acting Reversible Contraceptives in Crisis-Affected Populations in Chad and the Democratic Republic of the Congo.

    Rattan, Jesse; Noznesky, Elizabeth; Curry, Dora Ward; Galavotti, Christine; Hwang, Shuyuan; Rodriguez, Mariela

    2016-08-11

    The global health community has recognized that expanding the contraceptive method mix is a programmatic imperative since (1) one-third of unintended pregnancies are due to method failure or discontinuation, and (2) the addition of a new method to the existing mix tends to increase total contraceptive use. Since July 2011, CARE has been implementing the Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative to increase the availability, quality, and use of contraception, with a particular focus on highly effective and long-acting reversible methods-intrauterine devices (IUDs) and implants-in crisis-affected settings in Chad and the Democratic Republic of the Congo (DRC). This initiative supports government health systems at primary and referral levels to provide a wide range of contraceptive services to people affected by conflict and/or displacement. Before the initiative, long-acting reversible methods were either unknown or unavailable in the intervention areas. However, as soon as trained providers were in place, we noted a dramatic and sustained increase in new users of all contraceptive methods, especially implants, with total new clients reaching 82,855, or 32% of the estimated number of women of reproductive age in the respective catchment areas in both countries, at the end of the fourth year. Demand for implants was very strong in the first 6 months after provider training. During this time, implants consistently accounted for more than 50% of the method mix, reaching as high as 89% in Chad and 74% in DRC. To ensure that all clients were getting the contraceptive method of their choice, we conducted a series of discussions and sought feedback from different stakeholders in order to modify program strategies. Key program modifications included more focused communication in mass media, community, and interpersonal channels about the benefits of IUDs while reinforcing the wide range of methods available and refresher training for

  3. Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali

    Katie Tayler-Smith

    2011-02-01

    Full Text Available Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs. Despite political momentum toward achieving this target, progress is slow and many with malaria (particularly in poor and rural communities in Africa are still without access to effective treatment. Finding ways to improve access to anti-malarial treatment in Africa is essential to achieve the malaria related and other MDG targets. During its work in Chad, Sierra Leone and Mali in the period 2004 to 2008, Médecins Sans Frontières showed that it was possible to significantly improve access to effective malaria treatment through: i the removal of health centre level user fees for essential healthcare for vulnerable population groups, ii the introduction of free community based treatment for children using malaria village workers to diagnose and treat simple malaria in communities where geographical and financial barriers limited access to effective malaria care, iii the improved diagnosis and treatment of malaria using rapid diagnosis tests and artemisinin based combination therapy, at both health facilities and in the community. This paper describes and discusses these strategies and their related impact.

  4. A public private partnership to fight against malaria along the Chad-Cameroon pipeline corridor: I. Baseline data on socio-anthropological aspects, knowledge, attitudes and practices of the population concerning malaria.

    Moyou-Somo, Roger; Essomba, Paul; Songue, Eva; Tchoubou, Natacha Nsiewe; Ntambo, Anita; Hiol, Huguette Ngo; Kemajou, Jacques Pokam; Essi, Marie-José; Millet, Pascal

    2013-10-29

    Malaria is ranked as the major public health problem in Cameroon, representing 50% of illness in less than five year old children, 40-45% of medical consultation and 40% of the annual home income spent on health. The Cameroon Oil Transportation Company (COTCO) that exploits the Chad-Cameroon pipeline in Cameroon territory, initiated in 2010, a public private partnership project to control malaria along the pipeline corridor. A research component was included in the project so as to guide and evaluate the control measures applied in this pipeline corridor. This study presents the baseline socio-anthropological data as well as the knowledge, attitudes and practices of the local population concerning malaria, its transmission, management and prevention. A descriptive cross-sectional survey was undertaken in four sentinel sites (one site per ecological zone) along the Chad-Cameroon pipeline corridor. Three structured questionnaires were used for the survey. Two of them were addressed to the heads of households (one for census and the other to collect information concerning the characteristics of houses and living conditions in households as well as their knowledge, attitudes and practices concerning malaria). The last questionnaire was used to collect information on malaria management and prevention. It was addressed to women who had delivered a living child within the past three years. Interviewers were recruited from each village and trained for two consecutive days on how to fill the different questionnaires. All data were analysed at 5% significant level using Epi-Info, SPSS and Cs PRO 4.0 STATA. Values of p ≤ 0.05 were considered statistically significant. Interviews were conducted in 2597 households (Bipindi 399, Bélabo 835, in Meidougou 820 and Dompta 543). Whatever the study site, 50% of the heads of household were workers of the agro-pastoral sector. Most of the heads of household were men (average 77.4% for men and 22.6% for females). The walls of

  5. Treatment of human and livestock helminth infections in a mobile pastoralist setting at Lake Chad: Attitudes to health and analysis of active pharmaceutical ingredients of locally available anthelminthic drugs.

    Greter, Helena; Cowan, Noemi; Ngandolo, Bongo N; Kessely, Hamit; Alfaroukh, Idriss O; Utzinger, Jürg; Keiser, Jennifer; Zinsstag, Jakob

    2017-11-01

    Mobile pastoralists face challenges in accessing quality health care and medication for managing human and animal diseases. We determined livestock disease priorities, health seeking behaviour of people bearing helminthiases and - placing particular emphasis on trematode infections - treatment strategies and outcome satisfaction among mobile pastoralists of four ethnic groups in the Lake Chad area using focus group discussions. People suffering from schistosomiasis were interviewed about symptoms, health seeking behaviour and their satisfaction with respect to the provided treatment. Anthelminthic drugs for human and veterinary use obtained from various health care structures were analysed for active pharmaceutical ingredients (API) and quantity, using high pressure liquid chromatography-UV and liquid chromatography combined with tandem mass spectrometry. Most people suffering from schistosomiasis sought treatment at health care centres. Yet, they also consulted informal providers without medical training. Regarding animal health, self-mediated therapy was common to manage suspected livestock fascioliasis. Self-reported treatment satisfaction for human schistosomiasis and trematodiasis treatment outcome in livestock were low. Mobile pastoralists perceived the purchased drugs to be of low quality. Among 33 products locally sold as anthelminthic drugs for human or veterinary use, 27 contained albendazole or mebendazole, varying between 91% and 159% of the labelled amount. Six products were sold loosely with incomplete information and their API could not be identified. No counterfeit anthelminthic drugs were detected. None of the samples contained praziquantel or triclabendazole, the drugs of choice against schistosomiasis and fascioliasis, respectively. The perceived unsatisfactory treatment outcomes in humans and animals infected with trematodes are most likely due to empiric diagnosis and the resulting use of inadequate therapy for human schistosomiasis and the

  6. Gold and uranium metallogenesis in the framework of Neo-proterozoic crust growth and differentiation: example of the Mayo-Kebbi Massif (Chad) in the Central Africa Orogenic belt

    Mbaguedje, Diondoh

    2015-01-01

    The Mayo Kebbi massif located in southwestern Chad between the Congo craton in the South, the West African craton in the west and the Sahara meta-craton to the east exposes a segment of Neo-proterozoic juvenile crust accreted in the Central African orogenic belt during the Pan African orogeny. It consists of two greenstone belts (Zalbi and Goueygoudoum) separated by the May Kebbi calc-alkaline batholith complexes and intruded by calc-alkaline high-K granitic plutons. The whole is covered by Phanerozoic sedimentary formations. The greenstone belts contain sulphide zones hosted mainly by meta-plutonic rocks (granodiorites) and meta-basalts and meta-volcaniclastics. The mineralization comprises pyrite, pyrrhotite, arsenopyrite, chalcopyrite, pentlandite, pentlandite silver, pentlandite cobaltiferous, sphalerite, cobaltite. These sulphides are disseminated, aggregated in form of layers or are filling veins and cracks. The greenstones also contain quartz veins with calcite and chlorite comprising a mineralization made of pyrite, chalcopyrite, galena and gold. Gold is present both as native crystals and as electrum. The high-K calc-alkaline Zabili granitic pluton hosts uranium mineralization related to a superposition of: (1) ductile deformation and metasomatic alteration implying the interaction between magmatic minerals with a Na-rich fluid, of potential magmatic origin, coeval to the main deposition of uranium oxides, followed by (2) brittle deformation and deposition of secondary hydrated uranium silicates involving a Na-Ca-rich fluid. We propose that these uranium mineralizations represent the extreme expression of crustal differentiation as a result of Pan-African reworking of a Neo-proterozoic juvenile crustal segment. (author) [fr

  7. Iron oxide minerals in dust-source sediments from the Bodélé Depression, Chad: Implications for radiative properties and Fe bioavailability of dust plumes from the Sahara

    Moskowitz, Bruce M; Reynolds, Richard L.; Goldstein, Harland L.; Beroquo, Thelma; Kokaly, Raymond F.; Bristow, Charlie S

    2016-01-01

    Atmospheric mineral dust can influence climate and biogeochemical cycles. An important component of mineral dust is ferric oxide minerals (hematite and goethite) which have been shown to influence strongly the optical properties of dust plumes and thus affect the radiative forcing of global dust. Here we report on the iron mineralogy of dust-source samples from the Bodélé Depression (Chad, north-central Africa), which is estimated to be Earth’s most prolific dust producer and may be a key contributor to the global radiative budget of the atmosphere as well as to long-range nutrient transport to the Amazon Basin. By using a combination of magnetic property measurements, Mössbauer spectroscopy, reflectance spectroscopy, chemical analysis, and scanning electron microscopy, we document the abundance and relative amounts of goethite, hematite, and magnetite in dust-source samples from the Bodélé Depression. The partition between hematite and goethite is important to know to improve models for the radiative effects of ferric oxide minerals in mineral dust aerosols. The combination of methods shows (1) the dominance of goethite over hematite in the source sediments, (2) the abundance and occurrences of their nanosize components, and (3) the ubiquity of magnetite, albeit in small amounts. Dominant goethite and subordinate hematite together compose about 2% of yellow-reddish dust-source sediments from the Bodélé Depression and contribute strongly to diminution of reflectance in bulk samples. These observations imply that dust plumes from the Bodélé Depression that are derived from goethite-dominated sediments strongly absorb solar radiation. The presence of ubiquitous magnetite (0.002–0.57 wt%) is also noteworthy for its potentially higher solubility relative to ferric oxide and for its small sizes, including PM bioavailability to marine and terrestrial ecosystems.

  8. Iron oxide minerals in dust-source sediments from the Bodélé Depression, Chad: Implications for radiative properties and Fe bioavailability of dust plumes from the Sahara

    Moskowitz, Bruce M; Reynolds, Richard L.; Goldstein, Harland L.; Beroquo, Thelma; Kokaly, Raymond F.; Bristow, Charlie S

    2016-01-01

    Atmospheric mineral dust can influence climate and biogeochemical cycles. An important component of mineral dust is ferric oxide minerals (hematite and goethite) which have been shown to influence strongly the optical properties of dust plumes and thus affect the radiative forcing of global dust. Here we report on the iron mineralogy of dust-source samples from the Bodélé Depression (Chad, north-central Africa), which is estimated to be Earth’s most prolific dust producer and may be a key contributor to the global radiative budget of the atmosphere as well as to long-range nutrient transport to the Amazon Basin. By using a combination of magnetic property measurements, Mössbauer spectroscopy, reflectance spectroscopy, chemical analysis, and scanning electron microscopy, we document the abundance and relative amounts of goethite, hematite, and magnetite in dust-source samples from the Bodélé Depression. The partition between hematite and goethite is important to know to improve models for the radiative effects of ferric oxide minerals in mineral dust aerosols. The combination of methods shows (1) the dominance of goethite over hematite in the source sediments, (2) the abundance and occurrences of their nanosize components, and (3) the ubiquity of magnetite, albeit in small amounts. Dominant goethite and subordinate hematite together compose about 2% of yellow-reddish dust-source sediments from the Bodélé Depression and contribute strongly to diminution of reflectance in bulk samples. These observations imply that dust plumes from the Bodélé Depression that are derived from goethite-dominated sediments strongly absorb solar radiation. The presence of ubiquitous magnetite (0.002–0.57 wt%) is also noteworthy for its potentially higher solubility relative to ferric oxide and for its small sizes, including PM iron apportionment is estimated at about 33% in ferric oxide minerals, 1.4% in magnetite, and 65% in ferric silicates. Structural iron in clay

  9. Use of ChAd3-EBO-Z Ebola virus vaccine in Malian and US adults, and boosting of Malian adults with MVA-BN-Filo: a phase 1, single-blind, randomised trial, a phase 1b, open-label and double-blind, dose-escalation trial, and a nested, randomised, double-blind, placebo-controlled trial.

    Tapia, Milagritos D; Sow, Samba O; Lyke, Kirsten E; Haidara, Fadima Cheick; Diallo, Fatoumata; Doumbia, Moussa; Traore, Awa; Coulibaly, Flanon; Kodio, Mamoudou; Onwuchekwa, Uma; Sztein, Marcelo B; Wahid, Rezwanul; Campbell, James D; Kieny, Marie-Paule; Moorthy, Vasee; Imoukhuede, Egeruan B; Rampling, Tommy; Roman, Francois; De Ryck, Iris; Bellamy, Abbie R; Dally, Len; Mbaya, Olivier Tshiani; Ploquin, Aurélie; Zhou, Yan; Stanley, Daphne A; Bailer, Robert; Koup, Richard A; Roederer, Mario; Ledgerwood, Julie; Hill, Adrian V S; Ballou, W Ripley; Sullivan, Nancy; Graham, Barney; Levine, Myron M

    2016-01-01

    The 2014 west African Zaire Ebola virus epidemic prompted worldwide partners to accelerate clinical development of replication-defective chimpanzee adenovirus 3 vector vaccine expressing Zaire Ebola virus glycoprotein (ChAd3-EBO-Z). We aimed to investigate the safety, tolerability, and immunogenicity of ChAd3-EBO-Z in Malian and US adults, and assess the effect of boosting of Malians with modified vaccinia Ankara expressing Zaire Ebola virus glycoprotein and other filovirus antigens (MVA-BN-Filo). In the phase 1, single-blind, randomised trial of ChAd3-EBO-Z in the USA, we recruited adults aged 18-65 years from the University of Maryland medical community and the Baltimore community. In the phase 1b, open-label and double-blind, dose-escalation trial of ChAd3-EBO-Z in Mali, we recruited adults 18-50 years of age from six hospitals and health centres in Bamako (Mali), some of whom were also eligible for a nested, randomised, double-blind, placebo-controlled trial of MVA-BN-Filo. For randomised segments of the Malian trial and for the US trial, we randomly allocated participants (1:1; block size of six [Malian] or four [US]; ARB produced computer-generated randomisation lists; clinical staff did randomisation) to different single doses of intramuscular immunisation with ChAd3-EBO-Z: Malians received 1 × 10(10) viral particle units (pu), 2·5 × 10(10) pu, 5 × 10(10) pu, or 1 × 10(11) pu; US participants received 1 × 10(10) pu or 1 × 10(11) pu. We randomly allocated Malians in the nested trial (1:1) to receive a single dose of 2 × 10(8) plaque-forming units of MVA-BN-Filo or saline placebo. In the double-blind segments of the Malian trial, investigators, clinical staff, participants, and immunology laboratory staff were masked, but the study pharmacist (MK), vaccine administrator, and study statistician (ARB) were unmasked. In the US trial, investigators were not masked, but participants were. Analyses were per protocol. The primary outcome was safety, measured

  10. Abortion care needs in Darfur and Chad

    Tamara Fetters

    2006-05-01

    Full Text Available Given the prevalence of sexual and gender-basedviolence in Darfur, why are safe abortion services andtreatment of complications resulting from unsafeabortions or miscarriages not provided at all refugee/IDP health facilities?

  11. Area Handbook Series: Chad, A Country Study

    1988-12-01

    National Security .- _/ ............ 169 jean R. Tartter EXTERNAL AND DOMESTIC SECURITY CONCERNS ...................................... 172 THE ARMED...209 Appendix B. Principal Armed Factions, 1975-87 .. 219 Jean R. Tartter Bibliography ............................... 223 G lossary...nomically active population farmers or herders. Sorghum and millet major food crops. Industry: Not well developed but contributed almost 18 percent of GDP

  12. Recharging the Lake Chad: the Hydropolitics of National Security ...

    First Lady

    available or where water could be utilized better for human development. Purposes ... water resources have been recorded in every part of west Africa such as the ...... 1998: LCBC SAP (LCBC1998): request to initiate pre-feasibility studies for.

  13. Recharging the Lake Chad: the Hydropolitics of National Security ...

    http://dx.doi.org/10.4314/afrrev.v7i3.15 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use · Contact AJOL · News. OTHER RESOURCES... for Researchers · for Journals · for Authors · for Policy Makers ...

  14. Estimation of the petrophysical parameters of sediments from Chad ...

    Porosity was estimated from three methods, and polynomial trends having fits ranging between 0.0604 and 0.478 describe depth - porosity variations. Interpretation of the trends revealed lithology trend that agree with the trends of shaliness. Estimates of average effective porosities of formations favorably compared with ...

  15. estimation of the petrophysical parameters of sediments from chad ...

    DJFLEX

    2009-12-22

    Dec 22, 2009 ... Donatus M. Orazulike, Geology Programme, A.T.B. University, Bauchi, Nigeria. .... The scale of the logs allowed the picking of the curves at intervals no smaller than 2 ..... times (∆tma and ∆tf) as well as densities (ρma and ρf) of.

  16. Petroleum and natural gas economy in Arab Countries and in Benin, Chad Cameroon, Namibia, Nigeria

    Anon.

    1993-01-01

    This paper gives informations on petroleum and natural gas industry, petroleum market and prices, trade and contracts, prospection and production. In Saudi Arabia, Saudi Aramco has begun the works to increase the production capacity of the petroleum refinery of Ras Tanura. In Kuwait, the cost of the retrofitting and development programs for the petroleum field is evaluated to 4 milliards $. Several contracts have been signed in Tunisia and in Nigeria for the attribution of exploration permits. A cooperation agreement has been signed, in Taiwan, between Total and Chinese Petroleum Corporation, which allows the establishment of joint ventures for the development of petroleum exploration in Far East. Petroleum exploration has begun in Namibia where Norsk Hydro has achieved the interpretation of seismic studies and will drill a first exploration well. In Egypt, petroleum production is stabilized at a level of 870000 barrels per day and the transport capacity of Sumed pipeline will increase from 80 to 117 millions tons per year in 1994

  17. Political instability, chronic poverty and food production systems in Central Chad

    Dijk, van J.W.M.

    2008-01-01

    In many parts of the world long-term political instability combined with frequent droughts results in chronic poverty and high levels of malnutrition and child mortality. Despite the magnitude and importance of the problem in these areas, the relation between political instability, resource tenure

  18. Communications Channels in the Sahel Using Mauritania, Mali, Niger, and Chad as a Case Study

    2007-05-01

    issues, family, AIDS, etc. Malians listen to rap, but the lyrics are more positive than Western rap music. Dr. Arnoldi said the beat is similar to...Hassan, eds. The Muse of Modernity: Essays on Culture as Development in Africa. (Trenton: Africa World Press, Inc., 1996). Page 10 of 107 cultural...http://www.nollywood.net/ Essays /p2_articleid/126/p2_page/3>. Theatre for Development encourages community participation, increasing the

  19. Heavy Metal Pollution of Chari River Water during the Crossing of N’Djamena (Chad

    N’garam Nambatingar

    2017-10-01

    Full Text Available This study was carried out to identify and assess the water quality of the Chari River. The Chari, 1200 km long, is Chad’s major water source. Municipal sewage, industrial wastewater discharge, and seasonal run-off from agriculture are regularly fed into the river. Several trace metals such as Cu, Zn, Fe, Ni, Cr, Mn, and Cd, were measured in different sampling stations located along the Chari River at N’Djamena in different campaigns from 2008 to 2010. Overall, manganese, zinc, chromium, and copper concentration levels were mainly in the range of the permissible limits prescribed by WHO guidelines (WHO 2011. Nickel, iron, and cadmium concentrations were still high. This preliminary study allowed us to identify the magnitude of toxic pollutants, which are responsible for Chari River water contamination in the study area. This study revealed that urgent measures must be taken to protect the local people from health problems resulting from high concentrations of heavy metals.

  20. Rural Schools in Developing Countries: A Case of Donon Manga in Eastern Tandjile in Chad

    Ndoutorlengar, Médard; Djangrang, Man-na; Mamgue, Bassinang; Yongsi, H. B. Nguendo; Groza, Octavian

    2014-01-01

    The schools in rural areas in developing countries are often confronted with difficulties which are, in general, related to poverty, the quantitative and qualitative insufficiency of the professionals and the organization. Consequently, every year, the examinations results are unsatisfactory playing on the curriculum and excellence in the…

  1. The socio-economic impact of the Lake Chad resettlement scheme ...

    AJL

    will change the lives of current and future residents of a ... community's fiscal balance sheet or local natural ... resettlement scheme deserves environmental impact assessment ..... work and others (especially the returnees) could not even.

  2. Rates and impact of trauma and current stressors among Darfuri refugees in Eastern Chad.

    Rasmussen, Andrew; Nguyen, Leanh; Wilkinson, John; Vundla, Sikhumbuzo; Raghavan, Sumithra; Miller, Kenneth E; Keller, Allen S

    2010-04-01

    Darfur refugees face hardships associated with chronic displacement, including lack of basic needs and safety concerns. Psychiatric research on refugees has focused on trauma, but daily stressors may contribute more to variance in distress. This article reports rates of past trauma and current stressors among Darfur refugees and gauges the contribution of each to psychological distress and functional impairment. A representative sample of 848 Darfuris in 2 refugee camps were interviewed about traumatic events, stressors faced in the camps, psychological distress, and functional impairment. Basic needs and safety concerns were more strongly correlated with measures of distress (rs = .19-.31) than were war-related traumatic events (rs = .09-.20). Hierarchical regression supported models in which effects of trauma on distress were mediated by current stressors. Although war-related traumatic events are the initial causes of refugees' hardship, findings suggest that the day-to-day challenges and concerns in camps mediate psychological distress associated with these events.

  3. Health seeking behaviour among suspected cases of cholera in Cameroonian health districts in Lake Chad basin.

    Yakum, Martin Ndinakie; Ateudjieu, Jerome; Guenou, Etienne; Walter, Ebile Akoh; Ram, Malathi; Debes, Amanda K; Njimbia, Anthony Chebe; Nafack, Sonia Sonkeng; Sack, David A

    2017-08-30

    Cholera outbreaks are recurrent in Cameroon and despite the efforts put together during epidemics, they are always associated with a high case fatality. Inadequate demand for health care is one of the major factors that might be responsible for the high case fatality. This study was conducted to describe the health seeking behaviour of suspected cases of cholera in four health districts of the Far North Cameroon. We conducted a health facility based descriptive study involving suspected cases of cholera received in health facilities. Data was collected from August 2013 to October 2015 with the help of a questionnaire and analysis done by running frequency and calculating confidence interval at 95% with Epi Info version 3.5.4. A total of 1849 cases were enrolled, with 997 (53.9%) being males. 534 (28.9%) were children under the age of 5 and 942 (50.9%) were above the age of 14. About 373 (20%) of diarrhoeal patients arrived in the health facility more than 2 days following the onset of diarrhoea, with 916 (50%) of them being seriously dehydrated. Also, about 624 (34%) of these patients had sought treatment elsewhere before coming to the health facility where they were enrolled, and about 86% of them did not received ORS. Taking 2 or more days after diarrhoea onset or taking more than 1 h to travel from home to health facility was associated with severe dehydration in patients. The delay between the onset of diarrhoea and seeking treatment from a health provider determines the seriousness of suspected cases of cholera in the Far North Cameroon. While conducting an anthropological study to understand reasons why a health provider is not the first option during diarrhoeal episodes, we recommend that a system of community case detection and reference to health facilities should be put in place during cholera outbreaks to minimize its case fatality rate.

  4. Mitochondrial DNA and craniofacial covariability of Chad Basin females indicate past population events

    Hájek, Martin; Černý, Viktor; Brůžek, J.

    2008-01-01

    Roč. 20, č. 4 (2008), s. 465-474 ISSN 1042-0533 R&D Projects: GA ČR GA206/08/1587 Institutional research plan: CEZ:AV0Z80020508 Keywords : craniofacial morphology * mitochondrial DNA * sub - Saharan Africa * population history Sub ject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 1.976, year: 2008 http://www3.interscience.wiley.com/journal/118903453/abstract?CRETRY=1&SRETRY=0

  5. The use of mobile phones for demographic surveillance of mobile pastoralists and their animals in Chad: proof of principle.

    Jean-Richard, Vreni; Crump, Lisa; Moto Daugla, Doumagoum; Hattendorf, Jan; Schelling, Esther; Zinsstag, Jakob

    2014-01-01

    Demographic information is foundational for the planning and management of social programmes, in particular health services. The existing INDEPTH network surveillance sites are limited to coverage of sedentary populations. Including mobile populations in this approach would be expensive, time consuming and possibly low in accuracy. Very little is known about the demography of mobile pastoralists and their animals, so innovative approaches are urgently needed. To test and evaluate a mobile demographic surveillance system for mobile pastoralist households, including livestock herds, using mobile phones. Mobile pastoralist camps were monitored (10 for 12 months and 10 for 18 months) using biweekly mobile phone calls with camp leaders and their wives to conduct interviews about the households and livestock. The collected information was validated through personal visits, GPS data and a livestock demographic model. The study showed the feasibility of mobile phone surveillance for mobile pastoralist camps, providing usable, valid information on human and livestock population structures, pregnancy outcomes and herd dynamics, as well as migration patterns. The approach was low-cost and applicable with the existing local resources. Demographic surveillance in mobile populations is feasible using mobile phones. Expansion of the small-scale system into a full mobile demographic surveillance system is warranted and would likely lead to improved planning and provision of human and animal health care.

  6. Demographic and health surveillance of mobile pastoralists in Chad: integration of biometric fingerprint identification into a geographical information system.

    Weibel, Daniel; Schelling, Esther; Bonfoh, Bassirou; Utzinger, Jürg; Hattendorf, Jan; Abdoulaye, Mahamat; Madjiade, Toguina; Zinsstag, Jakob

    2008-11-01

    There is a pressing need for baseline demographic and health-related data to plan, implement and evaluate health interventions in developing countries, and to monitor progress towards international development goals. However, mobile pastoralists, i.e. people who depend on a livestock production system and follow their herds as they move, remain marginalized from rural development plans and interventions. The fact that mobile people are hard to reach and stay in contact with is a plausible reason why they are underrepresented in national censuses and/or alternative sequential sample survey systems. We present a proof-of-concept of monitoring highly mobile, pastoral people by recording demographic and health-related data from 933 women and 2020 children and establishing a biometric identification system (BIS) based on the registration and identification of digital fingerprints. Although only 22 women, representing 2.4% of the total registered women, were encountered twice in the four survey rounds, the approach implemented is shown to be feasible. The BIS described here is linked to a geographical information system to facilitate the creation of the first health and demographic surveillance system in a mobile, pastoralist setting. Our ultimate goal is to implement and monitor interventions with the "one health" concept, thus integrating and improving human, animal and ecosystem health.

  7. Immediate post-partum haemorrhage: Epidemiological aspects and maternal prognosis at South N’djamena District Hospital (Chad

    Gabkika Bray Madoue

    2015-05-01

    Full Text Available Background: Post-partum haemorrhage defined as blood loss after delivery over 500mls, affects all countries and is the commonest cause of maternal mortality. It is a frequent obstetric emergency in developing countries. Objective: To identify the causes of post-partum haemorrhage and identify adequate management of immediate post-partum haemorrhage and thus reduce maternal mortality. Patients and methods: This was a prospective and descriptive study of one year from 1st January 2014 to 31stDecember 2014 conducted at South N’Djamena district hospital. Before including a patient in our survey her consent was obtained after explaining to her the need for the survey. All consenting patients with post-partum haemorrhage were included. Data were analyzed using SPSS17.0. Results: We recorded 100 cases of post-partum haemorrhage among 6815 deliveries giving an incidence of 1.47%. The average age of the women was 25.0 years. The majority of deliveries (90% were vaginal. The main cause of immediate post-partum haemorrhage was a third stage of labour bleeding (66% followed by genital lesions (32%. The management was medical (uterotonic drug, fluid replacement and blood transfusion, obstetric (manual removal of placenta or clot, and surgical (suture of lesions, vascular ligature and hysterectomy. There were two maternal deaths (2%. Conclusion: Post-partum haemorrhage is often fatal in our region. Preventive measures and efficient management can help to improve maternal prognosis.

  8. Demographic and health surveillance of mobile pastoralists in Chad: integration of biometric fingerprint identification into a geographical information system

    Daniel Weibel

    2008-11-01

    Full Text Available There is a pressing need for baseline demographic and health-related data to plan, implement and evaluate health interventions in developing countries, and to monitor progress towards international development goals. However, mobile pastoralists, i.e. people who depend on a livestock production system and follow their herds as they move, remain marginalized from rural development plans and interventions. The fact that mobile people are hard to reach and stay in contact with is a plausible reason why they are underrepresented in national censuses and/or alternative sequential sample survey systems. We present a proof-of-concept of monitoring highly mobile, pastoral people by recording demographic and health-related data from 933 women and 2020 children and establishing a biometric identification system (BIS based on the registration and identification of digital fingerprints. Although only 22 women, representing 2.4% of the total registered women, were encountered twice in the four survey rounds, the approach implemented is shown to be feasible. The BIS described here is linked to a geographical information system to facilitate the creation of the first health and demographic surveillance system in a mobile, pastoralist setting. Our ultimate goal is to implement and monitor interventions with the “one health” concept, thus integrating and improving human, animal and ecosystem health.

  9. Lacustrine Environment Reservoir Properties on Sandstone Minerals and Hydrocarbon Content: A Case Study on Doba Basin, Southern Chad

    Sumery, N. F. Mohd; Lo, S. Z.; Salim, A. M. A.

    2017-10-01

    The contribution of lacustrine environment as the hydrocarbon reservoir has been widely known. However, despite its growing importance, the lacustrine petroleum geology has received far less attention than marine due to its sedimentological complexity. This study therefore aims in developing an understanding of the unique aspects of lacustrine reservoirs which eventually impacts the future exploration decisions. Hydrocarbon production in Doba Basin, particularly the northern boundary, for instance, has not yet succeeded due to the unawareness of its depositional environment. The drilling results show that the problems were due to the: radioactive sand and waxy oil/formation damage, which all are related to the lacustrine depositional environment. Detailed study of geological and petrophysical integration on wireline logs and petrographic thin sections analysis of this environment helps in distinguishing reservoir and non-reservoir areas and determining the possible mechanism causing the failed DST results. The interpretations show that the correlation of all types> of logs and rho matrix analysis are capable in identifying sand and shale bed despite of the radioactive sand present. The failure of DST results were due to the presence of arkose in sand and waxy oil in reservoir bed. This had been confirmed by the petrographic thin section analysis where the arkose has mineral twinning effect indicate feldspar and waxy oil showing bright colour under fluorescent light. Understanding these special lacustrine environment characteristics and features will lead to a better interpretation of hydrocarbon prospectivity for future exploration.

  10. The genetic impact of the Lake Chad Basin population in North Africa as documented by mitochondrial diversity and internal variation of the L3e5 haplogroup

    Podgorná, E.; Soares, P.; Pereira, L.; Černý, Viktor

    2013-01-01

    Roč. 77, č. 6 (2013), s. 513-523 ISSN 0003-4800 R&D Projects: GA ČR GA13-37998S Institutional support: RVO:67985912 Keywords : Africa * mtDNA * migration * Holocene Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 1.926, year: 2013

  11. Migration of Chadic speaking pastoralists within Africa based on population structure of Chad Basin and phylogeography of mitochondrial L3f haplogroup

    Černý, Viktor; Fernandes, V.; Costa, M. D.; Hájek, Martin; Mulligan, C. J.; Pereira, L.

    2009-01-01

    Roč. 9, č. 63 (2009), s. 1-9 ISSN 1471-2148 R&D Projects: GA ČR GA206/08/1587 Institutional research plan: CEZ:AV0Z80020508 Keywords : migration * Chadic * phylogeography Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 4.294, year: 2009 http://www.biomedcentral.com/1471-2148/9/63

  12. A bidirectional corridor in the Sahel-Sudan belt and the distinctive features of the Chad Basin populations: a history revealed by the mitochondrial DNA genome

    Černý, Viktor; Salas, A.; Hájek, Martin; Žaloudková, M.; Brdička, R.

    2007-01-01

    Roč. 71, č. 4 (2007), s. 433-452 ISSN 0003-4800 R&D Projects: GA ČR GA404/03/0318 Institutional research plan: CEZ:AV0Z80020508 Keywords : archaeogenetics * mitochondrial DNA * sub-Saharan Africa Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 2.307, year: 2007

  13. Raptor habitat use in the Lake Chad Basin : Insights into the effect of flood-plain transformation on Afrotropical and Palearctic raptors

    Buij, Ralph; Croes, Barbara M.

    West African flood-plains have undergone major land-use transformations in the second half of the 20th century. To obtain insight in the effect of flood-plain development for irrigated rice cultivation on the abundance, richness, and diversity of Palearctic and Afrotropical raptors, we conducted

  14. Raptor habitat use in the lake Chad basin: insights into the effect of flood-plain transformation on afrotropical and paleartic raptors

    Buij, R.; Croes, B.M.

    2013-01-01

    West African flood-plains have undergone major land-use transformations in the second half of the 20th century. To obtain insight in the effect of flood-plain development for irrigated rice cultivation on the abundance, richness, and diversity of Palearctic and Afrotropical raptors, we conducted

  15. Comparison of the spatial and temporal variability of drought indices ...

    Churchill

    variability of regional water resources. Lake Chad for ... and water resources management question in drought prone regions of Africa .... implementation of contingency plans during the drought .... management (IWRM) by the Lake Chad Basin.

  16. The emerging architecture of a regional security complex in the Lake ...

    This article explores the emerging regional security architecture to fight terrorism and insurgency in the Lake Chad Basin (LCB). It diagnoses the evolution of the Lake Chad Basin Commission (LCBC) as a sub-regional organization that unites Chad, Cameroon, Niger and Nigeria. In particular, the article critically investigates ...

  17. Inconsistent diagnosis of acute malnutrition by weight-for-height and mid-upper arm circumference: contributors in 16 cross-sectional surveys from South Sudan, the Philippines, Chad, and Bangladesh.

    Roberfroid, Dominique; Huybregts, Lieven; Lachat, Carl; Vrijens, France; Kolsteren, Patrick; Guesdon, Benjamin

    2015-08-25

    The two anthropometric indicators of acute malnutrition in children under 5 years, i.e. a Mid-Upper Arm Circumference malnutrition given its strong association with age, sex and stunting, and its low sensitivity to detect slim children. Having 'longer legs' moderately increases the diagnosis of acute malnutrition by WHZ-2. Prospective studies are urgently needed to elucidate the clinical and physiological outcomes of the various anthropometric indicators of malnutrition.

  18. Sub-Saharan Africa Report

    1985-01-01

    .... This report from Sub-Saharan Africa, Benin, Botswana, Burkina, Cameroon, Chad, Comoros, Ethiopia, Ghana, Guinea, Kenya, Liberia, Madagascar, Mauritius, Mozambique, Sierra Leone, Somalia, South Africa...

  19. 76 FR 43370 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    2011-07-20

    ... lighting and ceiling rehabilitation. Terminal boiler plant renovation. Upgrade terminal fire alarm system...\\ rehabilitation. Decision Date: May 31, 2011. For Further Information Contact: Chad Oliver, Chicago Airports...

  20. The implications of agro-chemical compounds (fertilizers, pesticides ...

    Water quality is also an important issue in the Lake Chad especially where the rainfall being the natural input into the system is small, greater risk of fertilizer, pesticides, and other agro-chemicals/inputs, runoff from the soil to the lake water and also salt accumulation threat are imminent. The assessment of the Lake Chad ...

  1. Environmental Degradation, Livelihood and Conflicts: A Focus on ...

    Environmental Degradation, Livelihood and Conflicts: A Focus on the Implications of the Diminishing Water Resources of Lake Chad for North-Eastern Nigeria. ... The impact of this depletion is being felt by Lake Chad basin population who depend on the lake for their means of livelihood. This paper focuses on the ...

  2. The Organization of African Unity and Peacekeeping: The Pan-African Defense Force

    1981-06-05

    Diary " (hereafter cited TF 203 WD), p. 5. o i~i171bid. 18 The Commander of the Nigerian troops in Chad was different for TF 203 Commander. 19 FAT was...independence to help in training and organizing the armed forces. For example, the British officers working in K", aya argued against any expansion of...Happened in Chad?" West Africa, 21 April 1975, p. 442. "Matchet’s Diary ." West Africa, 21 April 1975, p. 445. "Chad. Desert Coup." Time, 26 February

  3. Stroke risks and patterns of warfarin therapy among atrial fibrillation patients post radiofrequency ablation: A real-world experience.

    Zhang, Juan; Liu, Xingpeng; Liu, Xiaoqing; Yin, Xiandong; Wang, Yanjiang; Lu, Xiaoying; Yang, Xinchun

    2017-11-01

    We assessed the thromboembolic risks of atrial fibrillation (AF) patients who had undergone radiofrequency ablation (RFA) using the CHADS2-VASc risk scoring system and further investigated the patterns of warfarin use for thromboprophylaxis according to patient thromboembolic risk scores.In this study, we analyzed the stroke risks of patients who had undergone RFA for AF at our hospital between March 2014 and June 2016 using the CHADS2, CHADS2-VASc, and Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile international normalized ratio, Elderly (> 65 years) (HAS-BLED) scoring systems. We retrieved medications, co-morbidities, and initial warfarin dosage data. The primary outcome was the percentage of patients initiated with warfarin therapy for stroke prophylaxis in AF who had a CHADS2-VASc score of 0.Totally, 309 patients were initiated with warfarin therapy for stroke prophylaxis in AF post-RFA. The baseline warfarin dosage was 2.76 ± 0.61 mg. The baseline CHADS2-VASC score was 2.93 ± 1.96 and 40 (12.95%) had a CHADS2-VASC score of 0, 42 (13.6%) had a CHADS2-VASCscore of 1, and 227 (73.5%) had a CHADS2-VASC score ≥2. The baseline CHADS2 score was 2.17 ± 1.55 and 48 (15.5%) had a CHADS2 score of 0, 68 (22.0%) had a CHADS2 score of 1, and 193 (62.5%) had a CHADS2 score ≥2. The baseline HAS-BLED score was 1.25 ± 0.91 and 69 (22.3%) had a HAS-BLED score of 0, 121 (39.2%) had a HAS-BLED score of 1, and 119 (38.5%) had a HAS-BLED score ≥2. Patients aged warfarin thromboprophylaxis in accordance with national guidelines. Our findings suggest that low and intermediate stroke risk patients should be evaluated for stroke risks and risk factors so that tailored warfarin thromboprophylaxis therapy can be given and inappropriate use of warfarin in AF patients can be avoided. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  4. 78 FR 41972 - Determination Under Section 107(a) of the William Wilberforce Trafficking Victims Protection...

    2013-07-12

    ...-457) and Delegation of Waiver Authority Pursuant to Section 107(a) of Public Law 110-457, I hereby..., Barbados, Belarus, Burundi, Chad, Comoros, The Gambia, Liberia, Malaysia, Maldives, and Thailand. This...

  5. Find an ENT

    ... Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Republic Congo, The Dem Rep Of ... Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion ...

  6. Security Assistance and Cooperation: Shared Responsibility of the Departments of State and Defense

    2016-04-04

    implementation culture , limited personnel, and insufficient resources have compelled DOD to seek its own authorities and greater resources. Multiple...1033 assistance through FY2017. These countries are Armenia, Afghanistan, Azerbaijan, Belize, Benin, Bolivia , Cape Verde, Chad, Colombia, Dominican

  7. 75 FR 57329 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

    2010-09-20

    ..., Tommy S. Boden, Travis D. Bjerk, Scott L. Colson, Dustin G. Cook, Nathan J. Enloe, Stephen J. Faxon, Joseph B. Hall, Mark H. Horne, Michael J. Hurst, Chad W. Lawyer, John R. Little, Roy L. McKinney, Thomas...

  8. Sub-Saharan Africa Report

    1985-01-01

    This is Sub Saharan Africa Report. It contains the issues with different topics on Inter African Affairs, Angola, Cameroon, Cape Verde, Chad, Congo, Ethiopia, Gambia, Ghana, Guinea, Guinea Bissau, Kenya, madagascar, Mozambique...

  9. Epidemiological survey on schistosomiasis caused by Schistosoma ...

    SARAH

    2015-06-30

    Jun 30, 2015 ... million at risk of infection (Njiokou et al., 2004;. Tchuem Tchuente, 2005). ... natural boundary between the Republic of Cameroon and the Republic of Chad, and .... divergence in the most infested ages. One could hypothesize ...

  10. Untitled

    An assessment of the sustainability of water resource development and use in the Chad Basin of .... Agriculture was based on a sophisticated system of terraces and .... OAn intermittent floodflow during the wet Season. (June to October) and ...

  11. INSECURITY AND NATIONAL ECONOMIC DEVELOPMENT ...

    These social menace, when put together impinge on the security of lives and property of ..... America in September, 2001 by Late Osama Bin Laden led Al Queda Network, ... Yemen, Pakistan, Somalia, Chad, Mauritania and Algeria. Besides ...

  12. Research

    abp

    2013-06-07

    Jun 7, 2013 ... Data were collected using a modified Delphi system and by analysis of grant and annual .... Although no outbreak of yellow fever had been reported from Chad ..... paralysis (AFP) surveillance and incidence of poliomyelitis,.

  13. Atrial fibrillation

    ABEOLUGBENGAS

    Mean blood pressures were 126.03± ... optimal. Keywords: Atrial fibrillation, thrombosis, CHADS2 Score, stroke risk, hypertensive heart disease, ... general population and the average age group ... Appendix 1) to stratify the stroke risk and we.

  14. Substantial differences in initiation of oral anticoagulant therapy and clinical outcome among non-valvular atrial fibrillation patients treated in inpatient and outpatient settings

    Mikkelsen, Anders Pretzmann; Hansen, Morten Lock; Olesen, Jonas Bjerring

    2016-01-01

    with a CHADS2 ≥ 2 was 42.1, 63.0, and 32.4%, respectively. Initiation of OAC therapy was only modestly influenced by CHADS2 and HAS-BLED scores, regardless of the healthcare setting. The rate of TE was 4.30 [95% confidence interval (CI) 4.21-4.40] per 100 person-years for inpatients, 2.28 (95% CI 2...

  15. The silent victims of humanitarian crises and livelihood (in)security: a case study among migrants in two Chadian towns

    Djindil, N.S.; Bruijn, de, M.

    2009-01-01

    Once a humanitarian disaster receives coverage in the global media, the international community usually mobilises to reduce the most severe consequences. However people in Chad are experiencing endemic crises that are detached from speci!c triggers, and they are not receiving any international assistance to help relieve the hardships they face. "is study involves 111 migrant households from central Chad that, as a result of war and drought, have lost everything and now have to live in squatte...

  16. JPRS Report, Soviet Union, Foreign Military Review, No. 4, April 1987

    1987-09-17

    Franch troops participated in military actions in Lebanon and Chad (1983)» and in Chad and Togo (1986). Today France is again using her armed forces...and 3 sections—transport, refueling and food supply); repair and maintenance platoon (86 men, command section, 8 functional sections—administrative...6 percent are major enterprises. Light industry and the food industry are of key importance in Pakistan. They account for more than half the

  17. Overcoming Endocrine Resistance by Targeting ER/FoxA1/IL-8 Axis

    2015-10-01

    Creighton, Fugen Li, Martin Shea, Agostina Nardone, Tao Wang, Laura M. Heiser , Pavana Anur, Nicholas Wang, Catie Grasso, Paul Spellman, Carolina...Xiaoyong Fu, Rinath Jeselsohn, Resel Pereira, Emporia F. Hollingsworth, Chad J. Creighton, Fugen Li, Martin Shea, Agostina Nardone, Laura M. Heiser , Pavana...Rinath Jeselsohn, Emporia F. Hollingsworth, Dolores Lopez-Terrada, Chad J. Creighton, Agostina Nardone, Martin Shea, Laura M. Heiser , Pavana Anur

  18. Integrated and sustainable management of the shared aquifer systems in the Sahel region

    Edwerd, Mickel

    2012-01-01

    It highlights the project Justification, the long term objective, the specific objectives and the project implementation strategy. The countries which participate to this project are the following: Algeria, Benin, Burkina Faso, Cameroon, central African Republic, Chad, Gambia, Guinea-Bissau, Mali, Mauritania, Niger, Nigeria and Senegal. Regarding Aquifer System we have: Chad Basin, Liptako-Gourma Aquifer, Iullemeden Aquifer, Senegalo-Mauritanian Aquifer and Taoudeni/Tanezrouft Basin.

  19. Induction of CD8(+) T cell responses and protective efficacy following microneedle-mediated delivery of a live adenovirus-vectored malaria vaccine.

    Pearson, Frances E; O'Mahony, Conor; Moore, Anne C; Hill, Adrian V S

    2015-06-22

    There is an urgent need for improvements in vaccine delivery technologies. This is particularly pertinent for vaccination programmes within regions of limited resources, such as those required for adequate provision for disposal of used needles. Microneedles are micron-sized structures that penetrate the stratum corneum of the skin, creating temporary conduits for the needle-free delivery of drugs or vaccines. Here, we aimed to investigate immunity induced by the recombinant simian adenovirus-vectored vaccine ChAd63.ME-TRAP; currently undergoing clinical assessment as a candidate malaria vaccine, when delivered percutaneously by silicon microneedle arrays. In mice, we demonstrate that microneedle-mediated delivery of ChAd63.ME-TRAP induced similar numbers of transgene-specific CD8(+) T cells compared to intradermal (ID) administration with needle-and-syringe, following a single immunisation and after a ChAd63/MVA heterologous prime-boost schedule. When mice immunised with ChAd63/MVA were challenged with live Plasmodium berghei sporozoites, microneedle-mediated ChAd63.ME-TRAP priming demonstrated equivalent protective efficacy as did ID immunisation. Furthermore, responses following ChAd63/MVA immunisation correlated with a specific design parameter of the array used ('total array volume'). The level of transgene expression at the immunisation site and skin-draining lymph node (dLN) was also linked to total array volume. These findings have implications for defining silicon microneedle array design for use with live, vectored vaccines. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. The moral challenge of green technology / Aarne P Vesilind, Lauren Heine, Jamie Hendry

    Vesilind, Aarne P

    2006-01-01

    Autorid leiavad, et rohelise tehnoloogia kasutuselevõtu ja ettevõtete kasumi teenimise vastuseisu korral võidab kasumlikkus ning reguleerimata vaba turu süsteem ei toeta jätkusuutlikku arengut. Käsitletakse ettevõtte DuPont tegevdirektori Chad Holliday otsust jätkata tulutoova toote Teflon tootmist

  1. Depth-To-Basement Mapping Using Fractal Technique: Application ...

    ... and can thus be obtained at source level. Application to aeromagnetic data from the Chad basin north eastern Nigeria produced a basement relief which range from depths of 2.47 km to 5.40 km with an average of 3.92 +- 0.66 km. Keywords: Fractal, depth, basement, spectra, aeromagnetic. Nigerian Journal of Physics Vol ...

  2. 77 FR 50090 - Update to the 26 September 2011 Military Freight Traffic Unified Rules Publication (MFTURP) NO. 1

    2012-08-20

    ... DEPARTMENT OF DEFENSE Department of the Army Update to the 26 September 2011 Military Freight Traffic Unified Rules Publication (MFTURP) NO. 1 AGENCY: Department of the Army, DoD. SUMMARY: [email protected]us.army.mil . FOR FURTHER INFORMATION CONTACT: Mr. Chad Privett, (618) 220-6901...

  3. Analysis of Cameroon newspaper coverage of cross border conflicts

    Nexus of conflict reporting: Analysis of Cameroon newspaper coverage of cross ... The conflicts taking place in the Central African Republic, Chad, Nigeria and Gabon have raised ... Consequently, it is in the interest of the public .... of Humanitarian Affairs (OCHA, 2014), ... As what concerns the case of Nigeria, UNHCR.

  4. 78 FR 78159 - Delegation of Authority Under Section 506(a)(1) of the Foreign Assistance Act of 1961, as Amended

    2013-12-24

    ... assistance to France, the African Union, the Republic of the Congo, Chad, Cameroon, Gabon, Burundi, Uganda, Rwanda, and other countries that contribute forces to the African Union-led International Support Mission in the Central African Republic and to make the determinations required under such section to direct...

  5. Summary of questionnaires completed by participating countries: for the project on the management of water resources in the Sahel region, using isotopic techniques

    Ito, Mari

    2012-07-01

    This presentation was carried out as part of the project on water resources management in the Sahel region, using isotope techniques. It summarizes the two sets of questionnaires made, highlights the basins (aquifers) selected for the Sahel project which are the Lullemen Basin, Taoudeni Basin, Lake Chad Basin and Liptako Gourma. Also, as well as the number of questionnaires completed by the participating countries.

  6. Effect of Ascorbic Acid on Serum Cholesterol Levels and on Die ...

    1974-06-12

    Jun 12, 1974 ... Myasnikova' was the first to show that vitamin Chad the ability to influence ~erum cholesterol levels of patients. She observed that the intravenous administration of high doses of vitamin C to patients with high levels of serum cholesterol resulted in a distinct decrease, whereas in patients with low values it ...

  7. Ife Journal of Science - Vol 18, No 2 (2016)

    Shallow aquifer characteristics, borehole yield and groundwater resource sustainability ... Isolation of symbionts and GC-MS analysis of lichens collected from Obudu ... A reassessment of hydrocarbon prospectivity of the chad basin, Nigeria, ... Chemical constituents, antibacterial, antifungal and antioxidant activities of the ...

  8. Risques réduits sur les routes du Tchad : recommandations pour des mesures peu coûteuses de sécurité routière au Tchad. Rapport pour La Banque Mondiale, La Banque Internationale pour la Reconstruction et le Développement.

    Sluis, J. van der

    2002-01-01

    In the framework of the National Transport Support Project, SWOV provided local experts in Chad with technical assistance on road safety. The assistance focused on the development of a comprehensive road safety strategy and physical road safety improvements on urban and inter-urban roads. The

  9. African Journals Online: Portugal

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  10. Paysage mediatique Tchadien

    Moussa Djibrine Abdoulaye

    2015-12-01

    Full Text Available The media gestation in Chad has been very laborious, mainly during the prior democracy period that only existed public media doing the Government politic propaganda. But since 21st century, the media plurality has been faced like the proliferation of private media forming the voice of voiceless-people. Nowadays, the media industry become a struggle way of democratic opposition party.

  11. Paysage Médiatique Tchadien

    Moussa Djibrine Absoulaye

    2015-01-01

    Full Text Available The media gestation in Chad has been very laborious, mainly during the prior democracy period that only existed public media doing the Government politic propaganda. But since 21st century, the media plurality has been faced like the proliferation of private media forming the voice of voiceless-people. Nowadays, the media industry become a struggle way of democratic opposition party.

  12. BOKO HARAM INSURGENCY AND NATIONAL SECURITY IN ...

    GRACE

    indigent children from across Nigeria and neighbouring Niger and Chad got ... abduction of over 219 students of Government Secondary School Girls who were writing .... parked at Nyanya Motor Park pretending to load people for a meaningful .... serious concerns about the ability, professional and technical competence of ...

  13. African Journals Online: Tuvalu

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  14. African Journals Online: Syrian Arab Republic

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  15. African Journals Online: El Salvador

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  16. African Journals Online: Romania

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  17. African Journals Online: Costa Rica

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  18. African Journals Online: Curaçao

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  19. African Journals Online: Austria

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  20. African Journals Online: Palau

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  1. African Journals Online: Comoros

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  2. African Journals Online: Saint Bartelemey

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  3. African Journals Online: Myanmar

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  4. African Journals Online: Lesotho

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  5. African Journals Online: Latvia

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  6. African Journals Online: Bhutan

    ... Cambodia, Cameroon, Canada, Cayman Islands, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo, Democratic Republic, Congo, Republic, Costa Rica, Côte d'Ivoire, Croatia, Cuba, Curaçao, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, Arab Rep.

  7. Author Details

    Oruonye, ED. Vol 5, No 3 (2011) - Articles The socio-economic impact of the Lake Chad resettlement scheme, Nigeria Abstract PDF. ISSN: 1996-0786. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use ...

  8. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation

    Olesen, Jonas Bjerring; Lip, Gregory Y H; Hansen, Morten Lock

    2011-01-01

    To evaluate the individual risk factors composing the CHADS(2) (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, previous Stroke) score and the CHA(2)DS(2)-VASc (CHA(2)DS(2)-Vascular disease, Age 65-74 years, Sex category) score and to calculate the capability of the schemes to p...

  9. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study

    Olesen, Jonas Bjerring; Lip, Gregory Y H; Hansen, Morten Lock

    2011-01-01

    To evaluate the individual risk factors composing the CHADS(2) (Congestive heart failure, Hypertension, Age≥75 years, Diabetes, previous Stroke) score and the CHA(2)DS(2)-VASc (CHA(2)DS(2)-Vascular disease, Age 65-74 years, Sex category) score and to calculate the capability of the schemes to pre...

  10. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation

    Olesen, Jonas Bjerring; Lip, Gregory Y H; Hansen, Morten Lock

    2011-01-01

    Objectives To evaluate the individual risk factors composing the CHADS2 (Congestive heart failure, Hypertension, Age=75 years, Diabetes, previous Stroke) score and the CHA2DS2-VASc (CHA2DS2-Vascular disease, Age 65-74 years, Sex category) score and to calculate the capability of the schemes to pr...

  11. NCBI nr-aa BLAST: CBRC-OLAT-26-0164 [SEVENS

    Full Text Available CBRC-OLAT-26-0164 ref|NP_062037.1| chondroadherin [Rattus norvegicus] sp|O70210|CHAD_RAT Chondroad...herin precursor (Cartilage leucine-rich protein) gb|AAC40060.1| chondroadherin [Rattus norveg...icus] gb|EDM05713.1| chondroadherin [Rattus norvegicus] NP_062037.1 9e-85 57% ...

  12. NCBI nr-aa BLAST: CBRC-OLAT-26-0164 [SEVENS

    Full Text Available CBRC-OLAT-26-0164 ref|NP_776444.1| chondroadherin [Bos taurus] sp|Q27972|CHAD_BOVIN Chondroad...herin precursor (Cartilage leucine-rich protein) (38 kDa bone protein) [Contains: Chondroadherin m

  13. Inventaire et essais phytochimiques sur quelques plantes du Tchad ...

    English Abstract. The practice of herbal medicine is a worldwide custom that preoccupied mankind in the evolution of most countries. The main objective of this study was to carry out an ethnobotanical survey of plants used in the treatment of gout in Chad. Thus, investigations performed with nineteen (19) traditional healers ...

  14. Original Paper Inventaire et essais phytochimiques sur quelques ...

    astrid

    2017 International Formulae Group. All rights reserved. Mots clés : Plantes médicinales, goutte, phytochimie, Tchad. Inventory and phytochemical screening of some plants used in Chad for the treatment of gout. ABSTRACT. The practice of herbal medicine is a worldwide custom that preoccupied mankind in the evolution of.

  15. Groundwater chemistry, storage and dynamics in parts of Jigawa ...

    The Sedimentary (Chad formation) and Basement complex rocks in parts of Jigawa State were investigated for groundwater suitability for drinking, efficiency in water transmission and storage using aquifer properties derived from pumping test data using the Cooper and Jacob straight line method for single well tests.

  16. The Members of the Agency

    2006-01-01

    The new Member since the last list of Member States was issued (INFCIRC/2/Rev.60) is Chad, which deposited the instrument of acceptance of the Statute on 2 November 2005. The Attachment hereto shows the dates on which the present 139 Member States became Members

  17. 76 FR 9015 - Ocean Transportation Intermediary License Applicants

    2011-02-16

    ... Global Logistics, LLC (NVO & OFF), 53 Perimeter Center East, Suite 450, Atlanta, GA 30346. Officer: Chad... Street, Doral, FL 33126. Officers: Juan P. Constain, General Manager (Qualifying Individual), Santiago...). Application Type: Add NVO Service. CoscoEx (CGL), Inc. dba Citic Global Logistics dba Chimerica Global...

  18. 78 FR 47818 - Qualification of Drivers; Exemption Applications; Vision

    2013-08-06

    ... CMV. Chad J. Nolan Mr. Nolan, 42, has had a congenitally underdeveloped optic nerve in his right eye.... Following an examination in 2013, his optometrist noted, ``I feel Mr. Nolan does have the visual ability to continue to safely operate a commercial vehicle.'' Mr. Nolan reported that he has driven straight trucks...

  19. Microfinance and reducing poverty in Central Africa | CRDI - Centre ...

    In spite of an abundance of natural resources, including oil and minerals, poverty is increasing in Central Africa. About 40% of the people in Cameroon live below the poverty threshold, 55% in Chad, 50% in Congo and 43% in Gabon. A considerable amount of research has attempted to generate insight into the factors that ...

  20. Extinctions, genetic erosion and conservation options for the black rhinoceros (Diceros bicornis)

    Moodley, Yoshan; Russo, Isa-Rita M.; Dalton, Desiré L.

    2017-01-01

    populations in countries such as Nigeria, Cameroon, Chad, Eritrea, Ethiopia, Somalia, Mozambique, Malawi and Angola no longer exist. We found that the historic range of the West African subspecies (D. b. longipes), declared extinct in 2011, extends into southern Kenya, where a handful of individuals survive...

  1. Search Results | Page 93 | IDRC - International Development ...

    Results 921 - 930 of 9578 ... Agriculture and Environment ... Afghanistan, Burundi, Central African Republic, Chad, Iran, Iraq, Libya, Mali, Micronesia, North Korea (Democratic People's Republic of), Somalia, South Sudan, Sudan, Syria, .... Kenya has an estimated 18.2 million cattle, 16.3 million sheep, and 24.6 million goats.

  2. List of Higher Risk Countries and Territories (IDRC, April 2012 ...

    IDRC CRDI

    List of Higher Risk Countries and Territories (IDRC, April 2012). Afghanistan. Belarus. Burundi. Central African Republic. Congo, Democratic Republic of. Chad. Cuba. Eastern Europe, countries of. Eritrea. Former Soviet Union, countries of. Iran. Iraq. Korea, Democratic People's Republic of. Liberia. Libya. Mali. Myanmar ...

  3. List of Higher Risk Countries and Territories (IDRC, July 2013 ...

    IDRC CRDI

    List of Higher Risk Countries and Territories (IDRC, July 2013). Afghanistan. Central African Republic. Congo, Brazzaville. Congo, Democratic Republic of. Chad. Cuba. Eastern Europe, countries of. Equatorial Guinea. Eritrea. Former Soviet Union, countries of. Gabon. Guinea-Bissau. Iran. Iraq. Korea, Democratic People's ...

  4. List of Higher Risk Countries and Territories (IDRC, September 2012 ...

    IDRC CRDI

    List of Higher Risk Countries and Territories (IDRC, September 2012). Afghanistan. Belarus. Burundi. Central African Republic. Congo, Democratic Republic of. Chad. Cuba. Eastern Europe, countries of. Eritrea. Former Soviet Union, countries of. Iran. Iraq. Korea, Democratic People's Republic of. Liberia. Libya. Mali.

  5. AFRREV IJAH, Vol.2 (1) February, 2012

    user

    crucible of terrorism largely enveloped in the foreign policy perspective with neighbours. In collaboration with .... to Chad and Niger. Boko Haram Terrorism in Nigeria: The Paradox & Challenges of Big Brother Foreign Policy ... Nigerian Government has appealed to the United States of America not to designate the radical ...

  6. Author Details

    Umego, M N. Vol 18, No 2 (2006) - Articles Geological mapping using fractal technique. Abstract PDF · Vol 19, No 1 (2007) - Articles Depth-To-Basement Mapping Using Fractal Technique: Application To The Chad Basin, Northeastern Nigeria Abstract PDF. ISSN: 1595-0611. AJOL African Journals Online. HOW TO USE ...

  7. The silent victims of humanitarian crises and livelihood (in)security: a case study among migrants in two Chadian towns

    Djindil, N.S.; Bruijn, de M.

    2009-01-01

    Once a humanitarian disaster receives coverage in the global media, the international community usually mobilises to reduce the most severe consequences. However people in Chad are experiencing endemic crises that are detached from speci!c triggers, and they are not receiving any international

  8. Guide de terrain des ligneux saheliens et soudano-guineens

    Geerling, C.

    1983-01-01

    This work is a field guide to the woody plants of the savannes and steppes of northern tropical Africa, from Senegal to Chad. 371 species of trees, shrubs and woody lianas, belonging to 62 families are included. The Dutch introduction comprises notes on fire, the use of the plants by Man, and the

  9. Seasonal Differences Of The Nutrient Content Of The Milk Of The ...

    The Fulani are semi-nomadic pastoralist who inhabited western Sahel from Mauritania and Senegal across Mali, Burkina Faso, the Republic of Niger and Northern Nigeria to Chad. Their culture is centred around cattle and dairy products contribute substantially to the diets of Fulani children and adults. Having found in ...

  10. 76 FR 28950 - Lynn Canal/Icy Straits Resource Advisory Committee

    2011-05-19

    ... protocol in the decision-making process and review, discuss, evaluate, and prioritize proposed projects... have rooms set up for the public to come in and listen to the call. Committee discussion is limited to... individuals will have the opportunity to address the Committee at that time. Dated: May 11, 2011. Chad Van...

  11. temperature fluctuation inside inert atmosphere silos

    ... the two silos for twenty-eight (28) months of storage were recorded in order to monitor temperature fluctuation at different sections inside the inert atmosphere silos loaded with two varieties of wheat namely LACRIWHT-2 (Cettia) and LACRIWHT-4 (Atilla-Gan-Atilla) from Lake Chad Research Institute, Maiduguri, Nigeria.

  12. The Effect of Active Duty Presence on High Quality Enlisted Accessions in the Marine Corps

    2016-12-01

    Latika Hartmann Thesis Advisor Marigee Bacolod Co-Advisor Chad Seagren Academic Associate Graduate School of Business and Public...it does illustrate the challenging nature of recruiting individuals from this generation of millennials . The overall reduction of military manpower...GIS techniques provide military and business leaders with a unique and beneficial analysis tool. A GIS enables its practitioners to convert tabular

  13. Deep Mapping of Teuthivorous Whales and Their Prey Fields

    2016-01-01

    components of this effort including Chad Waluk, David O’Gorman, Ian Robbins, John Calambokidas, Ari Friedlander, Peter Tyack, Patricia Arranz, and David...acoustic testing strand whales? Nature 392:29 Jochens AD, Biggs DC, Benoit-Bird KJ, Engelhaupt D, Gordon J, Hu C, Jaquet N, Johnson MP, Leben RR, Mate BR

  14. climate change and lake water resourcesin sub-saharan africa: case ...

    user

    STUDY OF LAKE CHAD AND LAKE VICTORIA ... contribution to agriculture and socio-economic development of the region were ... many developing countries, current levels in water use .... 2050 and will become increasingly urban by implication. ... 4.1 Justification of Selected Case Studies ..... Orstom, Paris France. 1996.

  15. SOUTH AFRICA AND THE SEARCH OF STRATEGIC EFFECT IN ...

    Abel Esterhuyse

    The study on which this article reports, aimed to provide an exposition of ... far removed from its regional sphere, the Southern African Development ..... Bangui' when SA forces met in battle with Seleka rebels in the capital city of the ... the level of the state, actors at state level like France, South Africa, and Chad, and.

  16. From Assistance to Partnership: Morocco and Its Foreign Policy in West Africa

    2015-11-01

    Social Affairs, 2014, available from esa.un.org/unpd/wup/FinalReport/WUP2014- Report.pdf. 11. Africa Development Bank, “The Middle of the Pyramid ...Benin, Burkina Faso, Central African Repub- lic, Chad, the Comoros, Djibouti, Egypt , Eritrea, Gambia, Ghana, Guinea, Guinea Bissau, Ivory Coast

  17. 2285-IJBCS-Article-Paroiso Moussiliou Noèl

    hp

    objective of this study was to determine the behavioural factors of the bad hygiene practice of the populations from Vossa-Kpodji ... diarrhoea that can quickly lead to severe dehydration ... Nigeria, Chad, and Cameroon) also paid a ... gave us a minimum size equal to 384. An ..... gaps in the practices of the respondents. The.

  18. Nigerian Journal of Physics

    The fractal method requires the knowledge of the scaling exponent at source level. It is shown in this work that the scaling exponent varies with depth in a linear form, and can thus be obtained at source level. Application to aeromagnetic data from the Chad basin north eastern Nigeria produced a basement relief which ...

  19. Phonology and Morphology of Mambay (Niger-Congo, Adamawa)

    Anonby, Erik John

    2008-01-01

    Mambay is an Adamawa (Niger-Congo) language spoken by 15,000 people in Chad and Cameroon. The study opens with historical and linguistic background. A phonological inventory of the language is then presented and distribution patterns are examined. Some striking phenomena include a profoundly

  20. Comparison of the spatial and temporal variability of drought indices ...

    The science and dynamics underlying drought is complex, yet understandable if approached carefully using scientific method. In this paper, scientific perspective was applied to explain and compare drought indices in Somalia and Lake Chad Basin (LCB). Geographic information system (GIS) was used to analyze ...

  1. 'Re-storying' Africa: The harvest festival in Chadian writer, J.B. Seid ...

    This article reads the harvest festival in the preface to Joseph Brahim Seid's 1962 Au Tchad sous les étoiles (Told by starlight in Chad) as 're-storying' Africa. The coming together at harvest-time as well as the exchange of produce, evidence of social cohesion is read as reflective of the communal nature of African societies.

  2. Bridging the Gap: Prospects for Reform and Reconciliation in Post-Conflict Sri Lanka

    2016-12-01

    retaining the portfolios of defense, national security, foreign affairs, immigration , currency, international economic relations, airports, and harbors...election results (June 2010-December 2011), Immigration and Refugee Board of Canada, accessed, October 05, 2016, http://www.refworld.org/docid/4f435cce2...Bolivia, Chile , Uruguay, El Salvador, Rwanda, Ethiopia, Chad, Zimbabwe, Germany, and the Philippines. These countries not only transitioned from

  3. 78 FR 50054 - Ocean Transportation Intermediary License Applicants

    2013-08-16

    ...), Ross V. Stemmler, President, Application Type: QI Change. Dawson Logistics, Inc. (OFF), 2220 South... (QI), Chad Earwood, President, Application Type: Add NVO Service. Fesco Integrated Transport North...), Ugochukwu O. Ene, President, Application Type: New NVO & OFF License. Icon Logistics Services LLC (OFF...

  4. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study.

    Olesen, Jonas Bjerring; Lip, Gregory Y H; Hansen, Morten Lock; Hansen, Peter Riis; Tolstrup, Janne Schurmann; Lindhardsen, Jesper; Selmer, Christian; Ahlehoff, Ole; Olsen, Anne-Marie Schjerning; Gislason, Gunnar Hilmar; Torp-Pedersen, Christian

    2011-01-31

    To evaluate the individual risk factors composing the CHADS(2) (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, previous Stroke) score and the CHA(2)DS(2)-VASc (CHA(2)DS(2)-Vascular disease, Age 65-74 years, Sex category) score and to calculate the capability of the schemes to predict thromboembolism. Registry based cohort study. Nationwide data on patients admitted to hospital with atrial fibrillation. Population All patients with atrial fibrillation not treated with vitamin K antagonists in Denmark in the period 1997-2006. Stroke and thromboembolism. Of 121,280 patients with non-valvular atrial fibrillation, 73,538 (60.6%) fulfilled the study inclusion criteria. In patients at "low risk" (score = 0), the rate of thromboembolism per 100 person years was 1.67 (95% confidence interval 1.47 to 1.89) with CHADS(2) and 0.78 (0.58 to 1.04) with CHA(2)DS(2)-VASc at one year's follow-up. In patients at "intermediate risk" (score = 1), this rate was 4.75 (4.45 to 5.07) with CHADS(2) and 2.01 (1.70 to 2.36) with CHA(2)DS(2)-VASc. The rate of thromboembolism depended on the individual risk factors composing the scores, and both schemes underestimated the risk associated with previous thromboembolic events. When patients were categorised into low, intermediate, and high risk groups, C statistics at 10 years' follow-up were 0.812 (0.796 to 0.827) with CHADS(2) and 0.888 (0.875 to 0.900) with CHA(2)DS(2)-VASc. The risk associated with a specific risk stratification score depended on the risk factors composing the score. CHA(2)DS(2)-VASc performed better than CHADS(2) in predicting patients at high risk, and those categorised as low risk by CHA(2)DS(2)-VASc were truly at low risk for thromboembolism.

  5. Thabo Mbeki’s Role in the Conflict Resolution Process in Darfur

    Deffo Rowllings Tafotie

    2015-12-01

    Full Text Available The article considers activities of the former South African president Thabo Mbeki in the conflict resolution in Darfur (Sudan. Since 2009, the members of the African Union High Implementation Panel have played a key role in peace process in Sudan. This team under the leadership of Thabo Mbeki contributed to preparations for the presidential election in Sudan in 2010, as well as led the warring parties to the agreement on the security regime in the border zone. Particular attention is given to Mbeki’s mediation in establishing a dialogue between the rebels and the government of Sudan and to his diplomatic mission aimed at normalization of relations between Chad and Sudan. The article defines his role in reaching a peace agreement between Chad and Sudan in 2010 and signing of peace agreements in Doha between the government and rebel groups in 2011. The article analyses the difficulties of Thabo Mbeki’s mission in conflict resolution in Darfur.

  6. Initiation and persistence with warfarin therapy in atrial fibrillation according to ethnicity

    Hansen, Carolina Malta; Olesen, Jonas Bjerring; Hansen, Morten Lock

    2012-01-01

    The aim of this study was to investigate initiation of and persistence with warfarin treatment in patients with atrial fibrillation (AF) according to ethnicity. Patients hospitalized with first-time AF from 1997 to 2009, prescription claims of warfarin and country of birth were identified...... by individual-level linkage of nationwide administrative agencies. Cox proportional hazards models were used to estimate the relationship between covariates affecting initiation and non-persistence with warfarin treatment. A total of 151,537 patients were included in the study and 5,061(3.3%) were of non......-Danish origin. CHADS2 score distribution varied substantially according to ethnicity, the proportion of patients with CHADS2 score ≥1 being 79.2, 78.1, 65.9, and 46.0% for patients of Danish, Western, Eastern, and African origin, respectively. 79,239(52.4%) of all patients initiated treatment with warfarin...

  7. Petroleum

    Anon.

    2000-01-01

    Here are briefly summarized 1)the OPEC decisions and their consequences concerning the production of petroleum in the world 2)some news about the petroleum industry in Chad and in Iraq 3)some news about the new pipelines constructed or to be constructed in the world 4)some news about the LPG industry (start of a LPG extraction unit in Argentina, legislation in France for LPG vehicles) 4)and some news about the petroleum distribution in France. (O.M.)

  8. The DISAM Journal of International Security Assistance Management. Volume 24, Number 4, Summer 2002

    2002-01-01

    to the SAFR-hosted Holiday Party where they prepare favorite dishes to be sampled and savored. While they are in the U.S., they take advantage of the...ranked a close third to Russia. France has been a strong competitor for the lead in arms transfer The DISAM Journal, Summer 200223 agreements with...Bulgaria Cape Verde Bolivia India Kuwait Belgium Central African Republic Brazil Indonesia Lebanon Canada Chad British Virgin Islands Japan Libya Croatia

  9. Input of environmental isotopes in the study of the recharge and the flow dynamic of aquifers

    Aranyossy, J.F.; Njitchoua, R.; Zuppi, G.M.

    1998-01-01

    Several examples of hydrogeological studies have been selected in order to illustrate the input of environmental isotopic techniques in the general knowledge of aquifer systems: evaluation of the present aquifer recharge (Mali, Senegal, Italy, North-Cameroon, North-Sahara, Niger); evidence of the recharge variation with time (Niger, Italy, Vietnam); evaluation of the aquifer characteristics and hydraulic conditions (Chad, Niger). Most of these studies were carried out in collaboration with Professor Jean-Charles Fontes. (author)

  10. mtDNA of Fulani Nomads and Their Genetic Relationships to Neighboring Sedentary Populations

    Černý, Viktor; Hájek, Martin; Bromová, Markéta; Čmejla, R.; Diallo, I.; Brdička, R.

    2006-01-01

    Roč. 78, č. 1 (2006), s. 9-27 ISSN 0018-7143 R&D Projects: GA ČR(CZ) GA404/03/0318 Institutional research plan: CEZ:AV0Z80020508 Keywords : mtDNA variation * HVS-I * Fulani nomads * sub-Saharan populations * Chad * Cameroon * Burkina Faso Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 1.132, year: 2006

  11. Review of Finger millet (Eleusine coracana (L.) Gaertn): A power house of health benefiting nutrients

    Dinesh Chandra; Satish Chandra; Pallavi; A.K. Sharma

    2016-01-01

    The bulk of the world's millet crop is produced by India, Nigeria, Niger, Mali, Burkina Faso, Chad, and China. Finger millet (Eleusine coracana (L.) Gaertn), little millet (Panicum sumatrense Roth ex Roem. & Schult.), foxtail millet (Setaria italica (L.) P. Beauvois) and proso millet (Panicum miliaceum L.) are most commonly found species among various millet varieties. In India, finger millet occupy the largest area under cultivation among the small millets. Finger millet stands unique among ...

  12. [Journalists to the rescue].

    Kanassawa, M F

    1994-12-01

    In October 1993, about 30 journalists from Chad participated in a seminar on population and development. The new division of population in the Ministry of Planning and Cooperation organized the seminar. The seminar aimed to inform the journalists of the objectives, strategies, and actions of the Declaration of Population Policy. It also intended to sensitize the journalists to the population problems facing Chad and to mobilize them in population sensitization operations. The seminar hoped to lead the journalists to regularly dedicate articles, reports, reporting, and investigations to population problems in relation to the process of socioeconomic development. Audiovisual presentations at the seminar included a slide show on the interrelationships of population and development in Chad, a presentation of the Declaration of Population Policy, and a report on journalism and population problems in reference to the Sahelian experience. These presentations allowed the journalists to engage in a strong enriching debate in which the basic principles of relations between population and development were discussed. Population problems are, to a great extent, the consequence of choices, attitudes, and behaviors of individuals, couples, and families. They participate in the culture and in civilization. The repercussions of these choices often constitute a restraint in terms of education, health for all, and adequate employment. After the seminar, the journalists seemed to have understood that their mission will be to convince populations to adopt behaviors and attitudes compatible with sustainable development objectives. Journalists from Chad hope that such seminars, especially workshops, will expand in order to allow them to better understand the demographic elements necessary to their work.

  13. Improving Strategic Competence: Lessons from 13 Years of War

    2014-01-01

    MANPADS: Combating the Threat to Global Aviation from Man-Portable Air Defense Systems,” July 27, 2011; Eric G. Berman, Matt Schroeder, and Jonah Leff...des forces pour le changement (Chad); Shan State army ( Myanmar ); Somaliland (unilaterally declared government); Sudanese revolutionary Front; Syrian...anti-government armed groups; taliban (afghanistan); United Wa State army ( Myanmar ); Ukrainian rebels radio command line of sight Blowpipe (United

  14. Plasma B-type natriuretic peptide as a predictor of cardiovascular events in subjects with atrial fibrillation: a community-based study.

    Motoyuki Nakamura

    Full Text Available OBJECTIVES: Atrial fibrillation (AF is a significant public health issue due to its high prevalence in the general population, and is associated with an increased risk of cardiovascular (CV events including systemic thrombo-embolism, heart failure, and coronary artery disease. The relationship between plasma B-type natriuretic peptide (BNP and CV risk in real world AF subjects remains unknown. METHODS: The subject of the study (n = 228; mean age = 69 years was unselected individuals with AF in a community-based population (n = 15,394; AF prevalence rate = 1.5%. The CV event free rate within each BNP tertile was estimated, and Cox regression analysis was performed to examine the relative risk of the onset of CV events among the tertiles. The prognostic ability of BNP was compared to an established risk score for embolic events (CHADS2 score. In addition, to determine the usefulness of BNP as a predictor in addition to CHADS2 score, we calculated Net Reclassification Improvement (NRI and Integrated Discrimination Improvement (IDI indices. RESULTS: During the follow-up period 58 subjects experienced CV events (52 per 1,000 person-years. The event-free ratio was significantly lower in the highest tertile (p < 0.02. After adjustment for established CV risk factors, the hazard ratio (HR of the highest tertile was significantly higher than that of the lowest tertile (HR = 2.38; p < 0.02. The predictive abilities of plasma BNP in terms of sensitivity and specificity for general CV events were comparable to those of CHADS2 score. Adding BNP to the CHADS2 score only model improved the NRI (0.319; p < 0.05 and the IDI (0.046; p < 0.05. CONCLUSION: Plasma BNP is a valuable biomarker both singly or in combination with an established scoring system for assessing general CV risk including stroke, heart failure and acute coronary syndrome in real-world AF subjects.

  15. Comparative Research of Navy Voluntary Education at Operational Commands

    2017-03-01

    into a national and international market. This is especially effects land-grant institutions who can educate the citizens within their state by...RESEARCH OF NAVY VOLUNTARY EDUCATION AT OPERATIONAL COMMANDS by Christopher B. Veenhuis March 2017 Thesis Co-Advisors: William Hatch Chad...COVERED Master’s thesis 4. TITLE AND SUBTITLE COMPARATIVE RESEARCH OF NAVY VOLUNTARY EDUCATION AT OPERATIONAL COMMANDS 5. FUNDING NUMBERS 6. AUTHOR(S

  16. Understanding the Form, Function, and Logic of Clandestine Cellular Networks: The First Step in Effective Counternetwork Operations

    2009-04-01

    to Guerrilla Warfare and Underground Operations, ed. R. K. Brown, (Boulder, CO: Panther Publications, Inc., 1965); and Trinquier. Espionage related...Leaderless Resistance…has been used by white supremacists, anti-abortion and environmental activists, and animal rights groups. I argue that, despite...Stenson, Chad Oman, and Branko Lustig, “Scene 5,” Black Hawk Down, DVD, directed by Ridley Scott, (Culver City, CA: Columbia Pictures, 2002). 225 Ney

  17. Immunogenicity and efficacy of a chimpanzee adenovirus-vectored Rift Valley fever vaccine in mice.

    Warimwe, GM; Lorenzo, G; Lopez-Gil, E; Reyes-Sandoval, A; Cottingham, MG; Spencer, AJ; Collins, KA; Dicks, MD; Milicic, A; Lall, A; Furze, J; Turner, AV; Hill, AV; Brun, A; Gilbert, SC

    2013-01-01

    BACKGROUND: Rift Valley Fever (RVF) is a viral zoonosis that historically affects livestock production and human health in sub-Saharan Africa, though epizootics have also occurred in the Arabian Peninsula. Whilst an effective live-attenuated vaccine is available for livestock, there is currently no licensed human RVF vaccine. Replication-deficient chimpanzee adenovirus (ChAd) vectors are an ideal platform for development of a human RVF vaccine, given the low prevalence of neutralizing antibod...

  18. Earth observations during Space Shuttle flight STS-41 - Discovery's mission to planet earth

    Lulla, Kamlesh P.; Helfert, Michael R.; Amsbury, David L.; Whitehead, Victor S.; Richards, Richard N.; Cabana, Robert D.; Shepherd, William M.; Akers, Thomas D.; Melnick, Bruce E.

    1991-01-01

    An overview of space flight STS-41 is presented, including personal observations and comments by the mission astronauts. The crew deployed the Ulysses spacecraft to study the polar regions of the sun and the interplanetary space above the poles. Environmental observations, including those of Lake Turkana, Lake Chad, biomass burning in Madagascar and Argentina, and circular features in Yucatan are described. Observations that include landforms and geology, continental sedimentation, desert landscapes, and river morphology are discussed.

  19. The Impacts of U.S. Cotton Programs on the World Market: An Analysis of Brazilian and African WTO Petitions

    Pan, Suwen; Mohanty, Samarendu; Ethridge, Don E.; Fadiga, Mohamadou L.

    2004-01-01

    Brazil, supported by Australia challenged U.S. cotton programs at the September 2003 meeting of the WTO settlement Body. Brazil complained that U.S. cotton subsidies such as marketing loans, export credits, commodity certificates, direct payments and counter cyclical payments are depressing world prices and are injurious to Brazilian farmers. In addition, the West and Central African Countries (WCA) countries of Benin, Burkina Faso, Mali and Chad have filed a petition with the WTO claiming th...

  20. NCBI nr-aa BLAST: CBRC-OLAT-26-0164 [SEVENS

    Full Text Available CBRC-OLAT-26-0164 ref|NP_001258.2| chondroadherin precursor [Homo sapiens] sp|O15335|CHAD_HUMAN Chondroad...herin precursor (Cartilage leucine-rich protein) gb|AAK51556.1|AF371328_1 chondroadher...in [Homo sapiens] gb|AAH36360.1| Chondroadherin [Homo sapiens] gb|AAH73974.1| Chondroadherin [Homo sapiens] gb|EAW94613.1| chondroad

  1. Extended Deterrence, Compellence and the ’Old World Order’

    1992-01-01

    American Foreign Policy. New York: Columbia. Graell, Catalino Arrocha (1933). Historia de la Independencia de Panama. Panama City: Libraria Cultural... Mexico , at least until the end of the American Civil War. In the latter part of the 19th century, the United States finished its own continental expansion...from Germany’s efforts on behalf of Morocco in 1911, to France’s support of Chad in the 1980s 7 Bueno de Mesquita (1981) analyzes the concept of the

  2. Fe y Alegría in Peru: Solidarity and Service in Catholic Education

    Klaiber, Jeffrey

    2013-01-01

    Fe y Alegría (Faith and Joy) refers to the network of schools for the poor run by the Jesuits in Latin America and the Caribbean. Founded originally in 1955 in Venezuela by Father José María Vélaz, by 2010 Fe y Alegría had spread to 17 countries in Latin America and now operates one in Chad. The Fe y Alegría schools are essentially convenant…

  3. Space Weather: Measurements, Models and Predictions

    2014-03-21

    divided by 16. A review of the data processing revealed some small changes between 1994 and the current software. These changes explain slight...are working with Dr. Chad Lindstrom at AFRL in performing spectral inversion on the CEASE data . One issue is that in order to extend the inversions...FORCE BASE, NM 87117-5776 DTIC COPY NOTICE AND SIGNATURE PAGE Using Government drawings, specifications, or other data included in this document

  4. The ecological importance of mixed-severity fires: Nature's phoenix [Book Review

    Carolyn H. Sieg

    2016-01-01

    The stated goal of a recent book, The Ecological Importance of Mixed-Severity Fires: Nature’s Phoenix, edited by Dominick A. DellaSala and Chad T. Hansen, is to provide a global reference on the benefits of mixed- and high-severity fires. Note that the goal is not to provide an objective reference on the ecological aspects of mixed- and high-severity fires. Rather, the...

  5. Evaluation of Multimodal Imaging Biomarkers of Prostate Cancer

    2016-11-01

    relationship prostate cancer growth, androgen receptor (AR) levels, hypoxia, and translocator protein (TSPO) levels. As described in the statement of work... bladder uptake) that enable robust detection of small prostate cancers . In contrast, high background and variable uptake of FDHT and FMISO confounded the...Award Number: W81XWH-12-1-0245 TITLE: Evaluation of Multimodal Imaging Biomarkers of Prostate Cancer PRINCIPAL INVESTIGATOR: Christopher Chad

  6. Petroleum

    Anon.

    2000-01-01

    Here are gathered the results of the year 1999 concerning the petroleum industry in France ('UFIP' data), the market quotations of crude oil, the prices of fuels in France and in Portugal and some news about the petroleum industry in Algeria (privatization, exploration-offshore, repurchase), in Iraq (exports, contracts with foreign companies), in Russian Federation (petroleum pipelines and oil ports constructions) and in Chad (production sharing, offshore sites discoveries). (O.M.)

  7. Cas d'une loi exponentielle Bayesian predict

    DK

    Avec des données groupées : Cas d'une loi exponentielle. Bayesian predictions of order statistics with grouped data: The case of an exponential law. Assia Chadli* & Asma Meradji. Laboratoire LaPS, Département de Mathématiques, Faculté des Sciences. Université Badji Mokhtar Annaba, BP 12, 23000, Annaba, Algérie.

  8. Consequences of Chinese Aid in Sub-Saharan Africa

    2016-12-01

    such as Angola, Sudan, Chad, Equatorial Guinea, Nigeria , and South Africa.83 Until 2005, Sudan was the top recipient of Chinese non- financial overseas...compared to standard reporting by the IMF and World Bank. This study dissects the market sector competition generated by China’s investment...corruption, and erode U.S. political relevance in sub-Saharan Africa. China has empowered private enterprises, which can monopolize African market sectors

  9. JPRS Report Environmental Issues

    1990-08-02

    include Niger, Chad, Mali, Guinea, Nigeria and Burkina Faso. Because of the scale of the proposal, Japan will be formally inviting the United States...ministries as well as the local and regional budgets. The volume of designated deduc- tions can be determined as a percentage of the total...been reputed to have curative properties, and now there is evidence that they can help to cure infertility . Most JPRS-TEN-90-009 2 August 1990 SOVIET

  10. Mountain Terrain Atmospheric Modeling and Observations (MATERHORN) Program

    2017-05-09

    Professor Chad Higgins , Oregon State University. Corvallis. Oregon (Host: University of Utah) Or. Stefano Serafin, University of Vienna. Austria... Chris Hocul, ARL White Sands Missile Range). • NCAR 4DWX model output has been analyzed by the University of Virginia group, which has been... Higgins , and H., Parlange, M.B., 2013: Similarity scaling over a steep alpine slope, Boundary-Layer Meteor., 147(3), 401-419. Pu, Z., H. Zhang, and J. A

  11. Identification (ID) Cards for Members of the Uniformed Services, Their Dependents, and Other Eligible Individuals

    1992-12-30

    Encl 5) Cayman Islands CJ Central African Republic CT Chad CD Chile CI China CH Christmas Island KT Clipperton Islands IP Cocos (Keeling) Islands CK...PA Puerto Rico PR Rhode Island RI South Carolina SC South Dakota SD Tennessee TN Federated States of Marshall Islands , Palau TT Texas TX Utah UT...Vermont VT Virginia VA Virgin Islands VI Washington WA West Virginia WV Wisconsin WI Wyoming WY Block 17. ZIP Code. Enter the correct nine-digit ZIP Code

  12. Duloxetine in the treatment of chronic pain due to fibromyalgia and diabetic neuropathy

    Wright, Alan; Luedtke, Kyle E; VanDenBerg, Chad

    2010-01-01

    Alan Wright, Kyle E Luedtke, Chad VanDenBergCenter for Clinical Research, Mercer University, Atlanta, Georgia, USAAbstract: Duloxetine is a serotonin-norepinephrine reuptake inhibitor approved by the US Food and Drug Administration for the treatment of fibromyalgia and painful diabetic neuropathy at doses of 60 mg daily. Duloxetine has been shown to significantly improve the symptoms of chronic pain associated with these disorders, as measured by the Fibromyalgia Impact Questionnaire, Brief P...

  13. Guideline Adherence of Antithrombotic Treatment Initiated by General Practitioners in Patients With Nonvalvular Atrial Fibrillation: A Danish Survey

    Brandes, Axel; Overgaard, Mikkel; Plauborg, Liane

    2013-01-01

    with a mean age of 74.811.2 years. The mean CHADS(2) and CHA(2)DS(2)-VASc scores were 1.9 +/- 1.3 and 3.5 +/- 1.8, respectively. Of the patients, 12.4% and 4.04%, respectively, were at truly low risk, with a CHADS(2) and CHA(2)DS(2)-VASc score 0 (P ... proportion of patients with nonvalvular AF do not receive guideline-adherent antithrombotic treatment in primary care. MethodsWe performed a cross-sectional survey of antithrombotic treatment using data of AF patients from general practices. ResultsSixty-four general practitioners enrolled 1743 patients......) score. Applying the CHA(2)DS(2)-VASc score, this proportion was only 53.4%. Antiplatelet drug treatment was in adherence to the guidelines (CHADS(2) and CHA(2)DS(2)-VASc score of 1) in only 31% and 12% of the patients, respectively. ConclusionsAntithrombotic treatment of AF patients is in general well...

  14. Baseline characteristics and event rates among anticoagulated patients with atrial fibrillation in practice and pivotal NOAC trials

    Peter A. Noseworthy

    2017-10-01

    Full Text Available The data report details the baseline characteristics and observed outcomes among patients included in a large US administrative claims database (Optum Labs Data Warehouse and those enrolled in the pivotal phase III clinical trials examining apixaban, dabigratan, edoxaban and rivaroxaban versus warfarin for the prevention of cardio embolism (Granger et al., 2011; Cannolly et al., 2009; Patel et al., 2011; Giugliano et al., 2013 [1–4]. These data are to be interpreted in the context of the linked publication (Noseworthy et al., 2017 [5]. These data illustrate baseline characteristics in patients treated in routine practice and those enrolled in clinical trials. For instance, patients treated with apixaban in practice tended to be slightly older and we more likely to be female than those enrolled in the apixaban clinical trial. Patient treated with rivaroxaban in practice tended to have lower CHADS2 scores than those included in the rivaroxaban clinical trial. Overall, and stratified by baseline CHADS2 scores, patients treated with NOACs in routine practice had comparable or slightly lower stroke risks than those in the clinical trials. Patients treated with NOACs in routine practice had slightly higher bleeding risk in practice, particularly in high-risk patients with CHADS2 ≥ 3, compared to those in the clinical trials. These data may serve as a benchmark for realized outcomes among anticoagulated patients with atrial fibrillation in the United States and may serve as a useful comparison to other datasets or countries.

  15. Comparative analysis in continuous expansion of bovine and human primary nucleus pulposus cells for tissue repair applications

    DH Rosenzweig

    2017-03-01

    Full Text Available Autologous NP cell implantation is a potential therapeutic avenue for intervertebral disc (IVD degeneration. However, monolayer expansion of cells isolated from surgical samples may negatively impact matrix production by way of dedifferentiation. Previously, we have used a continuous expansion culture system to successfully preserve a chondrocyte phenotype. In this work, we hypothesised that continuous expansion culture could also preserve nucleus pulposus (NP phenotype. We confirmed that serial passaging drove NP dedifferentiation by significantly decreasing collagen type II, aggrecan and chondroadherin (CHAD gene expression, compared to freshly isolated cells. Proliferation, gene expression profile and matrix production in both culture conditions were compared using primary bovine NP cells. Both standard culture and continuous culture produced clinically relevant cell populations. However, continuous culture cells maintained significantly higher collagen type II, aggrecan and CHAD transcript expression levels. Also, continuous expansion cells generated greater amounts of proteoglycan, collagen type II and aggrecan protein deposition in pellet cultures. To our surprise, continuous expansion of human intervertebral disc cells – isolated from acute herniation tissue – produced less collagen type II, aggrecan and CHAD genes and proteins, compared to standard culture. Also, continuous culture of cells isolated from young non-degenerate tissue did not preserve gene and protein expression, compared to standard culture. These data indicated that primary bovine and human NP cells responded differently to continuous culture, where the positive effects observed for bovine cells did not translate to human cells. Therefore, caution must be exercised when choosing animal models and cell sources for pre-clinical studies.

  16. Access to drinking water and health of populations in Sub-Saharan Africa.

    Ntouda, Julien; Sikodf, Fondo; Ibrahim, Mohamadou; Abba, Ibrahim

    2013-01-01

    Water is at the center of the plant and animal life, the foundation upon which the health of human settlement and development of civilizations rely on. In tropical regions, 80% of diseases are transmitted either by germs in the water, or by vectors staying in it. In Sub-Saharan Africa, statistics show particularly high levels of unmet needs of populations in access to drinking water in a context of socioeconomic development. For this purpose, this study aims to determine the influence of access to drinking water on the health of populations in Sub-Saharan Africa. Using data from Demographic and Health Surveys (DHS) from Cameroon, Senegal and Chad, it is clear from the descriptive analysis that 60% (Cameroon), and 59% (Chad) of the cases of childhood diarrhea in these two countries are due to the consumption of dirty water. In terms of explanatory analysis, we note that when a household in Cameroon, Senegal or Chad does not have access to drinking water, children under 5 years old residing there are respectively 1.29, 1.27 and 1.03 times more likely to have diarrhea than those residing in households with easy access to drinking water. In view of these results, it is recommended to increase access to drinking water in particular by reducing disparities between the rich and poor people. Copyright © 2013 Académie des sciences. All rights reserved.

  17. Thromboembolic complications of thyroid storm.

    Min, T; Benjamin, S; Cozma, L

    2014-01-01

    Thyroid storm is a rare but potentially life-threatening complication of hyperthyroidism. Early recognition and prompt treatment are essential. Atrial fibrillation can occur in up to 40% of patients with thyroid storm. Studies have shown that hyperthyroidism increases the risk of thromboembolic events. There is no consensus with regard to the initiation of anticoagulation for atrial fibrillation in severe thyrotoxicosis. Anticoagulation is not routinely initiated if the risk is low on a CHADS2 score; however, this should be considered in patients with thyroid storm or severe thyrotoxicosis with impending storm irrespective of the CHADS2 risk, as it appears to increase the risk of thromboembolic episodes. Herein, we describe a case of thyroid storm complicated by massive pulmonary embolism. Diagnosis of thyroid storm is based on clinical findings. Early recognition and prompt treatment could lead to a favourable outcome.Hypercoagulable state is a recognised complication of thyrotoxicosis.Atrial fibrillation is strongly associated with hyperthyroidism and thyroid storm.Anticoagulation should be considered for patients with severe thyrotoxicosis and atrial fibrillation irrespective of the CHADS2 score.Patients with severe thyrotoxicosis and clinical evidence of thrombosis should be immediately anticoagulated until hyperthyroidism is under control.

  18. Testing a Novel 3D Printed Radiographic Imaging Device for Use in Forensic Odontology.

    Newcomb, Tara L; Bruhn, Ann M; Giles, Bridget; Garcia, Hector M; Diawara, Norou

    2017-01-01

    There are specific challenges related to forensic dental radiology and difficulties in aligning X-ray equipment to teeth of interest. Researchers used 3D printing to create a new device, the combined holding and aiming device (CHAD), to address the positioning limitations of current dental X-ray devices. Participants (N = 24) used the CHAD, soft dental wax, and a modified external aiming device (MEAD) to determine device preference, radiographer's efficiency, and technique errors. Each participant exposed six X-rays per device for a total of 432 X-rays scored. A significant difference was found at the 0.05 level between the three devices (p = 0.0015), with the MEAD having the least amount of total errors and soft dental wax taking the least amount of time. Total errors were highest when participants used soft dental wax-both the MEAD and the CHAD performed best overall. Further research in forensic dental radiology and use of holding devices is needed. © 2016 American Academy of Forensic Sciences.

  19. Dual antiplatelet therapy versus oral anticoagulation plus dual antiplatelet therapy in patients with atrial fibrillation and low-to-moderate thromboembolic risk undergoing coronary stenting: design of the MUSICA-2 randomized trial.

    Sambola, Antonia; Montoro, J Bruno; Del Blanco, Bruno García; Llavero, Nadia; Barrabés, José A; Alfonso, Fernando; Bueno, Héctor; Cequier, Angel; Serra, Antonio; Zueco, Javier; Sabaté, Manel; Rodríguez-Leor, Oriol; García-Dorado, David

    2013-10-01

    Oral anticoagulation (OAC) is the recommended therapy for patients with atrial fibrillation (AF) because it reduces the risk of stroke and other thromboembolic events. Dual antiplatelet therapy (DAPT) is required after percutaneous coronary intervention and stenting (PCI-S). In patients with AF requiring PCI-S, the association of DAPT and OAC carries an increased risk of bleeding, whereas OAC therapy or DAPT alone may not protect against the risk of developing new ischemic or thromboembolic events. The MUSICA-2 study will test the hypothesis that DAPT compared with triple therapy (TT) in patients with nonvalvular AF at low-to-moderate risk of stroke (CHADS2 score ≤2) after PCI-S reduces the risk of bleeding and is not inferior to TT for preventing thromboembolic complications. The MUSICA-2 is a multicenter, open-label randomized trial that will compare TT with DAPT in patients with AF and CHADS2 score ≤2 undergoing PCI-S. The primary end point is the incidence of stroke or any systemic embolism or major adverse cardiac events: death, myocardial infarction, stent thrombosis, or target vessel revascularization at 1 year of PCI-S. The secondary end point is the combination of any cardiovascular event with major or minor bleeding at 1 year of PCI-S. The calculated sample size is 304 patients. The MUSICA-2 will attempt to determine the most effective and safe treatment in patients with nonvalvular AF and CHADS2 score ≤2 after PCI-S. Restricting TT for AF patients at high risk for stroke may reduce the incidence of bleeding without increasing the risk of thromboembolic complications. © 2013.

  20. Atrial fibrillation, CHA2DS2-VASc score, antithrombotics and risk of traffic accidents: A population-based cohort study.

    Lai, Hui-Chin; Chien, Wu-Chien; Chung, Chi-Hsiang; Lee, Wen-Lieng; Wang, Kuo-Yang; Wu, Tsu-Juey; Liu, Chia-Ning; Liu, Tsun-Jui

    2015-10-15

    Traffic accidents account for a substantial proportion of premature disabilities and deaths. Whether atrial fibrillation (AF) provokes while antithrombotics prevent from such events remains un-investigated. All patients ≥40years with newly diagnosed AF in 2005 were scrutinized from the "Longitudinal Health Insurance Database 2005" (1 million beneficiaries) of Taiwan's National Health Insurance Institute as the AF group. Four-fold number of age-, gender-, and comorbidity-matched patients but without AF served as the Non-AF controls. Patients were followed till occurrence of hospitalization-requiring traffic injury, death, withdrawal from insurance, or the end of 2010. Cumulative incidence of traffic accidents was compared between groups, and predictors and preventive role of antithrombotics for these accidents were identified by Cox regression analysis. Within a mean follow-up of 4.3years, traffic injury occurred significantly more often in patients with AF (N=1724) than those without it (N=6896) (5.4 vs. 4.9 per 1000 person-years, log-rank p=0.012, HR 1.110, 95% CI 1.013-1.572). Cox models identified age ≧65years, hypertension, coronary artery disease, stroke, liver cirrhosis and CHADS2VASC score≧1 as risk factors for traffic injury in AF patients, whereas oral anticoagulants (HR 0.576, 95% CI 0.285-0.791, p=0.002) used in patients with CHADS2VASC score ≧1 but not antiplatelet therapy (p=0.197) as negative predictors. Patients with AF are more vulnerable to traffic accidents especially when with higher CHADS2VASC scores and other comorbidities. This tendency to traffic accidents, however, could be ameliorated by oral anticoagulation in specialized cases but not by antiplatelet therapy. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  1. The contribution of the polio eradication initiative to narrowing the gaps in the health workforce in the African Region.

    Kamso, Jean; Mvika, Eddy S; Ota, M O C; Okeibunor, Joseph; Mkanda, Pascal; Mihigo, Richard

    2016-10-10

    The Global Polio Eradication Initiative (GPEI) massively invested to overcome the crippling disease in countries of the WHO African Region. In the context of economic crisis, almost all countries in the Region lack an adequate health workforce. Large amounts were invested by GPEI in human resources. This paper shows how the human resources funded by polio contributed to narrowing the gaps in health workforce and helped strengthening and supporting other priority health programmes in Angola, Chad, DRC, Nigeria, Tanzania, and Togo. The health workforce strengthening methods used in the five different countries included the following: policy development and strategic planning, microplanning, capacity building of public health and community workers, implementation and services, monitoring and evaluation, advocacy and social mobilization, and programme review. Staff funded by polio helped with achieving good coverage in vitamin A and insecticide-treated mosquito nets (Angola, Chad); improvement of EPI and integrated disease surveillance indicators, improved quality of data (all five countries), administrative support, smooth introduction of new vaccines, increased case detection, and early isolation of patients suffering from the Guinea worm (Chad); reduction of cholera, extension of directly observed TB short course treatment (Democratic Republic of Congo); significant staff performance improvement (Nigeria). GPEI investment achieved far beyond its primary goal, and contributed to narrowing the gaps in the health workforce in countries of the African Region, as demonstrated by the best practice documentation exercise. We recommend that expertise and experience of polio funded staff should be leveraged to strengthen, expand and support other public health programmes. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  2. Percutaneous closure of the left atrial appendage for prevention of thromboembolism in atrial fibrillation for patients with contraindication to or failure of oral anticoagulation: a single-center experience.

    Faustino, Ana; Paiva, Luís; Providência, Rui; Trigo, Joana; Botelho, Ana; Costa, Marco; Leitão-Marques, António

    2013-06-01

    In non-valvular atrial fibrillation 90% of thrombi originate in the left atrial appendage (LAA). Percutaneous LAA closure has been shown to be non-inferior to warfarin for prevention of thromboembolism. To evaluate the initial experience of a single center in percutaneous LAA closure in patients with high thromboembolic risk and in whom oral anticoagulation was impractical or contraindicated or had failed. Patients with non-valvular atrial fibrillation and CHADS2 score ≥2 in whom oral anticoagulation was impractical or contraindicated or had failed underwent percutaneous LAA closure according to the standard technique. After the procedure, dual antiplatelet therapy was maintained for one month, followed by single antiplatelet therapy indefinitely. Patients were followed by clinical assessment and transthoracic and transesophageal echocardiography. The procedure was performed in 22 of the 23 selected patients (95.7%), mean age 70±9 years, CHADS2 score 3.2±0.9 and CHA2DS2-VASC score 4.7±1.4. Intraprocedural device replacement was necessary only in the first patient, due to oversizing. The following periprocedural complications were observed: one femoral pseudoaneurysm, three femoral hematomas and two minor oropharyngeal bleeds, resolved by local hemostatic measures. During a 12±8 month follow-up a mild peri-device flow and a thrombus adhering to the device, resolved under with enoxaparin therapy, were identified. The rate of transient ischemic attack (TIA)/stroke was lower than expected according to the CHADS2 score (0 vs. 6.7±2.2%). In our initial experience, this procedure proved to be a feasible, safe and effective alternative for atrial fibrillation patients in whom oral anticoagulation is not an option. Only relatively minor complications were observed, with a lower than expected TIA/stroke rate. Copyright © 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  3. Prevalence of stroke and the need for thromboprophylaxis in young patients with atrial fibrillation: a cohort study.

    Lin, Andrew H; Oakley, Luke S; Phan, Hoanganh L; Shutt, Brennan J; Birgersdotter-Green, Ulrika; Francisco, Gregory M

    2014-03-01

    Atrial fibrillation is the most common cardiac arrhythmia, and age is a well-established independent risk factor for stroke in these patients. Whereas high-risk patients clearly benefit from anticoagulation to prevent stroke, less is known about how to treat low-risk patients. Despite the recent guidelines and studies demonstrating no benefit and excess bleeding risk with aspirin, many low-risk patients still receive this medication. Our objective was to determine the stroke rate in young patients with atrial fibrillation, a group of previously unstudied and predominantly low-risk patients. We hypothesized that the event rate would be so low as to preclude benefit from antithrombotic medications. A retrospective chart review identified patients with atrial fibrillation between the age of 18 and 35. Exclusion criteria included no ECG documentation of atrial fibrillation, anticoagulation, except around the time of cardioversion, and surgical valve disease. The primary outcome was stroke during the period of observation. The final cohort included 99 patients, mean age 27.6 years, followed for a mean of 4.3 years. Mean CHADS2 and CHA2DS2-VASc scores were 0.26 and 0.4, respectively. A total of 42.4% were taking aspirin for over 50% of the time. There was one event identified, a transient ischemic attack in a man not on aspirin with CHADS2 and CHADS2-VASc scores of 1, resulting in event rates of 0.234 per 100 patient-years overall or 0.392 among those not on aspirin. Patients with nonvalvular atrial fibrillation under age 35 have an exceedingly low stroke risk. We assert that aspirin may be unnecessary for most patients in this population, especially those with a CHA2DS2-VASc score of 0.

  4. Are specific gene expressions of extracellular matrix and nucleus pulposus affected by primary cell cultures prepared from intact or degenerative intervertebral disc tissues?

    Karaarslan, Numan; Yilmaz, Ibrahim; Ozbek, Hanefi; Sirin Yasar, Duygu; Kaplan, Necati; Akyuva, Yener; Gonultas, Aylin; Ates, Ozkan

    2018-01-22

    In this scientific research project, the researchers aimed to determine the gene expression patterns of nucleus pulposus (NP) in cell cultures obtained from degenerated or intact tissues. Whereas 12 of the cases were diagnosed with lumbar disc hernia and had undergone lumbar microdiscectomy, 12 cases had undergone traumatic intervertebral discectomy and corpectomy, along with discectomy after spinal trauma. NP-specific markers and gene expressions of the reagents of the extracellular matrix in the experimental setup were tested at the 0th, 24th, and 48th hours by quantitative reverse transcriptase polymerase chain reaction (qRT-PCR). Visual evaluations were simultaneously made in all samples using invert and fluorescence microscopy. Vitality and proliferation analyses were evaluated by UV spectrophotometer. As a method of statistical evaluation, Spearman was used for categorical variants, and the Pearson correlation was used for variants with numerical and plain distribution. No association was found either between the tissue type and times (r=0.000; p=1.000) or between the region that the tissue was obtained from and hypoxia transcription factor-1 alpha (HIF-1α) gene expression (r=0.098; p=0.245). There was no correlation between cell proliferation and chondroadherin (CHAD) expression or between type II collagen (COL2A1) and CHAD gene expressions. It was found that CHAD and HIF-1α gene expressions and HIF-1α and COL2A1 gene expressions affected cell proliferation. Cell culture setups are of paramount importance because they may influence the pattern of changes in the gene expressions of the cells used in these setups.

  5. The APPLE Score - A Novel Score for the Prediction of Rhythm Outcomes after Repeat Catheter Ablation of Atrial Fibrillation.

    Jelena Kornej

    Full Text Available Arrhythmia recurrences after catheter ablation occur in up to 50% within one year but their prediction remains challenging. Recently, we developed a novel score for the prediction of rhythm outcomes after single AF ablation demonstrating superiority to other scores. The current study was performed to 1 prove the predictive value of the APPLE score in patients undergoing repeat AF ablation and 2 compare it with the CHADS2 and CHA2DS2-VASc scores.Rhythm outcome between 3-12 months after AF ablation were documented. The APPLE score (one point for Age >65 years, Persistent AF, imPaired eGFR (<60 ml/min/1.73m2, LA diameter ≥43 mm, EF <50% was calculated in every patient before procedure.379 consecutive patients from The Leipzig Heart Center AF Ablation Registry (60±10 years, 65% male, 70% paroxysmal AF undergoing repeat AF catheter ablation were included. Arrhythmia recurrences were observed in 133 patients (35%. While the CHADS2 (AUC 0.577, p = 0.037 and CHA2DS2-VASc scores (AUC 0.590, p = 0.015 demonstrated low predictive value, the APPLE score showed better prediction of arrhythmia recurrences (AUC 0.617, p = 0.002 than other scores (both p<0.001. Compared to patients with an APPLE score of 0, the risk (OR for arrhythmia recurrences was 2.9, 3.0 and 6.0 (all p<0.01 for APPLE scores 1, 2, or ≥3, respectively.The novel APPLE score is superior to the CHADS2 and CHA2DS2-VASc scores for prediction of rhythm outcomes after repeat AF catheter ablation. It may be helpful to identify patients with low, intermediate or high risk for recurrences after repeat procedure.

  6. Comparison of cardiovascular risk factors and survival in patients with ischemic or hemorrhagic stroke.

    Henriksson, Karin M; Farahmand, Bahman; Åsberg, Signild; Edvardsson, Nils; Terént, Andreas

    2012-06-01

    Differences in risk factor profiles between patients with ischemic and hemorrhagic stroke may have an impact on subsequent mortality. To explore cardiovascular disease risk factors, including the CHADS(2) score, with survival after ischemic or hemorrhagic stroke. Between 2001 and 2005, 87 111 (83%) ischemic stroke, 12 497 (12%) hemorrhagic stroke, and 5435 (5%) patients with unspecified stroke were identified in the Swedish Stroke Register. Data on gender, age, and cardiovascular disease risk factors were linked to the Swedish Hospital Discharge and Cause of Death Registers. Adjusted odds and hazard ratios and 95% confidence interval were calculated using logistic and Cox proportional hazard regression models. Hemorrhagic stroke patients were younger than ischemic stroke patients. All cardiovascular disease risk factors studied, alone or combined in the CHADS(2) score, were associated with higher odds ratios for ischemic stroke vs. hemorrhagic stroke. Higher CHADS(2) scores and all studied risk factors except hypertension were associated with higher odds ratio for death by ischemic stroke than hemorrhagic stroke. Ischemic stroke was associated with lower early mortality (within 30 days) vs. hemorrhagic stroke (hazard ratio = 0·28, confidence interval 0·27 to 0·29). Patients with hemorrhagic stroke had a higher risk of dying within the first 30 days after stroke, but the risk of death was similar in the two groups after one-month. Hypertension was the only cardiovascular disease risk factor associated with an increased mortality rate for hemorrhagic stroke as compared to ischemic stroke. © 2011 The Authors. International Journal of Stroke © 2011 World Stroke Organization.

  7. TESTING NONLINEAR INFLATION CONVERGENCE FOR THE CENTRAL AFRICAN ECONOMIC AND MONETARY COMMUNITY

    Emmanuel Anoruo

    2014-01-01

    Full Text Available This paper uses nonlinear unit root testing procedures to examine the issue of inflation convergence for the Central African Economic and Monetary Community (CEMAC member states including Cameron, Central African Republic, Chad, Equatorial Guinea, Gabon and the Republic of Congo. The results from nonlinear STAR unit root tests suggest that inflation differentials for the sample countries are nonlinear and mean reverting processes. These results provide evidence of inflation convergence among countries within CEMAC. The finding of inflation convergence indicates the feasibility of a common monetary policy and/or inflation targeting regime within CEMAC.

  8. How to cheat in After Effects

    Perkins, Chad

    2013-01-01

    Get the most from the most widely used application in the postproduction field! Gain the insider tips you need to compose eye-catching, imaginative Adobe After Effects projects quickly and effectively. In How to Cheat in After Effects, Second Edition seasoned AE expert Chad Perkins provides dozens of concise, step-by-step tutorials and lavish 4-color illustrations to get you on the fast track to producing amazing motion graphics and visual effects. Updated for CS6, this new edition has been revised to include:A brand new chapter on the most popular

  9. DoD Security Assistance Management Manual

    1988-10-01

    TOPSECRET SECRET CONFIEI(IlAL RESTWICIE Chile SECRETO SECRE11O RESERVADO RESERVADO Columbia ULTRASECREFO SECREIO RESERVADO CONFIDCAL RESTRIN4GEDO Costa Rica...Republic of CV AT APR F T Cayman Islands (UK) CJ AT AR Central African Republic eI EU APR F T Chad CD EU APR F T Chile CI so AR F U China CH PA EAP F U...FIRE DIRECTION CONTROL CENTER OFCV) (A) 3,382 21MAY86 . CATEGORY VIH - - AIRCRAFT. SPACECRAFT AND ASSOCIATED EQUIPMENT AIRCRAFT 767 AWACS (AF) 8,700,000

  10. African Solutions to African Problems?

    Emmanuel, Nikolas G.; Schwartz, Brendan

    2017-01-01

    . The emergence of Déby’s Chad depends both on its ability to accomplish sub-imperial tasks encouraged by these actors, while obfuscating undemocratic governance and human rights abuses at home. Nonetheless, Déby’s role in regional security has helped him achieve a certain degree of agency in his relationship...... and maintain control of the state. These range from “liberal” desires to help control the region’s trouble spots in places like Mali, to clearly illiberal medaling in the domestic affairs of neighbors like the Central African Republic, with the fight against Boko Haram somewhere in the middle. This paper seeks...

  11. [Recent Advances in Vaccines and Drugs Against the Ebola Virus].

    Zhu, Xiang; Yao, Chenguang; Wei, Yanhong; Kou, Zheng; Hu, Kanghong

    2015-05-01

    The Ebola virus belongs to the Filovirus family, which causes Ebola hemorrhagic fever (mortality, 25%-90%). An outbreak of infection by the Ebola virus is sweeping across West Africa, leading to high mortality and worldwide panic. The Ebola virus has caused a serious threat to public health, so intensive scientific studies have been carried out. Several vaccines (e.g., rVSV-ZEBOV, ChAd3-ZEBOV) have been put into clinical trials and antiviral drugs (e.g., TKM-Ebola, ZMAPP) have been administered in the emergency setting to patients infected by the Ebola virus. Here, recent advances in vaccines and drugs against the Ebola virus are reviewed.

  12. CTC Sentinel. Volume 8, Issue 4, April 2015

    2015-04-01

    already moved some of the girls kidnapped in Chibok, Nigeria, across the border into Chad.30 Boko Haram’s first attack on Chadian soil occurred...Afghanistan, Pakistan, Iraq, Nigeria, Colombia , and numerous other at- risk countries. He is a 1969 graduate of the U.S. Military Academy, and was...After admission, Pak files 26/11 charge sheet”, Times Now TV, 18 July, 2009; Also See, “Part of 26/11 plot hatched on our soil , admits Pak,” Mid Day

  13. Pteridophyta collected in Northern Nigeria and Northern Cameroon

    Jan kornaś

    2014-01-01

    Full Text Available 25 species of Pteridophyta were collected in Northern Nigeria (mainly the Lake Chad Basin and the Mandara Mts. and in the neighbouring parts of Cameroon. 11 of them have not been recorded previously from this area: Isoetes schweinfurthii A. Br. in Bak., Selaginella tenerrima A. Br. ex Kuhn, Ophioglossum gomenzianum Welw. ex A. Br., Marsilea coromandeliana Willd., M. distorta A. Br., M. nubica A. Br., M. subterranea Lepr. ex A. Br., Azolla africana Desv., Ceratopteris richardii Brogn., Adiantum capillus-veneris Linn., and Actiniopleris semiflabellata Pic. Ser.

  14. Turmoil doesn't dampen enthusiasm

    Anon.

    1997-01-01

    The paper discusses the outlook for the African gas and oil industries. Though Africa remains politically and economically volatile, its vast energy potential is becoming increasingly attractive to foreign oil and gas companies. Separate evaluations are given for Algeria, Egypt, Nigeria, Angola, Libya, Congo, Gabon, Tunisia, Cameroon, Cote D'Ivoire, and briefly for South Africa, Sudan, Equatorial Guinea, Ghana, Zaire, Benin, Mozambique, Chad, Namibia, Tanzania, Eritrea, Guinea-Bissau, Senegal, Morocco, Sao Tome and Principe, Ethiopia, Niger, Madagascar, Rwanda, Mauritania, Seychelles, Uganda, and Liberia

  15. Manuscript Cultures

    What do Mesoamerica, Greece, Byzantium, Island, Chad, Ethiopia, India, Tibet, China and Japan have in common? Like many other cultures of the world, they share a particular form of cultural heritage: ancient handwritten documents. In 2007, scholars from some20 countries around the world gathered...... at the University of Copenhagen for a workshop on manuscripts to compare notes. This event led to the publication of this volume, which brings together16 articles on philological, cultural, and material aspects of manuscripts in search for a common ground across disciplines and cultures....

  16. NCBI nr-aa BLAST: CBRC-OLAT-26-0164 [SEVENS

    Full Text Available CBRC-OLAT-26-0164 ref|NP_031715.1| chondroadherin [Mus musculus] sp|O55226|CHAD_MOUSE Chondroad...herin precursor (Cartilage leucine-rich protein) gb|AAC39963.1| chondroadherin [Mus musculus] gb|AAH12672.1| Chondroad...herin [Mus musculus] emb|CAI25589.1| chondroadherin [Mus musculus] dbj|BAE34451.1| unn...amed protein product [Mus musculus] gb|EDL15934.1| chondroadherin [Mus musculus] NP_031715.1 5e-85 57% ...

  17. Defense AT and L Magazine. Vol. 42, no. 5, September-October 2013

    2013-09-01

    DAU Visual Arts and Press Randy Weekes Defense AT&L Editorial Staff Managing Editor/Senior Editor, DAU Press Benjamin Tyree Online Content Editor... ROAD FT BELVOIR VA 22060-5565 Disclaimer Statements of fact or opinion appearing in Defense AT&L are solely those of the authors and are not nec...programs that we cannot reasonably expect to pay for in the future. The author can be contacted at Chad.Ohlandt@osd.mil. Where Can You Get the Latest

  18. Survival after hospital discharge for ST-segment elevation and non-ST-segment elevation acute myocardial infarction: a population-based study

    Darling, Chad E; Fisher, Kimberly A; McManus, David D; Coles, Andrew H; Spencer, Frederick A; Gore, Joel M; Goldberg, Robert J

    2013-01-01

    Chad E Darling,1 Kimberly A Fisher,2 David D McManus,3,4 Andrew H Coles,5 Frederick A Spencer,5,6 Joel M Gore,3,4 Robert J Goldberg31Department of Emergency Medicine, 2Division of Pulmonary Critical Care, 3Department of Quantitative Health Sciences, 4Department of Medicine, 5Program for Gene Function and Expression, University of Massachusetts Medical School, Worcester, MA, USA; 6Department of Medicine, McMaster University, Hamilton, Ontario, CanadaBackground: Limited recent data are availabl...

  19. Can Old Regimes Handle New Wars?

    Henningsen, Troels

    Research on New Wars argues that since the 1980s states and regimes have become more vulnerable to violence from non-state actors. Two developments in the Sahel region support the New Wars thesis: an increase in Islamist radicalization and new access to the global black market, both of which......, the paper finds that regimes in the Sahel region are still able to cope with the rise in non-state threats. The paper first shortly compares the longevity of the present regimes in the Sahel region to all previous ones, second examines in-depth how Chad and Mali fight the insurgents. Findings are that since...

  20. Guide de terrain des ligneux saheliens et soudano-guineens

    Geerling, C.

    1983-01-01

    This work is a field guide to the woody plants of the savannes and steppes of northern tropical Africa, from Senegal to Chad. 371 species of trees, shrubs and woody lianas, belonging to 62 families are included. The Dutch introduction comprises notes on fire, the use of the plants by Man, and the conservation status of the species concerned.The French field guide has a key on vegetative characters, an illustrated glossary, descriptions of the species, with accent on the vegetative part, and i...

  1. Nutritional and Health-Related Environmental Studies Newsletter, No. 04, August 2016

    2016-08-01

    It’s time for our summer newsletter. We have started a new inter-regional project that will help better understand effects of interventions addressing stunting, and a new African regional project, elucidating long-term consequences of acute malnutrition. We are presenting new projects in the area of HIV/AIDS in Chad and on exposure to health hazards such as persistent organic pollutants and resulting health effects in Marshall Islands. You will also find updates on coordinated research activities. Links to our new outreach material and to new publications on vitamin A safety and environmental enteric dysfunction will provide you with more in-depth information.

  2. Association hyperthyroïdie et cancers différenciés de la thyroïde ...

    Association hyperthyroïdie et cancers différenciés de la thyroïde. Nassim Essabah Haraj, Hayat Ahandar, Siham El Aziz, Asma Chadli. Abstract. La présence d'une hyperthyroïdie n'est plus une assurance contre la survenue d'un cancer thyroïdien. L'association des deux n'est pas rare. Il s'agit d'une étude rétrospective de ...

  3. Impact of CHA2DS2VASc Score on Candidacy for Anticoagulation in Patients With Atrial Fibrillation: A Multi-payer Analysis.

    Patel, Aarti A; Nelson, Winnie W; Schein, Jeff

    2016-10-01

    The purpose of this study is to report on the effect of using CHA 2 DS 2 VASc (congestive heart failure, hypertension, age ≥75 years [doubled], type 1 or type 2 diabetes mellitus, stroke or transient ischemic attack or thromboembolism [doubled], vascular disease [prior myocardial infarction, peripheral artery disease, or aortic plaque], age 65-75 years, sex category [female]) rather than CHADS 2 (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, and prior stroke) to determine candidacy for anticoagulant prophylaxis in insured patients with atrial fibrillation (AF). Six administrative claims databases that included medical and pharmacy claims for patients aged ≥18 years with a new or existing diagnosis of AF and patient outcomes assessed for 1 year after diagnosis were analyzed. Retrospective health plan data analyses were performed using a software tool (Anticoagulant Quality Improvement Analyzer). Study measures included stroke risk (identified by CHADS 2 and CHA 2 DS 2 VASc scores), bleeding risk (identified by the Anticoagulation and Risk Factors in Atrial Fibrillation score), and anticoagulant use. A total of 115,906 patients with AF (range of mean ages among the 6 databases, 56-79 years) met the inclusion criteria. All ranges reported represent the minimum and maximum values among the 6 databases. Using the CHA 2 DS 2 VASc compared with the CHADS 2 index to assess stroke risk resulted in a 23% to 32% increase in patients considered potential candidates for anticoagulant prophylaxis. This translated to a 38% to 114% increase in the number of ostensibly undertreated patients. Among patients with high stroke and low bleeding risk, 18% to 28% more patients were considered potential candidates for anticoagulation treatment using CHA 2 DS 2 VASc compared with CHADS 2 , or a 57% to 151% increase in the number of undertreated patients. Use of the CHA 2 DS 2 VASc score to determine the risk of stroke increased the number of AF patients for

  4. App Empire Make Money, Have a Life, and Let Technology Work for You

    Mureta, Chad

    2012-01-01

    A guide to building wealth by designing, creating, and marketing a successful app across any platform Chad Mureta has made millions starting and running his own successful app business, and now he explains how you can do it, too, in this non-technical, easy-to-follow guide. App Empire provides the confidence and the tools necessary for taking the next step towards financial success and freedom. The book caters to many platforms including iPhone, iPad, Android, and BlackBerry. This book includes real-world examples to inspire those who are looking to cash in on the App gold rush. Learn how to s

  5. Development and Application of a Three-Dimensional Seismo-Acoustic Coupled-Mode Model

    2015-09-30

    performance of the algorithm is evaluated through comparison with other mode finding techniques and propagation codes. It is also used to calculate...2φ 1 ∂ 2ψ ∇2φ = ∂ t2 , ∇2ψ = c2 p c2 s ∂ t2 where cp is the compressional wave speed and cs is the shear wave speed. The displacements and...19, 2015. George V. Frisk, Kyle M. Becker , Subramaniam D. Rajan, Cynthia J. Sellers, Chad M. Smith, and Megan S. Ballard, “Modal Mapping Experiment

  6. Modelling soil dust aerosol in the Bodélé depression during the BoDEx campaign

    I. Tegen; B. Heinold; M. Todd; J. Helmert; R. Washington; O. Dubovik; O. Dubovik

    2006-01-01

    We present regional model simulations of the dust emission events during the Bodélé Dust Experiment (BoDEx) that was carried out in February and March 2005 in Chad. A box model version of the dust emission model is used to test different input parameters for the emission model, and to compare the dust emissions computed with observed wind speeds to those calculated with wind speeds from the regional model simulation. While field observations indicate that dust production occurs via self-abras...

  7. Modelling soil dust aerosol in the Bodélé depression during the BoDEx campaign

    Tegen , I.; Heinold , B.; Todd , M.; Helmert , J.; Washington , R.; Dubovik , O.

    2006-01-01

    International audience; We present regional model simulations of the dust emission events during the Bodélé Dust Experiment (BoDEx) that was carried out in February and March 2005 in Chad. A box model version of the dust emission model is used to test different input parameters for the emission model, and to compare the dust emissions computed with observed wind speeds to those calculated with wind speeds from the regional model simulation. While field observations indicate that dust producti...

  8. Modelling soil dust aerosol in the Bodélé depression during the BoDEx campaign

    R. Washington; J. Helmert; M. Todd; B. Heinold; I. Tegen; O. Dubovik

    2006-01-01

    We present regional model simulations of the dust emission events during the Bodélé Dust Experiment (BoDEx) that was carried out in February and March 2005 in Chad. A box model version of the dust emission model is used to test different input parameters for the emission model, and to compare the dust emissions computed with observed wind speeds to those calculated with wind speeds from the regional model simulation. While field observations indicate that dust production occurs via ...

  9. Réfugiés et déplacés dans l’Est du Tchad

    Johanne Favre

    2007-11-01

    Full Text Available Une mission conjointe ONU/UE est attendue pour novembre 2007 dans l’est du Tchad, où elle doit sécuriser les camps qui hébergent 230 000 réfugiés du Darfour et 180 000 déplacés tchadiens. Mais la persistance des rébellions dans la région témoigne de l’absence de règlement de la crise politique au Tchad. En outre, l’objectif de sécurisation risque de se heurter à la dissémination de la violence dans le corps social.A joint UNO/EU mission is expected in Eastern Chad in November 2007, to guard the camps which hold 230 000 refugees from Darfur and 180 000 displaced Chadians. But the continued rebellions in the region highlight the absence of a settlement to the political crisis in Chad. Moreover, the attempt to guard may run up against the violence spreading through society.

  10. Progress toward Global Polio Eradication - Africa, 2011.

    2012-03-23

    By January 2012, 23 years after the Global Polio Eradication Initiative (GPEI) was begun, indigenous wild poliovirus (WPV) transmission had been interrupted in all countries except Afghanistan, Pakistan, and Nigeria. However, importation of WPV into 29 previously polio-free African countries during 2003-2011 led to reestablished WPV transmission (i.e., lasting >12 months) in Angola, Chad, Democratic Republic of the Congo (DRC), and Sudan (although the last confirmed case in Sudan occurred in 2009). This report summarizes progress toward polio eradication in Africa. In 2011, 350 WPV cases were reported by 12 African countries, a 47% decrease from the 657 cases reported in 2010. From 2010 to 2011, the number of cases decreased in Angola (from 33 to five) and DRC (from 100 to 93) and increased in Nigeria (from 21 to 62) and Chad (from 26 to 132). New WPV outbreaks were reported in 2011 in eight African countries, and transmission subsequently was interrupted in six of those countries. Ongoing endemic transmission in Nigeria poses a major threat to the success of GPEI. Vigilant surveillance and high population immunity levels must be maintained in all African countries to prevent and limit new outbreaks.

  11. Progress toward interrupting wild poliovirus circulation in countries with reestablished transmission--Africa, 2009-2010.

    2011-03-18

    Through efforts of the Global Polio Eradication Initiative (GPEI), begun in 1988, indigenous transmission of wild poliovirus (WPV) had been interrupted in all but four countries (Afghanistan, Pakistan, India, and Nigeria) by 2006. Since 2002, a total of 39 previously polio-free countries experienced outbreaks following importation of WPV of Indian or Nigerian origin. Most outbreaks were stopped 12 months following importation before 2009. A key milestone of the GPEI 2010-2012 strategic plan was to interrupt WPV transmission in these African countries with reestablished transmission by the end of 2010. As of March 8, 2011, the milestone appeared to be on track only in Sudan. In Sudan, WPV type 1 (WPV1) was introduced in 2004, but no cases were detected for a 31-month period during 2005-2008. When resurgence occurred in 2008, surveillance and eradication efforts were enhanced, and no case has been detected since June 2009. In Chad, WPV type 3 (WPV3) transmission has persisted since 2007, although undetected for 7 months in 2010. In Angola, WPV1 circulation has persisted following importation in 2007, and became more widespread in 2010, with subsequent importations into DRC and Republic of the Congo (ROC). In DRC, WPV1 circulation has persisted since introduction in 2006. Achieving polio eradication depends on stopping WPV transmission in the four endemic countries and overcoming substantial, ongoing programmatic weaknesses in Chad, Angola, and DRC.

  12. Could Some Geriatric Characteristics Hinder the Prescription of Anticoagulants in Atrial Fibrillation in the Elderly?

    Paule Denoël

    2014-01-01

    Full Text Available Several studies have reported underprescription of anticoagulants in atrial fibrillation (AF. We conducted an observational study on 142 out of a total of 995 consecutive ≥75 years old patients presenting AF (14% when admitted in an emergency unit of a general hospital, in search of geriatric characteristics that might be associated with the underprescription of anticoagulation therapy (mostly antivitamin K at the time of the study. The following data was collected from patients presenting AF: medical history including treatment and comorbidities, CHADS2 score, ISAR scale (frailty, Lawton’s scale (ADL, GDS scale (mood status, MUST (nutrition, and blood analysis (INR, kidney function, and albumin. Among those patients for who anticoagulation treatment was recommended (73%, only 61% were treated with it. In the group with anticoagulation therapy, the following characteristics were observed more often than in the group without such therapy: a recent (≤6 months hospitalization and medical treatment including digoxin or based on >3 different drugs. Neither the value of the CHADS2 score, nor the geriatric characteristics could be correlated with the presence or the absence of an anticoagulation therapy. More research is thus required to identify and clarify the relative importance of patient-, physician-, and health care system-related hurdles for the prescription of oral anticoagulation therapy in older patients with AF.

  13. The New Oil-Related Issues in the Sahara

    Auge, Benjamin

    2011-01-01

    The Sahara is one of the last African regions to remain under-explored by oil companies. After the swift rise in crude oil prices about a decade ago, the land-locked nature of the terrain, the main hurdle standing in the way of exploration, had been overcome thanks to an exponential growth in sums set aside for exploration. The arrival on the scene of State enterprises, especially from China, also made profitability secondary to the pressing need to find new reserves. A study of the state of affairs in Mauritania, Mali, Niger, and Chad discloses how the situation differs from case to case. Some are already producing like Mauritania, albeit in small quantities, and Chad, which is the sole net exporter of the region, whereas Niger will begin producing in 2012 and Mali has not had a single well drilled for decades due to its haphazard choice of oil companies. The four States mentioned do not cooperate in any way in the oil sector even though this ought to be essential in a zone that has such special peculiarities in terms of climate, geography, and security as it is facing the threat of Al Qaeda in the Islamic Maghreb (AQMI) and the Tuareg

  14. Enhanced vaccine-induced CD8+ T cell responses to malaria antigen ME-TRAP by fusion to MHC class ii invariant chain.

    Alexandra J Spencer

    Full Text Available The orthodox role of the invariant chain (CD74; Ii is in antigen presentation to CD4+ T cells, but enhanced CD8+ T cells responses have been reported after vaccination with vectored viral vaccines encoding a fusion of Ii to the antigen of interest. In this study we assessed whether fusion of the malarial antigen, ME-TRAP, to Ii could increase the vaccine-induced CD8+ T cell response. Following single or heterologous prime-boost vaccination of mice with a recombinant chimpanzee adenovirus vector, ChAd63, or recombinant modified vaccinia virus Ankara (MVA, higher frequencies of antigen-specific CD4+ and CD8+ T cells were observed, with the largest increases observed following a ChAd63-MVA heterologous prime-boost regimen. Studies in non-human primates confirmed the ability of Ii-fusion to augment the T cell response, where a 4-fold increase was maintained up to 11 weeks after the MVA boost. Of the numerous different approaches explored to increase vectored vaccine induced immunogenicity over the years, fusion to the invariant chain showed a consistent enhancement in CD8+ T cell responses across different animal species and may therefore find application in the development of vaccines against human malaria and other diseases where high levels of cell-mediated immunity are required.

  15. Editorial

    2018-03-01

    The Journal of Magnetic Resonance has played a prominent role in encouraging synergies between physical insights and biophysical applications. In this Virtual Special Issue (VSI), JMR's associate editor Dr. Robert (Rob) Tycko highlights the state-of-the-art in this area, by presenting a compilation of JMR articles published over recent years that demonstrate the value of indirect detection methods in biosolids NMR. This is a topic that Rob knows only too well, having been one of its founders and main expositors. This thematic VSI also gives a perfect "excuse" for thanking Rob for the seven years that he has served as our card-carrying solids NMR associate editor. His work for the Journal was, like all other NMR endeavors in which Rob has embarked, characterized by utmost excellence. Over the years he contributed numerous ideas and initiatives, while providing editorial judgment in the handling of over 320 individual papers. For all this we in the NMR community wish to extend Rob our sincere thanks; to offer him our best wishes for a continued successful career and happiness in all walks of life, and to express our hope that we can keep on counting on his wisdom and advice as member of our Editorial Board. I would also like to use this opportunity to extend a warm welcome to Chad Rienstra, who will be replacing Rob in his role of associate editor. Chad: You have some big shoes to fill in, but we all know that you will be up to the challenge!

  16. Dimerization interface of 3-hydroxyacyl-CoA dehydrogenase tunes the formation of its catalytic intermediate.

    Yingzhi Xu

    Full Text Available 3-Hydroxyacyl-CoA dehydrogenase (HAD, EC 1.1.1.35 is a homodimeric enzyme localized in the mitochondrial matrix, which catalyzes the third step in fatty acid β-oxidation. The crystal structures of human HAD and subsequent complexes with cofactor/substrate enabled better understanding of HAD catalytic mechanism. However, numerous human diseases were found related to mutations at HAD dimerization interface that is away from the catalytic pocket. The role of HAD dimerization in its catalytic activity needs to be elucidated. Here, we solved the crystal structure of Caenorhabditis elegans HAD (cHAD that is highly conserved to human HAD. Even though the cHAD mutants (R204A, Y209A and R204A/Y209A with attenuated interactions on the dimerization interface still maintain a dimerization form, their enzymatic activities significantly decrease compared to that of the wild type. Such reduced activities are in consistency with the reduced ratios of the catalytic intermediate formation. Further molecular dynamics simulations results reveal that the alteration of the dimerization interface will increase the fluctuation of a distal region (a.a. 60-80 that plays an important role in the substrate binding. The increased fluctuation decreases the stability of the catalytic intermediate formation, and therefore the enzymatic activity is attenuated. Our study reveals the molecular mechanism about the essential role of the HAD dimerization interface in its catalytic activity via allosteric effects.

  17. Consistency of safety and efficacy of new oral anticoagulants across subgroups of patients with atrial fibrillation.

    Jean-Christophe Lega

    Full Text Available AIMS: The well-known limitations of vitamin K antagonists (VKA led to development of new oral anticoagulants (NOAC in non-valvular atrial fibrillation (NVAF. The aim of this meta-analysis was to determine the consistency of treatment effects of NOAC irrespective of age, comorbidities, or prior VKA exposure. METHODS AND RESULTS: All randomized, controlled phase III trials comparing NOAC to VKA up to October 2012 were eligible provided their results (stroke/systemic embolism (SSE and major bleeding (MB were reported according to age (≤ or >75 years, renal function, CHADS2 score, presence of diabetes mellitus or heart failure, prior VKA use or previous cerebrovascular events. Interactions were considered significant at p <0.05. Three studies (50,578 patients were included, respectively evaluating apixaban, rivaroxaban, and dabigatran versus warfarin. A trend towards interaction with heart failure (p = 0.08 was observed with respect to SSE reduction, this being greater in patients not presenting heart failure (RR = 0.76 [0.67-0.86] than in those with heart failure (RR = 0.90 [0.78-1.04]; Significant interaction (p = 0.01 with CHADS2 score was observed, NOAC achieving a greater reduction in bleeding risk in patients with a score of 0-1 (RR 0.67 CI 0.57-0.79 than in those with a score ≥2 (RR 0.85 CI 0.74-0.98. Comparison of MB in patients with (RR 0.97 CI 0.79-1.18 and without (RR 0.76 CI 0.65-0.88 diabetes mellitus showed a similar trend (p = 0.06. No other interactions were found. All subgroups derived benefit from NOA in terms of SSE or MB reduction. CONCLUSIONS: NOAC appeared to be more effective and safer than VKA in reducing SSE or MB irrespective of patient comorbidities. Thromboembolism risk, evaluated by CHADS2 score and, to a lesser extent, diabetes mellitus modified the treatment effects of NOAC without complete loss of benefit with respect to MB reduction.

  18. Automotive Underhood Thermal Management Analysis Using 3-D Coupled Thermal-Hydrodynamic Computer Models: Thermal Radiation Modeling

    Pannala, S; D' Azevedo, E; Zacharia, T

    2002-02-26

    The goal of the radiation modeling effort was to develop and implement a radiation algorithm that is fast and accurate for the underhood environment. As part of this CRADA, a net-radiation model was chosen to simulate radiative heat transfer in an underhood of a car. The assumptions (diffuse-gray and uniform radiative properties in each element) reduce the problem tremendously and all the view factors for radiation thermal calculations can be calculated once and for all at the beginning of the simulation. The cost for online integration of heat exchanges due to radiation is found to be less than 15% of the baseline CHAD code and thus very manageable. The off-line view factor calculation is constructed to be very modular and has been completely integrated to read CHAD grid files and the output from this code can be read into the latest version of CHAD. Further integration has to be performed to accomplish the same with STAR-CD. The main outcome of this effort is to obtain a highly scalable and portable simulation capability to model view factors for underhood environment (for e.g. a view factor calculation which took 14 hours on a single processor only took 14 minutes on 64 processors). The code has also been validated using a simple test case where analytical solutions are available. This simulation capability gives underhood designers in the automotive companies the ability to account for thermal radiation - which usually is critical in the underhood environment and also turns out to be one of the most computationally expensive components of underhood simulations. This report starts off with the original work plan as elucidated in the proposal in section B. This is followed by Technical work plan to accomplish the goals of the project in section C. In section D, background to the current work is provided with references to the previous efforts this project leverages on. The results are discussed in section 1E. This report ends with conclusions and future scope of

  19. Child malnutrition in sub-Saharan Africa: A meta-analysis of demographic and health surveys (2006-2016.

    Blessing J Akombi

    Full Text Available Sub-Saharan Africa has one of the highest levels of child malnutrition globally. Therefore, a critical look at the distribution of malnutrition within its sub-regions is required to identify the worst affected areas. This study provides a meta-analysis of the prevalence of malnutrition indicators (stunting, wasting and underweight within four sub-regions of sub-Saharan Africa.Cross-sectional data from the most recent Demographic and Health Surveys (2006-2016 of 32 countries in sub-Saharan Africa were used. The countries were grouped into four sub-regions (East Africa, West Africa, Southern Africa and Central Africa, and a meta-analysis was conducted to estimate the prevalence of each malnutrition indicator within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 >50%, hence a random effect model was used, and sensitivity analysis was performed, to examine the effects of outliers. Stunting was defined as HAZ<-2; wasting as WHZ<-2 and underweight as WAZ<-2.Stunting was highest in Burundi (57.7% and Malawi (47.1% in East Africa; Niger (43.9%, Mali (38.3%, Sierra Leone (37.9% and Nigeria (36.8% in West Africa; Democratic Republic of Congo (42.7% and Chad (39.9% in Central Africa. Wasting was highest in Niger (18.0%, Burkina Faso (15.50% and Mali (12.7% in West Africa; Comoros (11.1% and Ethiopia (8.70% in East Africa; Namibia (6.2% in Southern Africa; Chad (13.0% and Sao Tome & Principle (10.5% in Central Africa. Underweight was highest in Burundi (28.8% and Ethiopia (25.2% in East Africa; Niger (36.4%, Nigeria (28.7%, Burkina Faso (25.7%, Mali (25.0% in West Africa; and Chad (28.8% in Central Africa.The prevalence of malnutrition was highest within countries in East Africa and West Africa compared to the WHO Millennium development goals target for 2015. Appropriate nutrition interventions need to be prioritised in East Africa and West Africa if sub-Saharan Africa is to meet the WHO global nutrition target

  20. Quantifying Modern Recharge to the Nubian Sandstone Aquifer System: Inferences from GRACE and Land Surface Models

    Mohamed, A.; Sultan, M.; Ahmed, M.; Yan, E.

    2014-12-01

    The Nubian Sandstone Aquifer System (NSAS) is shared by Egypt, Libya, Chad and Sudanand is one of the largest (area: ~ 2 × 106 km2) groundwater systems in the world. Despite its importance to the population of these countries, major hydrological parameters such as modern recharge and extraction rates remain poorly investigated given: (1) the large extent of the NSAS, (2) the absence of comprehensive monitoring networks, (3) the general inaccessibility of many of the NSAS regions, (4) difficulties in collecting background information, largely included in unpublished governmental reports, and (5) limited local funding to support the construction of monitoring networks and/or collection of field and background datasets. Data from monthly Gravity Recovery and Climate Experiment (GRACE) gravity solutions were processed (Gaussian smoothed: 100 km; rescaled) and used to quantify the modern recharge to the NSAS during the period from January 2003 to December 2012. To isolate the groundwater component in GRACE data, the soil moisture and river channel storages were removed using the outputs from the most recent Community Land Model version 4.5 (CLM4.5). GRACE-derived recharge calculations were performed over the southern NSAS outcrops (area: 835 × 103 km2) in Sudan and Chad that receive average annual precipitation of 65 km3 (77.5 mm). GRACE-derived recharge rates were estimated at 2.79 ± 0.98 km3/yr (3.34 ± 1.17 mm/yr). If we take into account the total annual extraction rates (~ 0.4 km3; CEDARE, 2002) from Chad and Sudan the average annual recharge rate for the NSAS could reach up to ~ 3.20 ± 1.18 km3/yr (3.84 ± 1.42 mm/yr). Our recharge rates estimates are similar to those calculated using (1) groundwater flow modelling in the Central Sudan Rift Basins (4-8 mm/yr; Abdalla, 2008), (2) WaterGAP global scale groundwater recharge model (plans are underway for the deployment of a GRACE follow-On and GRACE-II missions, we suggest that within the next few years, GRACE

  1. Rabies diagnosis for developing countries.

    Salome Dürr

    Full Text Available BACKGROUND: Canine rabies is a neglected disease causing 55,000 human deaths worldwide per year, and 99% of all cases are transmitted by dog bites. In N'Djaména, the capital of Chad, rabies is endemic with an incidence of 1.71/1,000 dogs (95% C.I. 1.45-1.98. The gold standard of rabies diagnosis is the direct immunofluorescent antibody (DFA test, requiring a fluorescent microscope. The Centers for Disease Control and Prevention (CDC, Atlanta, United States of America developed a histochemical test using low-cost light microscopy, the direct rapid immunohistochemical test (dRIT. METHODOLOGY/PRINCIPAL FINDINGS: We evaluated the dRIT in the Chadian National Veterinary Laboratory in N'Djaména by testing 35 fresh samples parallel with both the DFA and dRIT. Additional retests (n = 68 in Chad, n = 74 at CDC by DFA and dRIT of stored samples enhanced the power of the evaluation. All samples were from dogs, cats, and in one case from a bat. The dRIT performed very well compared to DFA. We found a 100% agreement of the dRIT and DFA in fresh samples (n = 35. Results of retesting at CDC and in Chad depended on the condition of samples. When the sample was in good condition (fresh brain tissue, we found simple Cohen's kappa coefficient related to the DFA diagnostic results in fresh tissue of 0.87 (95% C.I. 0.63-1 up to 1. For poor quality samples, the kappa values were between 0.13 (95% C.I. -0.15-0.40 and 0.48 (95% C.I. 0.14-0.82. For samples stored in glycerol, dRIT results were more likely to agree with DFA testing in fresh samples than the DFA retesting. CONCLUSION/SIGNIFICANCE: The dRIT is as reliable a diagnostic method as the gold standard (DFA for fresh samples. It has an advantage of requiring only light microscopy, which is 10 times less expensive than a fluorescence microscope. Reduced cost suggests high potential for making rabies diagnosis available in other cities and rural areas of Africa for large populations for which a capacity for

  2. Child malnutrition in sub-Saharan Africa: A meta-analysis of demographic and health surveys (2006-2016).

    Akombi, Blessing J; Agho, Kingsley E; Merom, Dafna; Renzaho, Andre M; Hall, John J

    2017-01-01

    Sub-Saharan Africa has one of the highest levels of child malnutrition globally. Therefore, a critical look at the distribution of malnutrition within its sub-regions is required to identify the worst affected areas. This study provides a meta-analysis of the prevalence of malnutrition indicators (stunting, wasting and underweight) within four sub-regions of sub-Saharan Africa. Cross-sectional data from the most recent Demographic and Health Surveys (2006-2016) of 32 countries in sub-Saharan Africa were used. The countries were grouped into four sub-regions (East Africa, West Africa, Southern Africa and Central Africa), and a meta-analysis was conducted to estimate the prevalence of each malnutrition indicator within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 >50%), hence a random effect model was used, and sensitivity analysis was performed, to examine the effects of outliers. Stunting was defined as HAZAfrica; Niger (43.9%), Mali (38.3%), Sierra Leone (37.9%) and Nigeria (36.8%) in West Africa; Democratic Republic of Congo (42.7%) and Chad (39.9%) in Central Africa. Wasting was highest in Niger (18.0%), Burkina Faso (15.50%) and Mali (12.7%) in West Africa; Comoros (11.1%) and Ethiopia (8.70%) in East Africa; Namibia (6.2%) in Southern Africa; Chad (13.0%) and Sao Tome & Principle (10.5%) in Central Africa. Underweight was highest in Burundi (28.8%) and Ethiopia (25.2%) in East Africa; Niger (36.4%), Nigeria (28.7%), Burkina Faso (25.7%), Mali (25.0%) in West Africa; and Chad (28.8%) in Central Africa. The prevalence of malnutrition was highest within countries in East Africa and West Africa compared to the WHO Millennium development goals target for 2015. Appropriate nutrition interventions need to be prioritised in East Africa and West Africa if sub-Saharan Africa is to meet the WHO global nutrition target of improving maternal, infant and young child nutrition by 2025.

  3. Anticoagulant use for prevention of stroke in a commercial population with atrial fibrillation.

    Patel, Aarti A; Lennert, Barb; Macomson, Brian; Nelson, Winnie W; Owens, Gary M; Mody, Samir H; Schein, Jeff

    2012-07-01

    Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, and patients with AF are at an increased risk for stroke. Thromboprophylaxis with vitamin K antagonists reduces the annual incidence of stroke by approximately 60%, but appropriate thromboprophylaxis is prescribed for only approximately 50% of eligible patients. Health plans may help to improve quality of care for patients with AF by analyzing claims data for care improvement opportunities. To analyze pharmacy and medical claims data from a large integrated commercial database to determine the risk for stroke and the appropriateness of anticoagulant use based on guideline recommendations for patients with AF. This descriptive, retrospective claims data analysis used the Anticoagulant Quality Improvement Analyzer software, which was designed to analyze health plan data. The data for this study were obtained from a 10% randomly selected sample from the PharMetrics Integrated Database. This 10% sample resulted in almost 26,000 patients with AF who met the inclusion criteria for this study. Patients with a new or existing diagnosis of AF between July 2008 and June 2010 who were aged ≥18 years were included in this analysis. The follow-up period was 1 year. Demographics, stroke risk level (CHADS2 and CHA2DS2-VASc scores), anticoagulant use, and inpatient stroke hospitalizations were analyzed through the analyzer software. Of the 25,710 patients with AF (CHADS2 score 0-6) who were eligible to be included in this study, 9093 (35%) received vitamin K antagonists and 16,617 (65%) did not receive any anticoagulant. Of the patients at high risk for stroke, as predicted by CHADS2, 39% received an anticoagulant medication. The rates of patients receiving anticoagulant medication varied by age-group-16% of patients aged <65 years, 22% of those aged 65 to 74 years, and 61% of elderly ≥75 years. Among patients hospitalized for stroke, only 28% were treated with an anticoagulant agent in the outpatient

  4. Joint Soviet--French investigations of the solar corona. 2. Photometry of solar corona of June 30, 1973

    Vsekhsvyatskii, S.; Dzyubenko, N.; Ivanchuk, V.; Popov, O.; Rubo, G.; Koutchmy, S.; Koutchmy, O.; Stellmacher, G.

    1981-01-01

    The results are presented on a study of eclipse negative obtained on June 30, 1973, in Africa in the program of the Soviet--French experiment ''Dynamics of the White Corona'' by expeditions of Kiev University (Atar, Mauritania) and the Paris Astropysical Institute (Moussoro, Chad). The distributions of the total brightness of the corona out to rapprox. =4.5 R/sub sun/ and of its K and F components for the E and N directions are found with high accuracy on the basis of a new method of photometry and colorimetry using the images of stars down to 8.5/sup m/ as photometric standards. Neither reddening nor flattening of the dusty F component were detected at r -6 E/sub sun/

  5. Nasopharyngeal Pneumococcal Colonization among Children after Pneumococcal Conjugate Vaccine Introduction

    Manoochehr Karami

    2017-08-01

    Full Text Available World Health Organization has recommended all countries to introduction of Pneumococcal Conjugate Vaccine (PCV in routine immunization schedule, especially those countries with higher rate of mortality in children. However, Islamic Republic of Iran and more than 50 other countries including Algeria, Antigua and Barbuda, Belarus, Belize, Bhutan, Bosnia and Herzegovina, Brunei Darussalam, Cabo Verde, Chad, China, Comoros, Cook Islands, Croatia, Cuba, Czech Republic, Democratic People's Republic of Korea, Dominica, Egypt, Equatorial Guinea, Estonia, Gabon, Grenada, Guinea, Haiti, India, Jamaica, Jordan, Malaysia, Maldives, Malta, Montenegro, Nauru, Poland, Romania, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Samoa, San Marino, Serbia, Seychelles, Slovenia, Somalia, South Sudan, Sri Lanka, Syrian Arab Republic, Tajikistan, Thailand, The former Yugoslav Republic of Macedonia, Timor-Leste, Tonga, Tunisia, Turkmenistan, Tuvalu, Ukraine, Vanuatu, and Viet Namhave not introduced PCV till April 2016.

  6. Women Sex Importance in Stroke Patients with Atrial Fibrillation

    Cemile Handan Mısırlı

    2014-08-01

    Full Text Available OBJECTIVE: It was shown the differences in age, risk factors and treatment between women and men in stroke patients with atrial fibrillation METHODS: The stroke patients with atrial fibrillation who were hospitalized in our department at the last 2 years were seperated into 2 groups of aged above 75 and below 75, investigated with CHADS2 and CHA2DS2VASc scores and looked at the sex differences of women and men. RESULTS: Stroke ratio according to sex was statistically meaningful especially in women above the age of 75. Risc factors also were founded in elderly women and CHA2DS2VASc scores were higher in women than men so more anticoagulan treatment were begun. No differences were shown between sexes at lone atrial fibrillation and no treatment were begun. CONCLUSION: Women with atrial fibrillation had more risk factors, higher stroke rate and higher anticoagulation treatment.

  7. Bilateral occipital lobe infarction with altitudinal field loss following radiofrequency cardiac catheter ablation

    Chen Celia S

    2010-03-01

    Full Text Available Abstract Background Bilateral stroke following radiofrequency catheter ablation is an unusual complication and may result in bilateral altitudinal visual field defects. Bilateral altitudinal visual field defects usually result from prechiasmal pathology causing damage to both retinas or optic nerves and rarely from bilateral symmetric damage to the post chiasmal visual pathways. Case presentation A 48-year-old man complained of visual disturbance on wakening following radiofrequency catheter ablation. The patient had a CHADS score of 1 pre-operatively and no complications were noted intra-operatively. Examination revealed a bilateral superior altitudinal defect and MRI of the brain showed multifocal areas of infarction predominantly involving the occipital lobes which correlated to with the visual deficits. Conclusion While the risk of thromboembolism and perioperative stroke during radiofrequency catheter ablation is small, it is not insignificant.

  8. Posttraumatic idioms of distress among Darfur refugees: Hozun and Majnun.

    Rasmussen, Andrew; Katoni, Basila; Keller, Allen S; Wilkinson, John

    2011-09-01

    Although psychosocial programming is seen as essential to the humanitarian response to the Darfur conflict, aid groups lack culturally-appropriate assessment instruments for monitoring and evaluation. The current study used an emic-etic integrated approach to: (i) create a culturally-appropriate measure of distress (Study 1), and (ii) test the measure in structured interviews of 848 Darfuris living in two refugee camps in Chad (Study 2). Traditional healers identified two trauma-related idioms, hozun and majnun, which shared features with but were not identical to posttraumatic stress disorder and depression. Measures of these constructs were reliable and correlated with trauma, loss, and functional impairment. Exploratory factor analysis resulted in empirical symptom clusters conceptually parallel to general Western psychiatric constructs. Findings are discussed in terms of their implications for psychosocial programming.

  9. International labour migration in Nigeria 1976-1986: employment, nationality and ethnicity.

    Swindell, K

    1990-01-01

    International migration trends associated with the oil boom and bust that occurred in Nigeria between 1976 and 1986 are analyzed. "Large numbers came from Ghana..., [and] Niger, Chad and Togo, whose countries were suffering from a mixture of drought, political instability and stagnant economies. The resultant labour market became segmented according to job skills, nationality and ethnicity...." The decline in the oil industry led to the expulsion of some two million aliens between 1983 and 1986, causing considerable friction between Nigeria and its neighbors. The author concludes that "the rise and fall of migrant labour in Nigeria and the political situation within the country were embedded in the changing regional political economy of West Africa and its linkages to the larger world capitalist economy." (SUMMARY IN GER) excerpt

  10. Africa's Megafans and Their Tectonic Setting

    Wilkinson, M. J.; Burke, K.

    2016-01-01

    Megafans are a really extensive continental sediment bodies, fluvially derived, and fan-shaped in planform. Only those >80 km long were included in this study. Africa's megafans were mapped for purposes of both comprehensive geomorphic description and as a method of mapping by remote sensing large probable fluvial sediment bodies (we exclude sediment bodies deposited in well defined, modern floodplains and coastal deltas). Our criteria included a length dimension of >80 km and maximum width >40 km, partial cone morphology, and a radial drainage pattern. Visible and especially IR imagery were used to identify the features, combined with topographic SRTM data. We identified 99 megafans most of which are unstudied thus far. Their feeder rivers responsible for depositing megafan sediments rise on, and are consequent drainages oriented down the slopes of the swells that have dominated African landscapes since approximately 34 Ma (the high points in Africa's so-called basin-and-swell topography [1]). Most megafans (66%) have developed along these consequent rivers relatively near the swell cores, oriented radially away from the swells. The vast basins between the swells provide accommodation for megafan sediment wedges. Although clearly visible remotely, most megafans are inactive as a result of incision by the feeder river (which then no longer operates on the fan surface). Two tectonic settings control the location of Africa's megafans, 66% on swell flanks, and 33% related to rifts. (i) Swell flanks Most megafans are apexed relatively near the core of the parent swell, and are often clustered in groups: e.g., six on the west and north flanks of the Hoggar Swell (Algeria), seven on the north and south flanks of the Tibesti Swell (Libya-Chad borderlands), twelve on the west flank of the Ethiopian Swell, four on the east flank of the East African Swell (Kenya), Africa's largest, and eight around Angola's Bié Swell (western Zambia, northern Namibia). A cluster of possible

  11. A Reappraisal of the Expulsion of Illegal Immigrants from Nigeria in 1983

    Daouda Gary-Tounkara

    2016-04-01

    Full Text Available In recent years, Nigeria has been quietly expelling more and more immigrants from Niger, Mali, Chad and Cameroon. These foreigners – migrant workers or small traders – face the reinforcement of migration control and the blind fight of the government against Boko Haram. Despite its political instability, Nigeria remains a major immigration destination in West Africa. In this article, I analyze the “undocumented” expulsion of aliens in 1983, officially three million people. I argue that the expulsion was due to the economic crisis but also to a nationalist revenge against Ghana and a political calculation of President Shagari. This implies the exclusion of foreigners from the national labour market and the weakening of the supposed electoral base of his opponents.

  12. High field superconductor development and understanding project, Final Report

    Larbalestier, David C.; Lee, Peter J.

    2009-07-15

    Over 25 years the Applied Superconductivity Center at the University of Wisconsin-Madison provided a vital technical resource to the High Energy Physics community covering development in superconducting strand for HEP accelerator magnet development. In particular the work of the group has been to develop the next generation of high field superconductors for high field application. Grad students Mike Naus, Chad Fischer, Arno Godeke and Matt Jewell improved our understanding of the microstructure and microchemistry of Nb3Sn and their impact on the physical and mechanical properties. The success of this work has led to the continued funding of this work at the ASC after it moved to the NHMFL and also to direct funding from BNL for some aspects of Nb3Sn cable evaluation.

  13. Evolution of rainfall in the Sahel

    Diallo, M.A.

    1995-09-01

    In this note, a number of main meteorological stations has been chosen to analyse the rainfall during the last 30 years in the Sahel (1961 to 1990). Reliable climatological data have been used for this study. The concerned area is limited by the 200 mm isohyet in the north and 600 mm isohyet in the south in the Sahel countries (Senegal, Mauritania, Mali, Burkina Faso, Niger and Chad). The evolution of rainfall has pointed out some similar and significant aspects for all stations studied. Established criteria have been used to characterize the annual rainfall and to determine the years with good rainfall and years of drought in the Sahel. (author). 6 refs, 3 figs

  14. UNOSAT at CERN – 15 years of satellite imagery support to the humanitarian and development community

    CERN. Geneva

    2017-01-01

    Abstract: UNOSAT is part of the United Nations Institute for Training and Research (UNITAR) and has been hosted at CERN since 2001. This partnership allows UNOSAT to benefit from CERN's IT infrastructure whenever the situation requires, allowing the UN to be at the forefront of satellite-analysis technology. Specialists in geographic information systems (GIS) and in the analysis of satellite data, supported by IT engineers and policy experts, ensure a dedicated service to the international humanitarian and development communities 24 hours a day, seven days a week. The presentation will give an overview of the variety of activities carried out by UNOSAT over the last 15 years including support to humanitarian assistance and protection of cultural heritage, sustainable water management in Chad and training & capacity development in East Africa and Asia. The talk will be followed at 12:00 by the inauguration of the UNOSAT exhibition, in front of the Users' office. Speaker: Einar Bjor...

  15. Effectiveness of dog rabies vaccination programmes: comparison of owner-charged and free vaccination campaigns.

    Durr, S; Mindekem, R; Kaninga, Y; Doumagoum Moto, D; Meltzer, M I; Vounatsou, P; Zinsstag, J

    2009-11-01

    We investigated the percentage of dogs that could be vaccinated against rabies by conducting a pilot campaign in N'Djaména, Chad. Owners were charged US$4.13 per dog vaccinated, and 24% of all dogs in the three city districts covered by the campaign were vaccinated. Total campaign costs were US$7623, resulting in an average of US$19.40 per vaccinated dog. This is five times more expensive than the cost per animal vaccinated during a previous free vaccination campaign for dog-owners, conducted in the same districts. The free campaign, which vaccinated 2605 more dogs than this campaign, cost an additional US$1.45 per extra dog vaccinated. Campaigns in which owners are charged for vaccinations result in lower vaccination rates than in free campaigns. Public health officials can use these results when evaluating the costs and benefits of subsidizing dog rabies vaccination programmes.

  16. Origin of Harmattan dust settled in Northern Ghana – Long transported or local dust?

    Lyngsie, Gry; Awadzi, Theodore W; Breuning-Madsen, Henrik

    2011-01-01

    is that the majority of dust deposited in northern Ghana may not be from the original Harmattan source in the Bodélé Depression. The aim of this study is therefore to investigate the origin of deposited dust in Tamale, Ghana. This is examined by comparing wind data, grain size distribution, mineralogical......The Harmattan is a dry, dust-laden continental wind which has its origin in the Bodélé Depression in the Chad basin. In Ghana the Harmattan can be experienced from November to March, when the Harmattan replaces the dominant south westerly maritime Monsoon wind. The hypothesis of this study...... and geochemical data from dust samples deposited during the Harmattan and Monsoon seasons, and topsoil. This study shows that despite a clear difference between the wind directions in the Harmattan and Monsoon seasons in Tamale, northern Ghana, no distinct differences are observed between the mineral or elemental...

  17. The French Muskoka Fund: origin, objectives, and implementation.

    Aboubaker, S; Grimaldi, C

    2016-11-01

    Through its Priority Solidarity Fund, France set up a partnership with four United Nations agencies, WHO, UNICEF, UNFPA, and UN WOMEN for the years 2011-2015 with an annual budget of 19 M €. An additional sixth year supplementary is underway. The program was developed through a common framework of actions coordinated and harmonized at the level of the target countries: integrated management of childhood diseases, mother-child nutrition, prenatal, perinatal, and postpartum follow-up, sexual and reproductive health, and adolescent health. The contribution of WHO was based on its normative role; UNICEF offered its operational capacity in the field, and UNFPA its focus on reproductive health, while UN WOMEN dealt with gender questions. The countries targeted specifically were: Benin, Burkina Faso, Côte d'Ivoire, Guinea, Haiti, Mali, Nigeria, Central Africa Republic, Democratic Republic of the Congo, Senegal, Chad, and Togo.

  18. Sedimentary processes in the Carnot Formation (Central African Republic) related to the palaeogeographic framework of Central Africa

    Censier, Claude; Lang, Jacques

    1999-08-01

    The depositional environment, provenance and processes of emplacement of the detrital material of the Mesozoic Carnot Formation are defined, by bedding and sedimentological analysis of its main facies, and are reconstructed within the palaeogeographic framework of Central Africa. The clastic material was laid down between probably the Albian and the end of the Cretaceous, in a NNW-oriented braided stream fluvial system that drained into the Doba Trough (Chad) and probably also into the Touboro Basin (Cameroon). The material was derived from weathering of the underlying Devonian-Carboniferous Mambéré Glacial Formation and of the Precambrian schist-quartzite complex located to the south of the Carnot Formation. These results provide useful indications as to the provenance of diamonds mined in the southwest Central African Republic.

  19. TUPURISME LEXICAL AU SERVICE D’UN COMMERCE FLORISSANT À MAROUA: LA VENTE DU BIL-BIL

    Jean Paul BALGA

    2012-05-01

    Full Text Available Adamawa-Ubangi language spoken in south-western Chad and north-east of Cameroon, with nearly one million speakers, the Tupuri is in close cohabitation with the French in the border region of Central Africa (Ruelland, 2003: 127. The use of French in the bilingual context does not live smoothly. The resulting linguistic consequences, which modify its configuration syntax and semantics. This article is from a classic sociolinguistic survey, to describe some aspects of language vitality of French spoken in the pubs in Maroua. In other words, it comes to analyzing the vocabulary used by sellers of consumer bil-bil to attract customers and improve the quality of the atmosphere in the stores. This vocabulary derives in particular the contact between the French and the language Tupuri.

  20. Africa's contribution to putting an end to nuclear explosions

    2010-09-01

    African States play an important role in worldwide efforts towards nuclear non-proliferation and disarmament. All 53 African States are parties to the Nuclear Non-Proliferation Treaty (NPT), which aims at preventing the spread of nuclear weapons and weapons technology, advancing nuclear disarmament, and facilitating the peaceful uses of nuclear energy. Of Africa's 53 States, 51 have signed the Comprehensive Nuclear-Test-Ban Treaty (CTBT) and 38 have also ratified it as of September 2010. Mauritius and Somalia are the only two States still to sign the Treaty. The States that have signed but not yet ratified are: Angola, Chad, Comoros, Congo, Egypt, Equatorial Guinea, Gambia, Ghana, Guinea, Guinea-Bissau, Sao Tome and Principe, Swaziland and Zimbabwe. Egypt's ratification is of particular importance as it is one of those States whose ratification is required for the Treaty's entry into force.

  1. Petroleum reserves in West Africa: an overview

    Copinschi, Ph.; Favennec, J.P.

    1999-01-01

    The Gulf of Guinea region in West Africa is one in which production and reserves have increased the most during the last few years, essentially due to offshore operation. It is also there that the most spectacular discoveries have been made in recent years, particularly with deep-sea drilling. The low production costs and enthusiastic welcome for foreign investors make the region a favoured destination for large international companies, even if uncertainties and political tensions remain to make the situation delicate. In these conditions, the relationship between the host State and the foreign petrol companies are changing. Beyond the purely formal aspects of these new contacts, the whole former system of 'reserved markets' is being threatened by the increasing tendency to open the sector to competition. Eight countries are examined in detail: Nigeria, Angola, Gabon, Congo, Cameroon, Equatorial Guinea, the Ivory Coast and Chad. (authors)

  2. Environment-friendly drilling operation technology

    Luo, Huaidong; Jing, Ning; Zhang, Yanna; Huang, Hongjun; Wei, Jun

    2017-01-01

    Under the circumstance that international safety and environmental standards being more and more stringent, drilling engineering is facing unprecedented challenges, the extensive traditional process flow is no longer accepted, the new safe and environment-friendly process is more suitable to the healthy development of the industry. In 2015, CNPCIC adopted environment-friendly drilling technology for the first time in the Chad region, ensured the safety of well control, at the same time increased the environmental protection measure, reduced the risk of environmental pollution what obtain the ratification from local government. This technology carries out recovery and disposal of crude oil, cuttings and mud without falling on the ground. The final products are used in road and well site construction, which realizes the reutilization of drilling waste, reduces the operating cost, and provides a strong technical support for cost-cutting and performance-increase of drilling engineering under low oil price.

  3. Orphans in Three Sahelian Countries: Exploratory Analyses from Census Data

    Richard Marcoux

    2010-12-01

    Full Text Available Important investments in Africa have reduced slightly the levels child mortality but life expectancy still very low. The number of children without surviving biological parents is increasing and orphans are becoming an important social problem. Because Sahelian societies are mostly patriarchal, becoming fatherless or motherless will have different effects on the well being of the child. This paper examines the levels and trends of the survival status of the parents and then, living arrangements of orphans. We describe characteristics of these children with a special focus on education and economic activities. The paper uses the censuses from Chad, Niger and Senegal made available by the African Census Analysis Project (ACAP held at University of Pennsylvania. These countries collected information on survival status of each biological parent to estimate adult mortality but the potential of this information for research on child well-being is rarely exploited.

  4. CERT TST December 2015 Visit Summary

    Little, Robert Currier [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Bailey, Teresa S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gamblin, G. Todd [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Olinger, Chad Tracy [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Pautz, Shawn D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Williams, Alan B. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-01-25

    The annual PSAAP II TST visit to Texas A&M’s CERT Center was held on December 1-3, 2015. The agenda for the visit is attached. Non-TAMU attendees were: TST Members – Teresa Bailey (LLNL), Todd Gamblin (LLNL), Bob Little (LANL) – Chair, Chad Olinger (LANL), Shawn Pautz (SNL), Alan Williams (SNL);Other Lab staff – Skip Kahler (LANL), Ana Kupresanin (LLNL), and Rob Lowrie (LANL); AST Members – Nelson Hoffman (LANL) and Bob Voigt (Leidos) The TST wishes to express our appreciation to all involved with CERT for the high-quality posters and presentations and for the attention to logistics that enabled a successful visit. We have broken our comments into four sections: (1) Kudos, (2) Recommendations, (3) Feedback on Priorities for April Review, and (4) Follow-Up Activities with Labs.

  5. EU Aid Conditionality in ACP Countries: Explaining Inconsistency in EU Sanctions Practice

    Karen Del Biondo

    2011-09-01

    Full Text Available The EU is often criticised for using negative conditionality only in poor, strategically less important countries in the ACP region. However, whether and why there is inconsistency within the group of ACP countries has not been properly investigated. Therefore, this article investigates the reasons for the EU’s non-application of Article 96 of the Cotonou Agreement in five countries that can be considered typical cases where negative conditionality is generally imposed, namely countries that experienced flawed elections over the last ten years: Ethiopia, Rwanda, Nigeria, Kenya and Chad. On the one hand, the study confirms previous findings that security interests tend to trump the EU’s efforts to promote democratisation. On the other hand, the article adds that democratisation might not only conflict with the EU’s interests, but also with its objective to promote development and poverty reduction.

  6. Member State Foreign Policy towards EU Military Operations

    Rodt, Annemarie Peen

    2017-01-01

    Over the past decade the European Union has undertaken military operations in Macedonia, Bosnia-Herzegovina, twice in the Democratic Republic of Congo, jointly in the Central African Republic and Chad, both in and off the coast of Somalia and most recently in Mali. Ongoing discussions in Brussels...... suggest that another operation in CAR may be underway shortly. The EU’s military endeavours are particularly interesting to this enquiry, as they suggest a radical change in the cohort of member states’ foreign policy towards the Union, which until the turn of the Millennium had been considered by its MS......, amongst others, as a predominantly ‘civilian power’. The significance of such a change merits a chapter that delves deeper into MS foreign policy specifically related to EU military operations.The rationale for this research is to further unpack intra-EU foreign policy and its effect on the external...

  7. Civil Affairs Language for Informing Cultural Operations (CALICO)

    2011-10-01

    lesser  percentage  of pages.  In order to select  this small sample in a representative manner, the corpus was stratified by relief organization activity...burkina faso  mali  guinea  guinea bissau  benin  liberia  cote d’ivoire  ivory coast  mali  nigeria   niger  cameroon  chad  central african republic  sudan...water supply  rainfall  soil  infertility   desertification  climatic variability  organic matter  Settlements    rural  Security Situation    conflict

  8. Reducing energy consumption and CO{sub 2} emissions in thermally coupled azeotropic distillation

    Sun, L.Y.; Chang, X.W.; Zhang, Y.M.; Li, J.; Li, Q.S. [Department of Chemical Engineering, China University of Petroleum, Qingdao, Shandong Province (China)

    2010-03-15

    The design and optimization procedures of a heterogeneous thermally coupled azeotropic distillation sequence with a side stripper (TCADS-SS) for the purification of isopropanol has been investigated. The proposed procedures can detect the optimal values of the design variables and thereby guarantee the minimum energy consumption, which is related to the minimum CO{sub 2} emissions and the lowest total annual cost (TAC). The procedures are applied to the study of the separation of azeotropic mixtures using the two distillation sequences. In the TCADS-SS, the top end of the side stripper has both liquid and vapor exchange with the main column, which eliminates a condenser in contrast with the conventional heterogeneous azeotropic distillation sequence (CHADS). The results show that not only reductions in energy consumption and CO{sub 2} emissions but also higher thermodynamic efficiency can be obtained for the TCADS-SS. (Abstract Copyright [2010], Wiley Periodicals, Inc.)

  9. Joint Soviet-French studies of the solar corona. II - Photometry of the solar corona on June 30, 1973

    Vsekhsvyatsky, S. K.; Dzyubenko, N. I.; Ivanchuk, V. I.; Popov, O. S.; Rubo, G. A.; Koutchmy, S.; Koutchmy, O.; Shtelmacher, G.

    1981-04-01

    Results are presented of a study of negatives obtained on June 30, 1973 during the total solar eclipse in Africa; the study was part of a joint Soviet-French experiment on white corona dynamics, carried out by expeditions of Kiev University (Atar, Mauritania) and the Paris Astrophysical Institute (Moussoro, Chad). The distribution of total corona brightness up to 4.5 solar radii and its K and F corona components for east and north directions were found on the basis of novel methods of photometry and colorimetry using star images up to 8.5m as the photometry standards. Neither the color effect nor flattening is found in the inner part (less than 2.5 solar radii) of the F corona. Integral corona brightness in the standard zone of 1.03-6.00 solar radii was found to be 0.64 x 10 to the -6th solar-E.

  10. Epidemiological studies on syncope

    Ruwald, Martin Huth

    2013-01-01

    of the patients play an essential role. In epidemiology these factors have major impact on the outcome of the patients. Until recently, even the definition of syncope differed from one study to another which has made literature reviews difficult. Traditionally the data on epidemiology of syncope has been taken...... from smaller studies from different clinical settings with wide differences in patient morbidity. Through the extensive Danish registries we examined the characteristics and prognosis of the patients hospitalized due to syncope in a nationwide study. The aims of the present thesis were to investigate......, prevalence and cardiovascular factors associated with the risk of syncope, 4) the prognosis in healthy individuals discharged after syncope, and 5) the prognosis of patients after syncope and evaluation of the CHADS2 score as a tool for short- and long-term risk prediction. The first studies of the present...

  11. Elasticity of Substitution and Antidumping Measures

    Drud Hansen, Jørgen; Meinen, Philipp; Nielsen, Jørgen Ulff-Møller

    Abstract This paper analyzes the role of the elasticity of substitution for anti-dumping decisions across countries. In monopolistic competition models with cost heterogeneous firms across countries, price differences vary inversely with the elasticity of substitution. Anti-dumping duties should...... therefore also vary inversely with the elasticity of substitution at least for countries which have a strong focus on prices in the determination of their anti-dumping measures. We test this for ten countries from 1990 to 2009 using data on anti-dumping from Chad Bown (2010) and US-data at 8-digit level...... in our empirical investigation support the predicted role of the elasticity of substitution as we find a significant negative relation between the elasticity of substitution and the final anti-dumping duties for the ‘lesser duty rule’ group of countries. The countries which do not follow the ‘lesser duty...

  12. Careers and people

    2009-02-01

    Early-career scientists honoured Nine physicists were among 67 US-based researchers to be awarded a Presidential Early Career Award for Scientists and Engineers at a White House ceremony in late December 2008. The award comes with up to five years' funding for research deemed critical to government missions. This year's winners include nuclear physicist Mickey Chiu and particle physicist Hooman Davoudiasl, both of the Brookhaven National Laboratory; biophysicist Michael Elowitz of the California Institute of Technology; Chad Fertig, an atomic physicist at the University of Georgia; astronomer Charles Kankelborg of Montana State University; astrophysicist Merav Opher of George Mason University; theorist Robin Santra of the Argonne National Laboratory; quantum-computing researcher Raymond Simmons of the National Institute of Standards and Technologies in Boulder, Colorado; and string theorist Anastasia Volovich of Brown University.

  13. Crocodiles in the Sahara desert: an update of distribution, habitats and population status for conservation planning in Mauritania.

    José C Brito

    Full Text Available BACKGROUND: Relict populations of Crocodylus niloticus persist in Chad, Egypt and Mauritania. Although crocodiles were widespread throughout the Sahara until the early 20(th century, increased aridity combined with human persecution led to local extinction. Knowledge on distribution, occupied habitats, population size and prey availability is scarce in most populations. This study evaluates the status of Saharan crocodiles and provides new data for Mauritania to assist conservation planning. METHODOLOGY/PRINCIPAL FINDINGS: A series of surveys in Mauritania detected crocodile presence in 78 localities dispersed across 10 river basins and most tended to be isolated within river basins. Permanent gueltas and seasonal tâmoûrts were the most common occupied habitats. Crocodile encounters ranged from one to more than 20 individuals, but in most localities less than five crocodiles were observed. Larger numbers were observed after the rainy season and during night sampling. Crocodiles were found dead in between water points along dry river-beds suggesting the occurrence of dispersal. CONCLUSION/SIGNIFICANCE: Research priorities in Chad and Egypt should focus on quantifying population size and pressures exerted on habitats. The present study increased in by 35% the number of known crocodile localities in Mauritania. Gueltas are crucial for the persistence of mountain populations. Oscillations in water availability throughout the year and the small dimensions of gueltas affect biological traits, including activity and body size. Studies are needed to understand adaptation traits of desert populations. Molecular analyses are needed to quantify genetic variability, population sub-structuring and effective population size, and detect the occurrence of gene flow. Monitoring is needed to detect demographical and genetical trends in completely isolated populations. Crocodiles are apparently vulnerable during dispersal events. Awareness campaigns focusing on

  14. Phase 2 Placebo-Controlled Trial of Two Vaccines to Prevent Ebola in Liberia.

    Kennedy, Stephen B; Bolay, Fatorma; Kieh, Mark; Grandits, Greg; Badio, Moses; Ballou, Ripley; Eckes, Risa; Feinberg, Mark; Follmann, Dean; Grund, Birgit; Gupta, Swati; Hensley, Lisa; Higgs, Elizabeth; Janosko, Krisztina; Johnson, Melvin; Kateh, Francis; Logue, James; Marchand, Jonathan; Monath, Thomas; Nason, Martha; Nyenswah, Tolbert; Roman, François; Stavale, Eric; Wolfson, Julian; Neaton, James D; Lane, H Clifford

    2017-10-12

    The safety and efficacy of vaccines to prevent Ebola virus disease (EVD) were unknown when the incidence of EVD was peaking in Liberia. We initiated a randomized, placebo-controlled, phase 3 trial of the chimpanzee adenovirus 3 vaccine (ChAd3-EBO-Z) and the recombinant vesicular stomatitis virus vaccine (rVSV∆G-ZEBOV-GP) in Liberia. A phase 2 subtrial was embedded to evaluate safety and immunogenicity. Because the incidence of EVD declined in Liberia, the phase 2 component was expanded and the phase 3 component was eliminated. A total of 1500 adults underwent randomization and were followed for 12 months. The median age of the participants was 30 years; 36.6% of the participants were women. During the week after the administration of vaccine or placebo, adverse events occurred significantly more often with the active vaccines than with placebo; these events included injection-site reactions (in 28.5% of the patients in the ChAd3-EBO-Z group and 30.9% of those in the rVSV∆G-ZEBOV-GP group, as compared with 6.8% of those in the placebo group), headache (in 25.1% and 31.9%, vs. 16.9%), muscle pain (in 22.3% and 26.9%, vs. 13.3%), feverishness (in 23.9% and 30.5%, vs. 9.0%), and fatigue (in 14.0% and 15.4%, vs. 8.8%) (PLiberia showed the capability of conducting rigorous research during an outbreak. By 1 month after vaccination, the vaccines had elicited immune responses that were largely maintained through 12 months. (Funded by the National Institutes of Allergy and Infectious Diseases and the Liberian Ministry of Health; PREVAIL I ClinicalTrials.gov number, NCT02344407 .).

  15. Progress toward interruption of wild poliovirus transmission--worldwide, January 2011-March 2012.

    2012-05-18

    In January 2012, completion of polio eradication was declared a programmatic emergency for global public health by the Executive Board of the World Health Organization (WHO). Despite major progress since the launch of the Global Polio Eradication Initiative (GPEI) in 1988, circulation of indigenous wild poliovirus (WPV) continues in three countries (Afghanistan, Nigeria, and Pakistan). India has not reported a polio case since January 2011, and is considered polio-free since February 2012. This report highlights progress toward global polio eradication during January 2011-March 2012. The number of polio cases reported globally decreased by 52%, from 1,352 in 2010 to 650 in 2011. Those 650 cases included 341 (53%) reported from the four polio-endemic countries (Afghanistan, India, Nigeria, and Pakistan), 230 (35%) from previously polio-free countries in which WPV importations led to reestablished transmission for ≥12 months (Angola, Chad, and Democratic Republic of the Congo [DRC]), and 79 (12%) from nine countries affected by outbreaks. Compared with 2010, WPV cases increased in 2011 in Afghanistan (69%), Nigeria (66%), and Pakistan (27%), but decreased in India (98%). During January-March 2012, 59% fewer cases were reported worldwide (as of May 15) compared with the same period in 2011, and all cases in 2012 have been reported from Afghanistan, Chad, Nigeria, and Pakistan. Although progress toward polio eradication was substantial in 2011, persistent WPV circulation in 2012, particularly in Nigeria and Pakistan, poses an ongoing threat to eradication efforts, underscoring the need for emergency measures by polio-affected countries and those at risk for outbreaks after importation.

  16. Mapping palaeolakes in the Ténéré Desert of northeastern Niger using space-borne data for groundwater potential

    Molina, Gloria; Gaber, Ahmed; El-Baz, Farouk

    2017-12-01

    Groundwater resources in arid lands are crucial for supporting life. Thus, delineation of low land areas, where surface runoff accumulated during pluvial periods assists in groundwater explorations. Therefore, the drainage patterns in northeastern Niger using various sources of DEMs of optical (ASTER) and radar (SRTM) satellite data were extracted. These data reveal three palaeolakes in the Ténéré Desert. In addition, the DEMs together with the optical and radar satellite data were used to define a major watershed measuring 634,000 km2. This watershed may have led to the formation of one major palaeolake as an ancestor of the three palaeolakes. The latter extend to 11,514 km2, 17,571 km2 and 18,453 km2. The optical and radar satellites images show that the boundaries of these three lakes have been modified by extensive longitudinal and transverse sand dunes of considerable thickness. These dunes accumulated during a much later arid episode in geologic time, probably during the late Quaternary. Prior to that, the former marshlands received water from the Tibesti Mountains of northern Chad, the Ahaggar Plateau of southeastern Algeria and the Air Mountain of northern Niger. The drainage patterns clearly show the pathway of water down to the ground level. The longest drainage line is emanating from the Ahaggar Plateau and extends south west for 837 km. The water overflow of the southernmost lake led to the formation of another distinct drainage line, leading to the southwestern edge of the ancestral Megalake Chad. This drainage line begins in the vicinity of the town of Fachi and extends southward through the town of Dillia as a single tributary, and is here named the Dillia Palaeoriver. These observations, which are based on the study of satellite data require geophysical fieldwork to ascertain the interpretations, and evaluate the potential for groundwater accumulation in the region.

  17. Preclinical assessment of viral vectored and protein vaccines targeting the Duffy-binding protein region II of Plasmodium vivax

    Simone C de Cassan

    2015-07-01

    Full Text Available Malaria vaccine development has largely focused on Plasmodium falciparum; however a reawakening to the importance of P. vivax has spurred efforts to develop vaccines against this difficult to treat and at times severe form of relapsing malaria, which constitutes a significant proportion of human malaria cases worldwide. The almost complete dependence of P. vivax red blood cell invasion on the interaction of the P. vivax Duffy-binding protein region II (PvDBP_RII with the human Duffy antigen receptor for chemokines (DARC, makes this antigen an attractive vaccine candidate against blood-stage P. vivax. Here, we generated both preclinical and clinically-compatible adenoviral and poxviral vectored vaccine candidates expressing the Salvador I allele of PvDBP_RII – including human adenovirus serotype 5 (HAdV5, chimpanzee adenovirus serotype 63 (ChAd63 and modified vaccinia virus Ankara (MVA vectors. We report on the antibody and T cell immunogenicity of these vaccines in mice or rabbits, either used alone in a viral vectored prime-boost regime, or in ‘mixed-modality’ adenovirus prime – protein-in-adjuvant boost regimes (using a recombinant protein PvDBP_RII protein antigen formulated in Montanide®ISA720 or Abisco®100 adjuvants. Antibodies induced by these regimes were found to bind to native parasite antigen from P. vivax infected Thai patients and were capable of inhibiting the binding of PvDBP_RII to its receptor DARC using an in vitro binding inhibition assay. In recent years, recombinant ChAd63 and MVA vectors have been quickly translated into human clinical trials for numerous antigens from P. falciparum as well as a growing number of other pathogens. The vectors reported here are immunogenic in small animals, elicit antibodies against PvDBP_RII and have recently entered clinical trials which will provide the first assessment of the safety and immunogenicity of the PvDBP_RII antigen in humans.

  18. Balancing stroke and bleeding risks in patients with atrial fibrillation and renal failure: the Swedish Atrial Fibrillation Cohort study.

    Friberg, Leif; Benson, Lina; Lip, Gregory Y H

    2015-02-01

    Patients who have both atrial fibrillation (AF) and renal failure have an increased risk of thrombo-embolism. Renal failure is also a risk factor for bleeding, which makes decisions regarding thromboprophylaxis complicated. Our aim was to determine risks for ischaemic stroke and bleeding in patients with AF and renal failure in relation to anticoagulant strategies. This is retrospective non-randomized study of Swedish health registers comprising 307 351 patients with AF, of whom 13 435 had a previous diagnosis of renal failure. Ischaemic stroke occurred more often in AF patients with renal failure (annual rate, 3.9% vs. no renal failure, 2.9%), but this was related to concomitant comorbidities [adjusted hazard ratio (HR) 1.02, 95% confidence interval (CI) 0.95-1.10]. Adding renal failure to the established stroke risk stratification schemes (CHADS2 and CHA2DS2-VASc) did not improve their predictive value. Renal failure was an independent risk factor for intracranial bleeding [adjusted HR: 1.27 (1.09-1.49)]. Most patients with renal failure benefited from warfarin treatment, despite their high bleeding risk. The incidence of the combined endpoint ischaemic or haemorrhagic stroke or death was lower among those who used warfarin than among those who did not use warfarin (adjusted HR: 0.76, CI 0.72-0.80). Patients with both AF and renal failure will probably benefit most from having the same treatment as is recommended for other patients with AF, without setting a higher or lower threshold for treatment. Adding additional points for renal failure to the CHADS2 and CHA2DS2-VASc scores did not improve their predictive value. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  19. Coordination as a best practice from the polio eradication initiative: Experiences from five member states in the African region of the World Health Organization.

    Okeibunor, Joseph; Nsubuga, Peter; Salla, Mbaye; Mihigo, Richard; Mkanda, Pascal

    2016-10-10

    As part of the efforts to eradicate polioviruses in the African Region, structures were put in place to ensure coordinated mobilization and deployment of resources within the framework of the global polio eradication initiative (PEI). The successes of these structures made them not only attractive to other public health interventions, but also caused them to be deployed to the response efforts of other diseases interventions, without any systematic documentation. This article documents the contributions of PEI coordination units to other public health interventions in the African Region of World Health Organization METHODS: We reviewed the contributions of PEI coordination units to other public health interventions in five countries in the African Region. The analysis identified significant involvement of PEI coordination structures in the implementation of routine immunization programs in all the countries analyzed. Similarly, maternal and child health programs were planned, implemented, monitored and evaluation the Inter-Agency Coordination Committees of the PEI programs in the different countries. The hubs system used in PEI in Chad facilitated the efficient coordination of resources for immunization and other public health interventions in Chad. Similarly, in the Democratic Republic of Congo PEI led coordination activities benefited other public health programs like disease control and the national nutrition program, the national malaria control program, and the tuberculosis control program. In Nigeria, the polio Expert Review Committee effectively deployed the Emergency Operation Center for the implementation of prioritized strategies and activities of the National Polio Eradication Emergency Plan, and it was utilized in the response to Ebola Virus Disease outbreak in the country. The PEI-led coordination systems are thus recognized as having made significant contribution to the coordination and delivery of other public health interventions in the African

  20. Transmission dynamics and economics of rabies control in dogs and humans in an African city.

    Zinsstag, J; Dürr, S; Penny, M A; Mindekem, R; Roth, F; Menendez Gonzalez, S; Naissengar, S; Hattendorf, J

    2009-09-01

    Human rabies in developing countries can be prevented through interventions directed at dogs. Potential cost-savings for the public health sector of interventions aimed at animal-host reservoirs should be assessed. Available deterministic models of rabies transmission between dogs were extended to include dog-to-human rabies transmission. Model parameters were fitted to routine weekly rabid-dog and exposed-human cases reported in N'Djaména, the capital of Chad. The estimated transmission rates between dogs (beta(d)) were 0.0807 km2/(dogs x week) and between dogs and humans (beta(dh)) 0.0002 km2/(dogs x week). The effective reproductive ratio (R(e)) at the onset of our observations was estimated at 1.01, indicating low-level endemic stability of rabies transmission. Human rabies incidence depended critically on dog-related transmission parameters. We simulated the effects of mass dog vaccination and the culling of a percentage of the dog population on human rabies incidence. A single parenteral dog rabies-mass vaccination campaign achieving a coverage of least 70% appears to be sufficient to interrupt transmission of rabies to humans for at least 6 years. The cost-effectiveness of mass dog vaccination was compared to postexposure prophylaxis (PEP), which is the current practice in Chad. PEP does not reduce future human exposure. Its cost-effectiveness is estimated at US $46 per disability adjusted life-years averted. Cost-effectiveness for PEP, together with a dog-vaccination campaign, breaks even with cost-effectiveness of PEP alone after almost 5 years. Beyond a time-frame of 7 years, it appears to be more cost-effective to combine parenteral dog-vaccination campaigns with human PEP compared to human PEP alone.

  1. Asenapina – nowy lek przeciwpsychotyczny drugiej generacji

    Krzysztof Artur Kucia

    2010-06-01

    Full Text Available Asenapina jest nowym lekiem przeciwpsychotycznym, dopuszczonym w 2009 roku przez FDA do leczenia ostrych epizodów schizofrenii oraz epizodów manii i epizodów mieszanych związanych z chorobą afektywną dwubiegunową typu I u dorosłych. Nazwa handlowa asenapiny w USA to Saphris, natomiast proponowana w Unii Europejskiej to Sycrest. Planowana na rok 2010 rejestracja europejska ma objąć analogiczne wskazania, z wyjątkiem epizodów mieszanych w przebiegu CHAD. Asenapina wykazuje duże powinowactwo i wysoką swoistość w stosunku do receptorów dopaminowych, serotoninowych, adrenergicznych i histaminowych. Lek jest metabolizowany do dwóch nieaktywnych metabolitów, a okres jego połowicznej eliminacji wynosi mniej więcej 24 godziny. Asenapina jest dostępna w postaci tabletek podjęzykowych, zapewniających optymalne i szybkie wchłanianie leku. Dawka zalecana w schizofrenii to 5 mg dwa razy na dobę, w CHAD typu I zaleca się rozpoczęcie terapii od 10 mg dwa razy dziennie. Badania kliniczne z użyciem asenapiny wykazały w stopniu statystycznie znamiennym jej skuteczność w zmniejszaniu nasilenia zarówno objawów pozytywnych i negatywnych schizofrenii, jak i objawów manii. We wszystkich badaniach lek był dobrze tolerowany. Najczęściej pojawiającymi się działaniami niepożądanymi były: bezsenność, nadmierna senność, bóle głowy i przyrost masy ciała, których nasilenie oceniono jako łagodne lub umiarkowane.

  2. The silent victims of humanitarian crises and livelihood (insecurity: A case study among migrants in two Chadian towns

    Syntyche Nakar Djindil

    2009-04-01

    Full Text Available Once a humanitarian disaster receives coverage in the global media, the international community usually mobilises to reduce the most severe consequences. However people in Chad are experiencing endemic crises that are detached from speci!c triggers, and they are not receiving any international assistance to help relieve the hardships they face. "is study involves 111 migrant households from central Chad that, as a result of war and drought, have lost everything and now have to live in squatter areas of N’Djamena and Mongo, facing uncertainty and threats while negotiating their livelihoods. Qualitative and quantitative methods have been combined in this study to reveal the intriguing story of their daily lives in the face of complex and endemic crises. Anthropometric and health data were generated to determine the nutritional status of mothers and their children under !ve. Life histories, in-depth interviews and participatory observation allowed the researchers to capture the negotiation strategies they use to access food and shelter, their experiences of food insecurity and sanitary vulnerability, and the consequences these have on daily life. Results indicate that 62% of households were female headed, there were high rates of acute (40-50% and chronic (35-40% malnutrition and 46% of the mothers were underweight and anaemic. Infant mortality rates were also high at 30%-42% and 97% of the children had had incomplete or no vaccinations. No households had access to clean water, sanitation or public-health services. Endemic corruption and abuse by the authorities were identi!ed as major sources of day-to-day insecurity. Theese migrants were not expecting any improvement in their livelihoods in the foreseeable future and saw these miserable conditions as normal.

  3. Coal in sub-Saharan-African countries undergoing desertification

    Weaver, J.N.; Brownfield, M.E.; Bergin, M.J. (United States Geological Survey, Denver, CO (USA))

    1990-01-01

    Coal has been reported in 11 of the 16 sub-Saharan countries discussed in this appraisal: Mauritania, Senegal, Mali, Niger, Benin, Nigeria, Cameroon, Central African Republic, Sudan, Ethiopia, and Somalia. No coal occurrences have been reported in Gambia, Togo, Burkina, Chad, and Djibouti but coal may be present within these countries because neighbouring countries do contain coal-bearing rocks. Most of these countries are undergoing desertification. Destruction of forest and shrub lands for fuel is occurring at an increasing rate because of desertification and increasing energy demands. Part of the present and future energy needs of the sub-Saharan region could be met by use of indigenous coal and peat. Nine sedimentary basins have the potential of either coal and/or peat deposits of economic value: 1- Senegal Basin, 2- Taoudeni Basin and Gao Trough, 3- Niger Basin, 4- Chad Basin. 5- Chari Basin, 6- Benue Trough (Depression), 7- Sudan Trough, 8- Plateau and Rift Belt, and 9- Somali Basin. Niger and Nigeria are the only countries in sub-Saharan Africa in which coal is presently being mined as a fuel source for powerplants and domestic use. Peat occurs in the deltas, lower river, and interdunal basin areas of Senegal, Mauritania, and Sudan. The overall objective of these studies is to establish, within the sub-Saharan region, energy independent countries using indigeneous coal and peat resources. These resources have the potential to replace wood and wood charcoal as domestic fuel in the urban centres, as well as producing electrical and industrial energy, thus reducing expensive oil imports and decreasing the rate of deforestation. 31 refs., 16 figs., 1 tab.

  4. Evaluation of the fossil fish-specific diversity in a chadian continental assemblage: Exploration of morphological continuous variation in Synodontis (Ostariophysi, Siluriformes).

    Pinton, Aurélie; Le Fur, Soizic; Otero, Olga

    2016-11-01

    In the fossil record, the quantification of continuous morphological variation has become a central issue when dealing with species identification and speciation. In this context, fossil taxa with living representatives hold great promise, because of the potential to characterise patterns of intraspecific morphological variation in extant species prior to any interpretation in the fossil record. The vast majority of catfish families fulfil this prerequisite, as most of them are represented by extant genera. However, although they constitute a major fish group in terms of distribution, and ecological and taxonomic diversity, the quantitative study of their past morphological variation has been neglected, as fossil specimens are generally identified based on the scarcest remains, that is, complete neurocrania that bear discrete characters. Consequently, a part of freshwater catfish history is unprospected and unknown. In this study, we explored the morphological continuous variation of the humeral plate shape in Synodontis catfishes using Elliptic Fourier Analysis (EFA), and compared extant members and fossil counterparts. We analysed 153 extant specimens of 11 Synodontis species present in the Chad basin, in addition to 23 fossil specimens from the Chadian fossiliferous area of Toros Menalla which is dated around 7 Ma. This highly speciose genus, which is one of the most diversified in Africa, exhibits a rich fossil record with several hundred remains mostly identified as Synodontis sp. The analysis of the outline of the humeral plate reveals that some living morphological types were already represented in the Chad Basin 7 My ago, and allows for the discovery of extinct species. Beside illuminating the complex Neogene evolutionary history of Synodontis, these results underline the interest in the ability of isolated remains to reconstruct a past dynamic history and to validate the relevance of EFA as a tool to explore specific diversity through time. J. Morphol. 277

  5. Cost-effectiveness analysis of left atrial appendage occlusion compared with pharmacological strategies for stroke prevention in atrial fibrillation.

    Lee, Vivian Wing-Yan; Tsai, Ronald Bing-Ching; Chow, Ines Hang-Iao; Yan, Bryan Ping-Yen; Kaya, Mehmet Gungor; Park, Jai-Wun; Lam, Yat-Yin

    2016-08-31

    Transcatheter left atrial appendage occlusion (LAAO) is a promising therapy for stroke prophylaxis in non-valvular atrial fibrillation (NVAF) but its cost-effectiveness remains understudied. This study evaluated the cost-effectiveness of LAAO for stroke prophylaxis in NVAF. A Markov decision analytic model was used to compare the cost-effectiveness of LAAO with 7 pharmacological strategies: aspirin alone, clopidogrel plus aspirin, warfarin, dabigatran 110 mg, dabigatran 150 mg, apixaban, and rivaroxaban. Outcome measures included quality-adjusted life years (QALYs), lifetime costs and incremental cost-effectiveness ratios (ICERs). Base-case data were derived from ACTIVE, RE-LY, ARISTOTLE, ROCKET-AF, PROTECT-AF and PREVAIL trials. One-way sensitivity analysis varied by CHADS2 score, HAS-BLED score, time horizons, and LAAO costs; and probabilistic sensitivity analysis using 10,000 Monte Carlo simulations was conducted to assess parameter uncertainty. LAAO was considered cost-effective compared with aspirin, clopidogrel plus aspirin, and warfarin, with ICER of US$5,115, $2,447, and $6,298 per QALY gained, respectively. LAAO was dominant (i.e. less costly but more effective) compared to other strategies. Sensitivity analysis demonstrated favorable ICERs of LAAO against other strategies in varied CHADS2 score, HAS-BLED score, time horizons (5 to 15 years) and LAAO costs. LAAO was cost-effective in 86.24 % of 10,000 simulations using a threshold of US$50,000/QALY. Transcatheter LAAO is cost-effective for prevention of stroke in NVAF compared with 7 pharmacological strategies. The transcatheter left atrial appendage occlusion (LAAO) is considered cost-effective against the standard 7 oral pharmacological strategies including acetylsalicylic acid (ASA) alone, clopidogrel plus ASA, warfarin, dabigatran 110 mg, dabigatran 150 mg, apixaban, and rivaroxaban for stroke prophylaxis in non-valvular atrial fibrillation management.

  6. Severe Spontaneous Echo Contrast/Auricolar Thrombosis in "Nonvalvular" AF: Value of Thromboembolic Risk Scores.

    Mascioli, Giosuè; Lucca, Elena; Michelotti, Federica; Alioto, Giusy; Santoro, Franco; Belli, Guido; Rota, Cristina; Ornago, Ombretta; Sirianni, Giovanni; Pulcini, Emanuela; Pennesi, Matteo; Savasta, Carlo; Russo, Rosario; Pitì, Antonino

    2017-01-01

    Patients with atrial fibrillation (AF) have an increased thromboembolic risk that can be estimated with risk scores and sometimes require oral anticoagulation therapy (OAT). Despite correct anticoagulation, some patients still develop left atrial spontaneous echo contrast (SEC) or thrombosis. The value of traditional risk scores (R 2 CHADS 2 , CHADS 2 , and CHA 2 DS 2 -VASc) in predicting such events remains controversial. The aim of our study was to explore variables linked to severe SEC or atrial thrombosis and evaluate the performance of traditional risk scores in identifying these patients. In order to do this, we retrospectively analyzed 568 patients with nonvalvular nonparoxysmal AF who underwent electrical cardioversion from January 2011 to December 2016 after OAT for a minimum of 4 weeks. A transesophageal echocardiogram was performed in 265 patients for various indications, and 24 exhibited left atrial SEC or thrombosis. Female gender, history of heart failure or left ventricular ejection fraction 1 mg/dL) of C-reactive protein (CRP) were independently associated with left atrial SEC/thrombosis. A score composed by these factors (denominated HIS [Heart Failure, Inflammation, and female Sex]) showed a sensitivity of 79% and a specificity of 60% (area under receiver operating characteristic curve 0.695, P = 0.002) in identifying patients with a positive transesophageal echo; traditional risk scores did not perform as well. In patients with persistent AF and suboptimal anticoagulation, a risk score composed by history of heart failure, high CRP, and female gender identifies patients at high risk of left atrial SEC/thrombosis when its value is >1. © 2016 Wiley Periodicals, Inc.

  7. Wind-driven Water Bodies : a new paradigm for lake geology

    Nutz, A.; Schuster, M.; Ghienne, J. F.; Roquin, C.; Bouchette, F. A.

    2015-12-01

    In this contribution we emphasize the importance in some lakes of wind-related hydrodynamic processes (fair weather waves, storm waves, and longshore, cross-shore and bottom currents) as a first order forcing for clastics remobilization and basin infill. This alternative view contrasts with more classical depositional models for lakes where fluvial-driven sedimentation and settling dominates. Here we consider three large lakes/paleo-lakes that are located in different climatic and geodynamic settings: Megalake Chad (north-central Africa), Lake Saint-Jean (Québec, Canada), and Lake Turkana (Kenya, East African Rift System). All of these three lake systems exhibit well developed modern and ancient high-energy littoral morphosedimentary structures which directly derive from wind-related hydrodynamics. The extensive paleo-shorelines of Megalake Chad are composed of beach-foredune ridges, spits, wave-dominated deltas, barriers, and wave-ravinment surface. For Lake Saint-Jean the influence of wind is also identified below the wave-base at lake bottom from erosional surfaces, and sediment drifts. In the Lake Turkana Basin, littoral landforms and deposits are identified for three different time intervals (today, Holocene, Plio-Pleistocene) evidencing that wind-driven hydrodynamics can be preserved in the geological record. Moreover, a preliminary global survey suggests that numerous modern lakes (remote sensing) and paleo-lakes (bibliographic review) behave as such. We thus coin the term "Wind-driven Water Bodies" (WWB) to refer to those lake systems where sedimentation (erosion, transport, deposition) is dominated by wind-induced hydrodynamics at any depth, as it is the case in the marine realm for shallow seas. Integrating wind forcing in lake models has strong implications for basin analysis (paleoenvironments and paleoclimates restitutions, resources exploration), but also for coastal engineering, wildlife and reservoirs management, or leisure activities.

  8. Net clinical benefit of new oral anticoagulants (dabigatran, rivaroxaban, apixaban) versus no treatment in a 'real world' atrial fibrillation population: a modelling analysis based on a nationwide cohort study.

    Banerjee, Amitava; Lane, Deirdre A; Torp-Pedersen, Christian; Lip, Gregory Y H

    2012-03-01

    The concept of net clinical benefit has been used to quantify the balance between risk of ischaemic stroke (IS) and risk of intracranial haemorrhage (ICH) with the use oral anticoagulant therapy (OAC) in the setting of non-valvular atrial fibrillation (AF), and has shown that patients at highest risk of stroke and thromboembolism gain the greatest benefit from OAC with warfarin. There are no data for the new OACs, that is, dabigatran, rivaroxaban and apixaban, as yet. We calculated the net clinical benefit balancing IS against ICH using data from the Danish National Patient Registry on patients with non-valvular AF between 1997-2008, for dabigatran, rivaroxaban and apixaban on the basis of recent clinical trial outcome data for these new OACs. In patients with CHADS(2)=0 but at high bleeding risk, apixaban and dabigatran 110 mg bid had a positive net clinical benefit. At CHA(2)DS(2)-VASc=1, apixaban and both doses of dabigatran (110 mg and 150 mg bid) had a positive net clinical benefit. In patients with CHADS(2) score≥1 or CHA(2)DS(2)-VASc≥2, the three new OACs (dabigatran, rivaroxaban and apixaban) appear superior to warfarin for net clinical benefit, regardless of risk of bleeding. When risk of bleeding and stroke are both high, all three new drugs appear to have a greater net clinical benefit than warfarin. In the absence of head-to-head trials for these new OACs, our analysis may help inform decision making processes when all these new OACs become available to clinicians for stroke prevention in AF. Using 'real world' data, our modelling analysis has shown that when the risk of bleeding and stroke are both high, all three new drugs appear to have a greater net clinical benefit compared to warfarin.

  9. Knowledge and use of emergency contraception: a multicountry analysis.

    Palermo, Tia; Bleck, Jennifer; Westley, Elizabeth

    2014-06-01

    Globally, evidence on knowledge and use of emergency contraception from population-based data is limited, though such information would be helpful in increasing access to the method. We examined knowledge and use of emergency contraception in 45 countries using population-based survey data. Demographic and Health Survey (DHS) data on women aged 15-49 were analyzed by country in logistic regressions to identify associations between women's characteristics and their having heard of emergency contraception or having ever used it. Trends were examined, by region and globally, according to individual, household and community descriptors, including women's age, education, marital status, socioeconomic status, and urban or rural location. The proportion of women who had heard of emergency contraception ranged from 2% in Chad to 66% in Colombia, and the proportion of sexually experienced women who had used it ranged from less than 0.1% in Chad to 12% in Colombia. The odds of having heard of or used the method generally increased with wealth, and although the relationship between marital status and knowing of the method varied by region, never-married women were more likely than married women to have used emergency contraception in countries where significant differences existed. In some countries, urban residence was associated with having heard of the method, but in only three countries were women from urban areas more likely to have used it. Our findings support the need for broader dissemination of information on emergency contraception, particularly among low-income individuals. Variations in use and knowledge within regions suggest a need for programs to be tailored to country-level characteristics.

  10. Four African Nations Agree to Water Management Programme

    2013-01-01

    Full text: Seeking to improve their management of water resources, four northeast African nations today agreed at the International Atomic Energy Agency (IAEA) to establish a long-term framework for utlizing a key underground water system. Chad, Egypt, Libya and Sudan signed a Strategic Action Programme (SAP) that aims to optimize the equitable use of the Nubian Sandstone Aquifer System, a huge water resource that lies beneath the four nations. The SAP also commits the countries to strengthen and build upon a previously existing regional coordination mechanism, in part by establishing a new Joint Authority for the Nubian Aquifer System. The Programme lays the groundwork for improving cooperation among the four arid nations and for strengthening their capacity to monitor and manage the aquifer effectively. With growing populations and decreasing water availability from other sources in the region, the aquifer is under mounting pressure. Removing water without a clear understanding of transboundary and other implications threatens water quality and has the potential to harm biodiversity and accelerate land degradation. The agreement resulted from a joint Technical Cooperation project of the United Nations Development Programme (UNDP) and the Global Environment Facility (GEF), the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the IAEA. ''I congratulate all involved on this significant achievement,'' said IAEA Director General Yukiya Amano. ''Water is a key resource, and effective management and use of such water resources is essential for the future. The agreement of the Strategic Action Programme is the result of real cooperation between the four States, the Agency and UNDP-GEF. I am confident that this Programme will be a success and will benefit the people of the region. This positive project experience benefits strengthened and expanded cooperation between the IAEA and the UNDP-GEF.'' ''UNDP would like to congratulate the

  11. AFib in special populations.

    French, William J

    2014-04-01

    For physicians who see and treat patients who present with AFib in routine clinical practice there are 4 important factors to understand and bear in mind when diagnosing and planning treatment strategies: age, gender, prior or incident heart failure, and underlying coronary artery disease (CAD) and acute coronary syndrome (ACS). (online video available at: http://education.amjmed.com/video.php?event_id=445&stage_id=5&vcs=1). This review addresses the clinical characteristics of each of these presentations in order. For all patients with AFib, of either gender or any age, the greatest risk is failure to prescribe anticoagulation therapy, with currently only about half of these patients are being prescribed anticoagulation therapy, a percentage that is often much lower in the elderly, where only about 1 in 3 eligible patients receive anticoagulation. This highlights the most important clinical point for physicians: first, diagnose! This means ensuring the simple procedure of taking the pulse; if that is irregular, then record the ECG and look for AFib. After these 2 simple steps, physicians should be aware of the 2 most important risk scoring systems at present, CHADS2, which has been updated as the CHAD2DS2 vascular score (CHA2DS2-VASc); the latter takes gender into account and is a more sensitive scoring system for differentiating truly low-risk patients from those who may appear to be low risk, but actually are at significant risk. As discussed, while the 2012 ESC guidelines recommend a shift toward a greater emphasis on identifying patients who are truly low-risk (vs those who are only apparently low risk), the US emphasis is on identifying the high-risk patients, and how use of the CHADS2 versus CHA2DS2-VASc to accomplish these 2 goals is outlined. Two further important subpopulations of AFib patients are those with congestive heart failure (CHF) and those with acute coronary syndromes (ACS). As discussed, the real progress that has been seen in the prognosis of

  12. Highly-Immunogenic Virally-Vectored T-cell Vaccines Cannot Overcome Subversion of the T-cell Response by HCV during Chronic Infection

    Leo Swadling

    2016-08-01

    Full Text Available An effective therapeutic vaccine for the treatment of chronic hepatitis C virus (HCV infection, as an adjunct to newly developed directly-acting antivirals (DAA, or for the prevention of reinfection, would significantly reduce the global burden of disease associated with chronic HCV infection. A recombinant chimpanzee adenoviral (ChAd3 vector and a modified vaccinia Ankara (MVA, encoding the non-structural proteins of HCV (NSmut, used in a heterologous prime/boost regimen induced multi-specific, high-magnitude, durable HCV-specific CD4+ and CD8+ T-cell responses in healthy volunteers, and was more immunogenic than a heterologous Ad regimen. We now assess the immunogenicity of this vaccine regimen in HCV infected patients (including patients with a low viral load suppressed with interferon/ribavirin therapy, determine T-cell cross-reactivity to endogenous virus, and compare immunogenicity with that observed previously in both healthy volunteers and in HCV infected patients vaccinated with the heterologous Ad regimen. Vaccination of HCV infected patients with ChAd3-NSmut/MVA-NSmut was well tolerated. Vaccine-induced HCV-specific T-cell responses were detected in 8/12 patients; however, CD4+ T-cell responses were rarely detected, and the overall magnitude of HCV-specific T-cell responses was markedly reduced when compared to vaccinated healthy volunteers. Furthermore, HCV-specific cells had a distinct partially-functional phenotype (lower expression of activation markers, granzyme B, and TNFα production, weaker in vitro proliferation, and higher Tim3 expression, with comparable Tbet and Eomes expression compared to healthy volunteers. Robust anti-vector T-cells and antibodies were induced, showing that there is no global defect in immunity. The level of viremia at the time of vaccination did not correlate with the magnitude of the vaccine-induced T-cell response. Full-length, next-generation sequencing of the circulating virus demonstrated that T

  13. Brain Natriuretic Peptide Is a Powerful Predictor of Outcome in Stroke Patients with Atrial Fibrillation

    Kenji Maruyama

    2017-03-01

    Full Text Available Background: Since stroke patients with nonvalvular atrial fibrillation (NVAF have poor outcomes in general, the prediction of outcomes following discharge is of utmost concern for these patients. We previously reported that brain natriuretic peptide (BNP levels were significantly higher in NVAF patients with larger infarcts, higher modified Rankin Scale (mRS score, and higher CHADS2 score. In the present study, we evaluated an array of variables, including BNP, in order to determine significant predictors for functional outcome in patients with NVAF after acute ischemic stroke (AIS. Methods: A total of 615 consecutive patients with AIS within 48 h of symptom onset, admitted to our hospital between April 2010 and October 2015, were retrospectively searched. Among these patients, we enrolled consecutive patients with NVAF. We evaluated the mRS score 3 months after onset of stroke and investigated associations between mRS score and the following clinical and echocardiographic variables. Categorical variables included male sex, current smoking, alcohol intake, hypertension, diabetes mellitus, dyslipidemia, coronary artery disease, peripheral artery disease, use of antiplatelet drugs, anticoagulants, or tissue plasminogen activator (tPA, and infarct size. Continuous variables included age, systolic blood pressure (SBP, diastolic blood pressure, hemoglobin, creatinine, D-dimer, brain natriuretic peptide (BNP, left atrial diameter, left ventricular ejection fraction (EF, and early mitral inflow velocity/diastolic mitral annular velocity (E/e’. We also analyzed the association of prestroke CHADS2, CHA2DS2-VASc, and R2CHADS2 scores, and National Institutes of Health Stroke Scale (NIHSS score on admission with mRS score 3 months after the onset of stroke. Patients were classified into 2 groups according to mRS score: an mRS score ≤2 was defined as good outcome, an mRS score ≥3 was defined as poor outcome. To clarify the correlations between

  14. Elimination of Guinea Worm Disease in Ethiopia; Current Status of the Disease's, Eradication Strategies and Challenges to the End Game.

    Beyene, Habtamu Bedimo; Bekele, Abyot; Shifara, Amanu; Ebstie, Yehenew A; Desalegn, Zelalem; Kebede, Zeyede; Mulugeta, Abate; Deribe, Kebede; Tadesse, Zerihun; Abebe, Tamrat; Kebede, Biruck; Abrha, Getaneh; Jima, Daddi

    2017-01-01

    Dracunculiasis, also named Guinea Worm Disease (GWD), is one of the Neglected Tropical Diseases (NTDs) caused by a parasitic nematode known as Dracunculus medinensis and has been known since antiquity as 'fiery serpent' from Israelites. It is transmitted to humans via drinking contaminated water containing infective copepods. Given, its feasibility for eradication, the Guinea Worm Eradication Program (GWEP) was launched in 1980 with the aim of eradicating the disease. Since its inception, GWEP has made an extraordinary progress in interrupting transmission. Globally, the number of reported cases reduced from 3.5 million in 20 countries in 1986 to only 22 cases in 2015 from only four countries namely South Sudan, Mali, Chad and Ethiopia. Since Mali has interrupted transmission of GWD in 2016, currently, the disease remains endemic in only three sub-Saharan African countries namely, South Sudan, Chad and Ethiopia. Each endemic country has its own national Guinea Worm Eradication Program. In Ethiopia, the Ethiopian Dracunculiasis Eradication Program (EDEP) which was established in 1993 has made remarkable move towards interruption of disease transmission and now the endgame is fast approaching. The EDEP with support mainly from The Carter Center, WHO, and UNICEF has reduced GWD by more than 99% from 1994 to 2015. In 2015, only 3 indigenous cases in humans and 14 in animals (13 in dogs and 1 in baboon) were reported. In 2016, 3 human cases, 14 dogs and 2 baboon infections were reported.. Refugee influx from the Republic of South Sudan (RSS), increased animal infections with unknown role in transmission of Dracunculiasis, the presence of hard to reach communities and lack of safe water sources in remote non-village areas remain among important challenges at this final stage of GWD eradication in Ethiopia. This paper reviews progress made towards Guinea Worm Eradication with a focus on the experience of the Ethiopian Dracunculiasis Eradication Program (EDEP), and

  15. Predictors, Prognosis, and Management of New Clinically Important Atrial Fibrillation After Noncardiac Surgery: A Prospective Cohort Study.

    Alonso-Coello, Pablo; Cook, Deborah; Xu, Shou Chun; Sigamani, Alben; Berwanger, Otavio; Sivakumaran, Soori; Yang, Homer; Xavier, Denis; Martinez, Luz Ximena; Ibarra, Pedro; Rao-Melacini, Purnima; Pogue, Janice; Zarnke, Kelly; Paniagua, Pilar; Ostrander, Jack; Yusuf, Salim; Devereaux, P J

    2017-07-01

    Despite the frequency of new clinically important atrial fibrillation (AF) after noncardiac surgery and its increased association with the risk of stroke at 30 days, there are limited data informing their prediction, association with outcomes, and management. We used the data from the PeriOperative ISchemic Evaluation trial to determine, in patients undergoing noncardiac surgery, the association of new clinically important AF with 30-day outcomes, and to assess management of these patients. We also aimed to derive a clinical prediction rule for new clinically important AF in this population. We defined new clinically important AF as new AF that resulted in symptoms or required treatment. We recorded an electrocardiogram 6 to 12 hours postoperatively and on the 1st, 2nd, and 30th days after surgery. A total of 211 (2.5% [8351 patients]; 95% confidence interval, 2.2%-2.9%) patients developed new clinically important AF within 30 days of randomization (8140 did not develop new AF). AF was independently associated with an increased length of hospital stay by 6.0 days (95% confidence interval, 3.5-8.5 days) and vascular complications (eg, stroke or congestive heart failure). The usage of an oral anticoagulant at the time of hospital discharge among patients with new AF and a CHADS2 score of 0, 1, 2, 3, and ≥4 was 6.9%, 10.2%, 23.0%, 9.4%, and 33.3%, respectively. Two independent predictors of patients developing new clinically important AF were identified (ie, age and surgery). The prediction rule included the following factors and assigned weights: age ≥85 years (4 points), age 75 to 84 years (3 points), age 65 to 74 years (2 points), intrathoracic surgery (3 points), major vascular surgery (2 points), and intra-abdominal surgery (1 point). The incidence of new AF based on scores of 0 to 1, 2, 3 to 4, and 5 to 6 was 0.5%, 1.0%, 3.1%, and 5.3%, respectively. Age and surgery are independent predictors of new clinically important AF in the perioperative setting. A

  16. Coal in sub-Saharan-African countries undergoing desertification

    Weaver, J.N.; Brownfield, M.E.; Bergin, M.J.

    1990-01-01

    Coal has been reported in 11 of the 16 sub-Saharan countries discussed in this appraisal: Mauritania, Senegal, Mali, Niger, Benin, Nigeria, Cameroon, Central African Republic, Sudan, Ethiopia, and Somalia. No coal occurrences have been reported in Gambia, Togo, Burkina, Chad, and Djibouti but coal may be present within these countries because neighboring countries do contain coal-bearing rocks. Most of these countries are undergoing desertification or will in the near future. Wood, directly or in the form of charcoal, constitutes two-thirds of the fuel used in Africa. Destruction of forest and shrub lands for fuel is occurring at an increasing rate because of desertification and increasing energy demands. The decline in biological productivity, coupled with concentration of population in areas where water is available and crops may be grown, leads to increasing shortages of wood for fuel. Part of the present and future energy needs of the sub-Saharan region could be met by use of indigenous coal and peat. Nine sedimentary basins, completely or partially within the sub-Saharan region, have the potential of either coal and/or peat deposits of economic value: 1- Senegal Basin, 2- Taoudeni Basin and Gao Trough, 3- Niger Basin, 4- Chad Basin, 5- Chari Basin, 6- Benue Trough (Depression), 7- Sudan Trough, 8- Plateau and Rift Belt, and 9- Somali Basin. Niger and Nigeria are the only countries in sub-Saharan Africa in which coal is presently being mined as a fuel source for powerplants and domestic use. Peat occurs in the deltas, lower river, and interdunal basin areas of Senegal, Mauritania, and Sudan. Peat can be used as an alternate fuel source and is currently being tested as a soil amendment in the agricultural sector. Coal and peat exploration and development studies are urgently required and should be initiated so the coal and peat utilization potential of each country can be determined. The overall objective of these studies is to establish, within the sub

  17. Hydrocarbon Prospectivity of Nigeria's Inland Basins: From the View Point of Organic Geochemistry and Organic Petrology

    Obaje, N. G.; Abubakar, M. B.; Jauro, A.; Tukur, A.; Wehner, H.

    2003-01-01

    The inland basins of Nigeria comprise the Anambra basin, the lower, middle and upper Benue trough, the southeastern sector of the Chad basin, the Mid-Niger (Bida) basin, and the Sokoto basin. Organic geochemical and organic petrologic studies indicate that coal beds constitute major potential source rocks in the whole of the Benue trough (Anambra basin inclusive). The generation and production of liquid and i gaseous hydrocarbons from coal beds presently is world-wide indisputable. In the Anambra basin, the coal beds in the Mamu Formation have TOC contents of up to 60.8wt%, mean Hydrogen Index (HI) of 364mgHC/gTOC, vitrinite reflectivity (Ro) of 0.54 to 0.56% and Tmax 430 to 433degrees C. Biomarker data indicate a dominance of high molecular weight : n-alkanes, very high pristane/phytane ratios, pronounced odd-over-even predominance (OEP), preponderance of C29 regular steranes but with also relatively high contents of C28. In the middle Benue trough, the coal beds of the Awgu Formation have TOC contents of up to 79.1 Owt%, Ro of 0.83 to 1.07%, and mean HI of 281 mgHC/gTOC; unimodal distributions of both low and high molecular weight n-alkanes with no obvious OEP, and a predominance of C29 steranes but also with relatively high contents of C27 and C28. Coal beds from the Lamja Formation in the upper Benue trough yielded TOC contents of up to 50.7wt% with HI of 184mgHC/gTOC, Ro of 0.70 to 0.73%, low and high molecular weights n- alkane dominance with an unpronounced OEP, high pristane/phytane ratios, and very high contents of C29 regular steranes. On a basinal evaluation level, incorporating source rock data from the other formations in the respective sectors, plots on the modified Van Krevelen diagram alongside biomarker and maceral data indicate good i to fair source rock qualities (oil and gas) in the Anambra basin and middle Benue trough; and fair to poor (gaseous to dry) in the upper Benue trough and the Chad basin, with sporadic good to fair source rock

  18. A viral vectored prime-boost immunization regime targeting the malaria Pfs25 antigen induces transmission-blocking activity.

    Anna L Goodman

    Full Text Available The ookinete surface protein Pfs25 is a macrogamete-to-ookinete/ookinete stage antigen of Plasmodium falciparum, capable of exerting high-level anti-malarial transmission-blocking activity following immunization with recombinant protein-in-adjuvant formulations. Here, this antigen was expressed in recombinant chimpanzee adenovirus 63 (ChAd63, human adenovirus serotype 5 (AdHu5 and modified vaccinia virus Ankara (MVA viral vectored vaccines. Two immunizations were administered to mice in a heterologous prime-boost regime. Immunization of mice with AdHu5 Pfs25 at week 0 and MVA Pfs25 at week 10 (Ad-MVA Pfs25 resulted in high anti-Pfs25 IgG titers, consisting of predominantly isotypes IgG1 and IgG2a. A single priming immunization with ChAd63 Pfs25 was as effective as AdHu5 Pfs25 with respect to ELISA titers at 8 weeks post-immunization. Sera from Ad-MVA Pfs25 immunized mice inhibited the transmission of P. falciparum to the mosquito both ex vivo and in vivo. In a standard membrane-feeding assay using NF54 strain P. falciparum, oocyst intensity in Anopheles stephensi mosquitoes was significantly reduced in an IgG concentration-dependent manner when compared to control feeds (96% reduction of intensity, 78% reduction in prevalence at a 1 in 5 dilution of sera. In addition, an in vivo transmission-blocking effect was also demonstrated by direct feeding of immunized mice infected with Pfs25DR3, a chimeric P. berghei line expressing Pfs25 in place of endogenous Pbs25. In this assay the density of Pfs25DR3 oocysts was significantly reduced when mosquitoes were fed on vaccinated as compared to control mice (67% reduction of intensity, 28% reduction in prevalence and specific IgG titer correlated with efficacy. These data confirm the utility of the adenovirus-MVA vaccine platform for the induction of antibodies with transmission-blocking activity, and support the continued development of this alternative approach to transmission-blocking malaria subunit

  19. Rabies awareness and dog ownership among rural northern and southern Chadian communities-Analysis of a community-based, cross-sectional household survey.

    Mbilo, Céline; Léchenne, Monique; Hattendorf, Jan; Madjadinan, Séraphin; Anyiam, Franziska; Zinsstag, Jakob

    2017-11-01

    Canine rabies represents a major - but preventable - public health threat in Chad. In preparation for a nation-wide canine parenteral mass vaccination campaign we conducted a community-based, cross-sectional multi-stage cluster survey in 40 villages in two southern and two northern regions of Chad. Our objective was to investigate rabies awareness and dog-ownership among the rural population. Almost half of the households (45%) owned dogs, with an overall dog:human ratio of 1:7.8. Southern households owned almost two thirds (701/918) of all dogs and the number of dogs per household was twice as high compared to the north (2.7 vs. 1.3, respectively). This translates into a dog:human ratio of 1:5.2 in the south and 1:16.4 in the north. Only 76% of the respondents had heard of rabies. Respondents who (1) were male, (2)>19 years, (3) had primary education or higher and (4) were of Muslim faith were more likely to have heard of rabies (prabies knowledge was positively associated with (1) southern residence, (2) any kind of education and (3) Christian or "other" religions. In contrast to rabies awareness, high level of knowledge was negatively associated with increasing age. 11% of respondents reported that at least one family member had been bitten by a dog in the past year and half of these bite victims were children. 31% of respondents knew someone who had died of rabies and twice as many (58%) reported having encountered a rabid animal. Most of the respondents could identify classical rabies symptoms (58-94%), however they lacked knowledge about rabies prevention and appropriate wound management. Only 2 out of 963 (0.5%) reported to have vaccinated their dog. A major proportion of our study population is at great risk of rabies (likely higher than 7 rabies death per million per year) due to lack of awareness of the disease, inappropriate post-bite treatment and insufficient knowledge about preventive measures. This reflects the urgent need for advocacy programs to

  20. Mapping palaeolakes in the Ténéré Desert of northeastern Niger using space-borne data for groundwater potential

    Gloria Molina

    2017-12-01

    Full Text Available Groundwater resources in arid lands are crucial for supporting life. Thus, delineation of low land areas, where surface runoff accumulated during pluvial periods assists in groundwater explorations. Therefore, the drainage patterns in northeastern Niger using various sources of DEMs of optical (ASTER and radar (SRTM satellite data were extracted. These data reveal three palaeolakes in the Ténéré Desert. In addition, the DEMs together with the optical and radar satellite data were used to define a major watershed measuring 634,000 km2. This watershed may have led to the formation of one major palaeolake as an ancestor of the three palaeolakes. The latter extend to 11,514 km2, 17,571 km2 and 18,453 km2. The optical and radar satellites images show that the boundaries of these three lakes have been modified by extensive longitudinal and transverse sand dunes of considerable thickness. These dunes accumulated during a much later arid episode in geologic time, probably during the late Quaternary. Prior to that, the former marshlands received water from the Tibesti Mountains of northern Chad, the Ahaggar Plateau of southeastern Algeria and the Air Mountain of northern Niger. The drainage patterns clearly show the pathway of water down to the ground level. The longest drainage line is emanating from the Ahaggar Plateau and extends south west for 837 km. The water overflow of the southernmost lake led to the formation of another distinct drainage line, leading to the southwestern edge of the ancestral Megalake Chad. This drainage line begins in the vicinity of the town of Fachi and extends southward through the town of Dillia as a single tributary, and is here named the Dillia Palaeoriver. These observations, which are based on the study of satellite data require geophysical fieldwork to ascertain the interpretations, and evaluate the potential for groundwater accumulation in the region. Keywords: DEMs, Optical and

  1. Low-Cost Air Quality Monitoring Methods to Assess Compliance With Smoke-Free Regulations: A Multi-Center Study in Six Low- and Middle-Income Countries.

    Jackson-Morris, Angela; Bleymann, Kayleigh; Lyall, Elaine; Aslam, Fouad; Bam, Tara Singh; Chowdhury, Ishrat; Daouda, Elhadj Adam; Espinosa, Mariana; Romo, Jonathan; Singh, Rana J; Semple, Sean

    2016-05-01

    Many low- and middle-income countries (LMICs) have enacted legislation banning smoking in public places, yet enforcement remains challenging. The aim of this study was to assess the feasibility of using a validated low-cost methodology (the Dylos DC1700) to provide objective evidence of smoke-free (SF) law compliance in hospitality venues in urban LMIC settings, where outdoor air pollution levels are generally high. Teams measured indoor fine particulate matter (PM2.5) concentrations and systematically observed smoking behavior and SF signage in a convenience sample of hospitality venues (bars, restaurants, cafes, and hotels) covered by existing SF legislation in Mexico, Pakistan, Indonesia, Chad, Bangladesh, and India. Outdoor air PM2.5 was also measured on each sampling day. Data were collected from 626 venues. Smoking was observed during almost one-third of visits with substantial differences between countries-from 5% in India to 72% in Chad. After excluding venues where other combustion sources were observed, secondhand smoke (SHS) derived PM2.5 was calculated by subtracting outdoor ambient PM2.5 concentrations from indoor measurements and was, on average, 34 µg/m(3) in venues with observed smoking-compared to an average value of 0 µg/m(3) in venues where smoking was not observed (P hospitality venues in LMICs. Air quality monitoring can provide objective scientific data on SHS and air quality levels in venues to assess the effectiveness of SF laws and identify required improvements. Equipment costs and high outdoor air pollution levels have hitherto limited application in LMICs. This study tested the feasibility of using a validated low-cost methodology in hospitality venues in six LMIC urban settings and suggests this is a viable method for improving knowledge about SHS exposure and can provide indicative data on compliance with SF legislation. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and

  2. Plio-Pleistocene aardvarks (Mammalia, Tubulidentata from East Africa

    T. Lehmann

    2008-08-01

    Full Text Available The Tubulidentata are unique among mammals for being the only order represented nowadays by a single living species, Orycteropus afer: the aardvark. Nevertheless, it is one of the least studied mammalian orders. Aardvarks are currently distributed all over sub-Saharan Africa, but the fossil record extends their spatial range to Europe and Asia. The earliest known Tubulidentata are ca. 20 million years old. About 14 species and three to four genera have been recognised so far, but since the late Pliocene, aardvarks have only been represented by a single genus and are restricted to Africa. The extant aardvark is the only species of Tubulidentata with a large distribution area, i.e. the African continent. There are three known Plio-Pleistocene African species of aardvark: Orycteropus afer (Pallas, 1766, O. crassidens MacInnes, 1956, and O. djourabensis Lehmann et al., 2004. Fossils of these species have been discovered in North-Africa, Kenya, and Chad respectively. The present study is focused on the aardvark material found in the Plio-Pleistocene of East Africa (Ethiopia, Kenya. New specimens from Asa Issie (Ethiopia and East Turkana (Kenya are described, and published ones are re-examined in the light of the latest discoveries. This study demonstrates that Kenyan specimens identified as O. crassidens are in fact representatives of the Chadian O. djourabensis. Moreover, additional material from Ethiopia and Kenya shows a close relationship with the latter species too. The presence of specimens of O. djourabensis in Chad and in Kenya during the Plio-Pleistocene implies that this taxon is the oldest-known species of aardvark to have experienced a continental dispersal. It also shows that Tubulidentates were able to cross Africa from east-west during Plio-Pleistocene times, despite the presence of the Rift Valley. It is however not possible to infer the centre of origin of O. djourabensis. Finally, this study suggests that two species of aardvark

  3. Atrial fibrillation, stroke, and anticoagulation in Medicare beneficiaries: trends by age, sex, and race, 1992-2010.

    Shroff, Gautam R; Solid, Craig A; Herzog, Charles A

    2014-06-03

    We evaluated temporal trends in ischemic stroke and warfarin use among demographic subsets of the US Medicare population that are not well represented in randomized trials of warfarin for stroke prevention in nonvalvular atrial fibrillation (AF). One-year cohorts of Medicare-primary payer patients (1992-2010) were created using the Medicare 5% sample. International Classification of Diseases, Ninth Revision, Clinical Modification codes were used to identify AF and ischemic and hemorrhagic stroke; ≥ 3 consecutive prothrombin time claims were used to identify warfarin use. Ischemic stroke rates (per 1000 patient-years) decreased markedly from 1992 to 2010. Among women, rates decreased from 37.1 to 13.6 for ages 65 to 74 years, from 55.2 to 16.5 for ages 74 to 84, and from 66.9 to 22.9 for age ≥ 85; warfarin use increased 31% to 59%, 27% to 63%, and 15% to 49%, respectively. Among men, rates decreased from 33.8 to 11.7 for ages 65 to 74 years, from 49.2 to 13.8 for ages 75 to 84, and from 51.5 to 18.0 for age ≥ 85; warfarin use increased 34% to 63%, 28% to 66%, and 15% to 55%, respectively. Rates decreased from 47.0 to 14.8 for whites and 73.0 to 29.3 for blacks; warfarin use increased 27% to 61% and 19% to 52%, respectively. In all age categories, the thromboembolic risk (CHADS [congestive heart failure, hypertension, age ≥ 75 years, diabetes, stroke]) score was significantly higher among women (versus men) and blacks (versus whites). Ischemic stroke rates among Medicare AF patients decreased significantly in all demographic subpopulations from 1992-2010, coincident with increasing warfarin use. Ischemic stroke rates remained higher and warfarin use rates remained lower for women and blacks with AF, groups whose baseline CHADS scores were higher. © 2014 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  4. Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early Experiences in West and Central Africa.

    Pleah, Tsigue; Hyjazi, Yolande; Austin, Suzanne; Diallo, Abdoulaye; Dao, Blami; Waxman, Rachel; Karna, Priya

    2016-08-11

    A global resurgence of interest in the intrauterine device (IUD) as an effective long-acting reversible contraceptive and in improving access to a wide range of contraceptive methods, as well as an emphasis on encouraging women to give birth in health care facilities, has led programs to introduce postpartum IUD (PPIUD) services into postpartum family planning (PPFP) programs. We describe strategic, organizational, and technical elements that contributed to early successes of a regional initiative in West and Central Africa to train antenatal, maternity, and postnatal care providers in PPFP counseling for the full range of available methods and in PPIUD service delivery. In November 2013, the initiative provided competency-based training in Guinea for providers from the main public teaching hospital in 5 selected countries (Benin, Chad, Côte d'Ivoire, Niger, and Senegal) with no prior PPFP counseling or PPIUD capacity. The training was followed by a transfer-of-learning visit and monitoring to support the trained providers. One additional country, Togo, replicated the initiative's model in 2014. Although nascent, this initiative has introduced high-quality PPFP and PPIUD services to the region, where less than 1% of married women of reproductive age use the IUD. In total, 21 providers were trained in PPFP counseling, 18 of whom were also trained in PPIUD insertion. From 2014 to 2015, more than 15,000 women were counseled about PPFP, and 2,269 women chose and received the PPIUD in Benin, Côte d'Ivoire, Niger, Senegal, and Togo. (Introduction of PPIUD services in Chad has been delayed.) South-South collaboration has been central to the initiative's accomplishments: Guinea's clinical centers of excellence and qualified trainers provided a culturally resonant example of a PPFP/PPIUD program, and trainings are creating a network of regional trainers to facilitate expansion. Two of the selected countries (Benin and Niger) have expanded their PPFP/PPUID training

  5. Contribution of thermal infrared images on the understanding of the subsurface/atmosphere exchanges on Earth.

    Lopez, Teodolina; Antoine, Raphaël; Baratoux, David; Rabinowicz, Michel

    2017-04-01

    High temporal resolution of space-based thermal infrared images (METEOSAT, MODIS) and the development of field thermal cameras have permitted the development of thermal remote sensing in Earth Sciences. Thermal images are influenced by many factors such as atmosphere, solar radiation, topography and physico-chemical properties of the surface. However, considering these limitations, we have discovered that thermal images can be used in order to better understand subsurface hydrology. In order to reduce as much as possible the impact of these perturbing factors, our approach combine 1) field observations and 2) numerical modelling of surface/subsurface thermal processes. Thermal images of the Piton de la Fournaise volcano (Réunion Island), acquired by hand, show that the Formica Leo inactive scoria cone and some fractures close to the Bory-Dolomieu caldera are always warmer, inducing a thermal difference with the surrounding of at least 5°C and a Self-Potential anomaly [1, 2]. Topography cannot explain this thermal behaviour, but Piton de la Fournaise is known as highly permeable. This fact allows the development of an air convection within the whole permeable structure volcanic edifice [2]. Cold air enters the base of the volcano, and exits warmer upslope, as the air is warmed by the geothermal flow [1,2]. Then, we have decided to understand the interaction between subsurface hydrogeological flows and the humidity in the atmosphere. In the Lake Chad basin, regions on both sides of Lake Chad present a different thermal behaviour during the diurnal cycle and between seasons [3]. We propose that this thermal behaviour can only be explained by lateral variations of the surface permeability that directly impact the process of evaporation/condensation cycle. These studies bring new highlights on the understanding of the exchanges between subsurface and the atmosphere, as the presence of a very permeable media and/or variations of the surface permeability may enhance or

  6. Surface water - groundwater relationship in the downstream part of the Komadougou Yobe River (Eastern Sahelian Niger)

    Hector, B.; Genthon, P.; Luxereau, A.; Descloîtres, M.; Moumouni Moussa, A.; Abdou, H.

    2012-04-01

    The Komadougou Yobe (KY) is a temporary river meandering on nearly 100 km along the Niger/Nigeria border in its lower part, before reaching the endoreic Lake Chad. There, seasonal flow from July to January is related to rainfall amount on the upstream Jos Plateau, Nigeria. In the semi-arid downstream area (350 mm annual rainfall in Diffa, Niger) the KY is the main source of recharge for the sandy quaternary aquifer which is used both for irrigation and for drinking water supply. The borders of the KY in Niger are subjected to an agricultural development involving intensive irrigated cropping of sweet pepper mainly produced for sale in Nigeria. Irrigation waters are mainly extracted from the KY, and therefore irrigation must stop when the River runs dry, but irrigation from wells is now developing with an increased risk of soil salinization. The flow rate of the KY has been impacted both by the 80s and 90s droughts, also underwent by the entire Sahel, and by the building up of a series of dams starting from the 70s in Nigeria. Therefore the KY and its relations with the underlying groundwaters should be carefully monitored to provide guidelines for policy makers in charge of the development of this area. However, in this remote area, data are scarce and often discontinuous : there are for example no continuous groundwater level data from before the drought. As part of the Lake Chad French IRD project, series of campaigns involving water level, exploration geophysics, gravity, soil sampling and social studies have been carried out between 2008 and 2011. They allowed to build a numerical model for groundwater-river interactions which in some instances has been compared with previously recorded data. This model is then forced with theoretical climatic senarii based on humid 60s data and data from the drought period. This allows discussing the relationships between the river and groundwaters in a changing climate. Our results militate for the setting up of a limited

  7. Uranium development in Nigeria

    Karniliyus, J.; Egieya, J.

    2014-01-01

    Nigeria uranium exploration started in 1973. Uranium was found in seven states of the country; Cross River, Adamawa, Taraba, Plateau, Bauchi, Kogi and Kano. Three government agencies were involved. At the end of the various exploration campaigns in 2001, the uranium reserve was estimated at about 200 t U. The Grade ranges from 0.63% - 0-9% at a vertical depth between 130 – 200 m. Currently, the Nigeria Atomic Energy Commission activated in 2006 is charged with the responsibility among others to prospect for and mine radioactive minerals. The main aim of this poster presentation is to review the development of uranium in Nigeria with a view to encourage local and international investors to develop and exploit these deposits. Nigeria is located on latitude 100 N and longitude 80 E surrounded in the north by Niger and Chad, in the east by Cameroun and in the west by the Benin Republic. Available data indicated the viability of mineral investment in the Nigerian uranium resources. With the current economic reforms and investment incentives in Nigeria, interested investors are highly welcome to take advantage of developing these mineral resources. (author)

  8. Duloxetine in the treatment of generalized anxiety disorder

    Alan Wright

    2009-08-01

    Full Text Available Alan Wright, Chad VanDenBergCenter for Clinical Research, Mercer University, Atlanta, GA, USAAbstract: Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI which is FDA approved for the treatment of generalized anxiety disorder (GAD in doses of 30 mg to 120 mg daily. Duloxetine has been shown to significantly improve symptoms of GAD as measured through the Hamilton Anxiety Rating Scale (HAMA, the Clinical Global Impressions Scale (CGI-I, and other various outcome measures in several placebo-controlled, randomized, double blind, multi-center studies. Symptom improvement began within the first few weeks, and continued for the duration of the studies. In addition, duloxetine has also been shown to improve outcomes in elderly patients with GAD, and in GAD patients with clinically significant pain symptoms. Duloxetine was noninferior compared with venlafaxine XR. Duloxetine was found to have a good tolerability profile which was predictable and similar to another SNRI, venlafaxine. Adverse events (AEs such as nausea, constipation, dry mouth, and insomnia were mild and transient, and occurred at relatively low rates. It was found to have a low frequency of drug interactions. In conclusion, duloxetine, a selective inhibitor for the serotonin and norepinephrine transporters, is efficacious in the treatment of GAD, and has a predictable tolerability profile, with AEs generally being mild to moderate.Keywords: duloxetine, generalized anxiety disorder, anxiety, GAD

  9. Winning the battle against the scourge of poliomyelitis in the African Region.

    Moeti, Matshidiso

    2016-10-10

    Recently we have recorded some progress against the transmission of poliovirus in the African Region. This is attributable to a number of factors, including commitment of global partnerships against polio, improvement of existing strategies as well as a number of innovations in response to the disease in the Region. The WHO Regional Office in Africa documented these practices that led to the noticeable progress in the polio eradication initiative in the African Region, as lessons learnt and as part of polio legacy planning. The documentation exercise covered eight countries, namely Angola, Chad, Cote d'Ivoire, Democratic Republic of Congo, Ethiopia, Nigeria, Tanzania and Togo. A number of practices were identified. Some of these practices cut across countries while others were peculiar to specific countries. We have thus developed some manuscripts to capture these practices for publication in scientific journal so as to place them in the public domain for use. It is hoped that these practices will be deployed to other public health programmes in the Region and beyond. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  10. NUEVOS ANTICOAGULANTES ORALES EN FIBRILACIÓN AURICULAR

    Dra. E. Marianella Seguel R.

    2015-03-01

    Full Text Available La fibrilación auricular es la arritmia más frecuente y se relaciona con una alta tasa de accidente cerebrovascular y embolia sistécmica. La terapia establecida tanto para prevención primaria como secundaria es la anticoagulación con warfarina, antagonista de la vitamina K. Existen escalas que predicen el riesgo tromboembólico y la probabilidad de beneficiarse de terapia antitrombótica. El CHADS2 ha sido la más simple y ampliamente utilizada, pero actualmente el CHA2DS2-VASc ha incorporado otros factores de riesgo, otorgando una mejor estratificación. El estrecho margen terapécutico de la warfarina y la interacción con fármacos y alimentos requiere controles seriados de la intensidad de la anticoagulación, limitando su uso clínico. Han aparecido nuevos anticoagulantes que ofrecen ventajas sobre los antagonistas de vitamina K. Estos actúan en dos sitios distintos de la cascada de la coagulación: inhibiendo directamente la trombina como el dabigatran, o el factor X activado como el rivaroxaban, apixaban, edoxaban y betrixaban. Estos nuevos fármacos han ido reemplazando a la warfarina y ya están incluidos en las guías de manejo de fibrilación auricular no valvular.

  11. Enquête sérologique sur quelques maladies aviaires dans la région du Nord Guéra (Tchad

    Maho, A.

    1999-01-01

    Full Text Available Serological Investigation on Five Fowl Diseases in the North Region of Guera (CHAD. A serological survey concerning five fowl diseases are carried out from three subprefectures (Mangalme, Bitkine, Mongo of the North Guera, localites situated at 550 km in the North of N'Djamena. A total of 270 chickens of approximatly 12 months old are bought which 103 around Mangalme, 93 around Mongo and 82 around Bitkine. The results show low rate of infection for Newcastle disease (7.33 %, Gumgoro disease (8.66 % and Salmmonella pullorum infection (8.73 %. Higher rates are found for infectious bronchitis (32 % and Mycoplasma synoviae infection (36.66 %. Different type (2, 3 or 5 of anti-bodies are found sometimes in the same chicken showing that several infections circulate in the same hen house. As far as the are concerned, infectious bronchitis (83 % and Mycoplasma synoviae infection (72 % have very high rate followed by pullorosis (55 %. These results prove that these diseases sometimes unkown by field veterinary agents are widespread. Any improvement fowl production need a best control of the diseases by training field veterinary agents and poultryman on prevention poultry disease.

  12. Atrial Fibrillation and Non-cardiovascular Diseases: A Systematic Review

    Ferreira, Cátia, E-mail: catiaspferreira@hotmail.com; Providência, Rui; Ferreira, Maria João; Gonçalves, Lino Manuel [Faculdade de Medicina da Universidade de Coimbra, Coimbra (Portugal); Serviço de Cardiologia - Centro Hospitalar e Universitário de Coimbra, Coimbra (Portugal)

    2015-11-15

    Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with an unfavorable prognosis, increasing the risk of stroke and death. Although traditionally associated with cardiovascular diseases, there is increasing evidence of high incidence of AF in patients with highly prevalent noncardiovascular diseases, such as cancer, sepsis, chronic obstructive pulmonary disease, obstructive sleep apnea and chronic kidney disease. Therefore, considerable number of patients has been affected by these comorbidities, leading to an increased risk of adverse outcomes. The authors performed a systematic review of the literature aiming to better elucidate the interaction between these conditions. Several mechanisms seem to contribute to the concomitant presence of AF and noncardiovascular diseases. Comorbidities, advanced age, autonomic dysfunction, electrolyte disturbance and inflammation are common to these conditions and may predispose to AF. The treatment of AF in these patients represents a clinical challenge, especially in terms of antithrombotic therapy, since the scores for stratification of thromboembolic risk, such as the CHADS{sub 2} and CHA{sub 2}DS{sub 2}VASc scores, and the scores for hemorrhagic risk, like the HAS-BLED score have limitations when applied in these conditions. The evidence in this area is still scarce and further investigations to elucidate aspects like epidemiology, pathogenesis, prevention and treatment of AF in noncardiovascular diseases are still needed.

  13. Atrial Fibrillation and Non-cardiovascular Diseases: A Systematic Review

    Ferreira, Cátia; Providência, Rui; Ferreira, Maria João; Gonçalves, Lino Manuel

    2015-01-01

    Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with an unfavorable prognosis, increasing the risk of stroke and death. Although traditionally associated with cardiovascular diseases, there is increasing evidence of high incidence of AF in patients with highly prevalent noncardiovascular diseases, such as cancer, sepsis, chronic obstructive pulmonary disease, obstructive sleep apnea and chronic kidney disease. Therefore, considerable number of patients has been affected by these comorbidities, leading to an increased risk of adverse outcomes. The authors performed a systematic review of the literature aiming to better elucidate the interaction between these conditions. Several mechanisms seem to contribute to the concomitant presence of AF and noncardiovascular diseases. Comorbidities, advanced age, autonomic dysfunction, electrolyte disturbance and inflammation are common to these conditions and may predispose to AF. The treatment of AF in these patients represents a clinical challenge, especially in terms of antithrombotic therapy, since the scores for stratification of thromboembolic risk, such as the CHADS 2 and CHA 2 DS 2 VASc scores, and the scores for hemorrhagic risk, like the HAS-BLED score have limitations when applied in these conditions. The evidence in this area is still scarce and further investigations to elucidate aspects like epidemiology, pathogenesis, prevention and treatment of AF in noncardiovascular diseases are still needed

  14. Sex differences in management and outcomes of patients with atrial fibrillation in the Middle East: Gulf survey of atrial fibrillation events (Gulf SAFE.

    Abdulla Shehab

    Full Text Available Differences in the management of atrial fibrillation (AF between men and women were investigated by using Gulf SAFE data in the Middle East. The study included 2,043 patients presenting with AF to emergency room (ER were prospectively enrolled and followed for one-year. Women were older, have higher body mass index (BMI, comorbidities, and health complications than men. With regard to management of AF, cardioversion was recommended more often for men (16.7% vs. 9.3%, and underwent electrical cardioversion (2.2% vs. 1.1%. Women were prescribed digoxin more frequently than men (25.6% vs. 17.4% and a significant number women received warfarin alone (31.1% vs. 8.7%. No difference between the sexes was noticed in One-year rates of stroke/transient ischemic attacks (TIA and all-cause of mortality after one-year follow-up (3.1% men vs. 3.3% women, and 7.5% vs. 7.4%. Older age (≥ 65 years, smoking, alcohol use, CHADS2 scores ≥5 were some of the significant risk factors in men with AF. Suboptimal use of anticoagulants, higher mortality and stroke/TIA events at one year are high but similar between the sexes. ER management revealed high use of rate control strategy and high rate of hospital admission was noticed in women.

  15. Development of replication-deficient adenovirus malaria vaccines.

    Hollingdale, Michael R; Sedegah, Martha; Limbach, Keith

    2017-03-01

    Malaria remains a major threat to endemic populations and travelers, including military personnel to these areas. A malaria vaccine is feasible, as radiation attenuated sporozoites induce nearly 100% efficacy. Areas covered: This review covers current malaria clinical trials using adenoviruses and pre-clinical research. Heterologous prime-boost regimens, including replication-deficient human adenovirus 5 (HuAd5) carrying malaria antigens, are efficacious. However, efficacy appears to be adversely affected by pre-existing anti-HuAd5 antibodies. Current strategies focus on replacing HuAd5 with rarer human adenoviruses or adenoviruses isolated from non-human primates (NHPs). The chimpanzee adenovirus ChAd63 is undergoing evaluation in clinical trials including infants in malaria-endemic areas. Key antigens have been identified and are being used alone, in combination, or with protein subunit vaccines. Gorilla adenoviruses carrying malaria antigens are also currently being evaluated in preclinical models. These replacement adenovirus vectors will be successfully used to develop vaccines against malaria, as well as other infectious diseases. Expert commentary: Simplified prime-boost single shot regimens, dry-coated live vector vaccines or silicon microneedle arrays could be developed for malaria or other vaccines. Replacement vectors with similar or superior immunogenicity have rapidly advanced, and several are now in extensive Phase 2 and beyond in malaria as well as other diseases, notably Ebola.

  16. Utilization and Predictors of Electrical Cardioversion in Patients Hospitalized for Atrial Fibrillation

    Yogita M. Rochlani

    2016-01-01

    Full Text Available Atrial fibrillation (AF is a common arrhythmia in adults associated with thromboembolic complications. External electrical cardioversion (DCCV is a safe procedure used to convert AF to normal sinus rhythm. We sought to study factors that affect utilization of DCCV in hospitalized patients with AF. The study sample was drawn from the Nationwide Inpatient Sample (NIS of the Healthcare Cost and Utilization Project in the United States. Patients with a primary discharge diagnosis of AF that received DCCV during hospitalization in the years 2000–2010 were included. An estimated 2,810,530 patients with a primary diagnosis of AF were hospitalized between 2001 and 2010, of which 1,19,840 (4.26% received DCCV. The likelihood of receiving DCCV was higher in patients who were males, whites, privately insured, and aged < 40 years and those with fewer comorbid conditions. Higher CHADS2 score was found to have an inverse association with DCCV use. In-hospital stroke, in-hospital mortality, length of stay, and cost for hospitalization were significantly lower for patients undergoing DCCV during AF related hospitalization. Further research is required to study the contribution of other disease and patient related factors affecting the use of this procedure as well as postprocedure outcomes.

  17. The displaced and dispossessed of Darfur: explaining the sources of a continuing state-led genocide.

    Hagan, John; Kaiser, Joshua

    2011-03-01

    The millions of survivors who fled from attacks to Sudanese-controlled displacement camps and the refugee camps in Chad are the living ghosts of the Darfur genocide. The 1948 Genocide Convention incorporates extermination by mass killing and elimination through forced migration as two distinct elements of genocide. Genocide scholars and public discourse emphasize extermination by killing, but they give far less explanatory attention to the elimination processes that the Genocide Convention describes as 'deliberately inflicting on the group conditions of life calculated to bring about its physical destruction'. (Article II United Nations 1948.) In Darfur, understanding the latter processes requires theoretical attention to the history of food, water, and famine and detailed methodological attention to temporal processes of displacement. We demonstrate how intentional state-led attacks on food and water massively dislodged Black Africans in Darfur from February 2003 to August 2004. The political leadership of the Sudanese state dehumanized and forcibly displaced Black Africans from their homes in Darfur to camps where they largely remain, not only through mass killings and rapes, but also by destroying life-sustaining access to food and water, leading to the genocidal elimination of group life in this region. © London School of Economics and Political Science 2011.

  18. Regional view of a Trans-African Drainage System

    Mohamed Abdelkareem

    2015-05-01

    Full Text Available Despite the arid to hyperarid climate of the Great Sahara of North Africa, pluvial climates dominated the region. Radar data shed some light on the postulated Trans-African Drainage System and its relationship to active and inactive tributaries of the Nile basin. Interpretations of recent elevation data confirm a source of the river water from the Red Sea highlands did not connect the Atlantic Ocean across Tushka basin, highlands of Uwinate and Darfur, and Chad basin, but northward to the ancestral Nile Delta. Elements of topography and climate were considered. They show that the former segments of the Nile closely mirror present-day tributaries of the Nile basin in drainage geometry, landscape, and climate. A rainfall data interpolation scenario revealed that this basin received concurrent runoff from both flanks such as Gabgaba-Allaqi to the east and Tushka basin to the west, similar to present-day Sobat and White Nile tributaries, respectively. Overall the western tributaries such as those of Tushka basin and Howar lead to the Nile, which was (and still is the biggest river system in Africa.

  19. Predicting Stress Related to Basic Needs and Safety in Darfur Refugee Camps: A Structural and Social Ecological Analysis.

    Rasmussen, Andrew; Annan, Jeannie

    2010-03-01

    The research on the determinants of mental health among refugees has been largely limited to traumatic events, but recent work has indicated that the daily hassles of living in refugee camps also play a large role. Using hierarchical linear modelling to account for refugees nested within camp blocks, this exploratory study attempted to model stress surrounding safety and acquiring basic needs and functional impairment among refugees from Darfur living in Chad, using individual-level demographics (e.g., gender, age, presence of a debilitating injury), structural factors (e.g., distance from block to distribution centre), and social ecological variables (e.g., percentage of single women within a block). We found that stress concerning safety concerns, daily hassles, and functional impairment were associated with several individual-level demographic factors (e.g., gender), but also with interactions between block-level and individual-level factors as well (e.g., injury and distance to distribution centre). Findings are discussed in terms of monitoring and evaluation of refugee services.

  20. Racial targeting of sexual violence in Darfur.

    Hagan, John; Rymond-Richmond, Wenona; Palloni, Alberto

    2009-08-01

    We used the Atrocities Documentation Survey to determine whether Sudanese government forces were involved in racially targeting sexual victimization toward ethnically African women in the Darfur region of western Sudan. The US State Department conducted the survey by interviewing a randomized multistage probability sample of 1136 Darfur refugees at 20 sites in Chad in 2004. For a subset of 932 respondents who had fled from village clusters that accounted for 15 or more respondents per cluster, we used hierarchical linear models to analyze village-level patterns of reported sexual violence. We statistically controlled for individual sexual victimization to remove bias. Respondents reported being subjected to racial epithets associated with sexual victimization significantly more often during combined attacks by Sudanese government forces and Janjaweed militia forces than during separate attacks by either force. Combined attacks by Sudanese government forces and Janjaweed militia forces led to racial epithets being used more often during sexual victimization in Darfur. Our results suggest that the Sudanese government is participating in the use of sexual assault as a racially targeted weapon against ethnically African civilians.

  1. Emergency measles control activities--Darfur, Sudan, 2004.

    2004-10-01

    The Darfur region of Sudan, composed of three states with a population of approximately six million, has experienced civil conflict during the previous year, resulting in the internal displacement of approximately one million residents and an exodus of an estimated 170,000 persons to neighboring Chad. The conflict has left a vulnerable population with limited access to food, health care, and other basic necessities. In addition, measles vaccination coverage has been adversely affected; in 2003, coverage was reported to be 46%, 57%, and 77% in North, West, and South Darfur, respectively. This report describes measles-control activities in Darfur region conducted by the Federal Ministry of Health (FMOH) in Sudan in collaboration with the United Nations and nongovernmental organizations (NGOs) during March-August 2004. Ongoing measles transmission in camps for internally displaced persons (IDPs) and neighboring communities in Darfur led to a regionwide measles vaccination campaign targeting all children aged 9 months-15 years, resulting in a reduction in reported measles cases. Once security is improved, ongoing efforts to increase measles vaccine coverage will be required to eliminate persistent susceptibility to measles in the Darfur population.

  2. Sociocultural factors influencing decision-making related to fertility among the Kanuri tribe of north-eastern Nigeria

    Abdulkarim G. Mairiga

    2010-05-01

    Full Text Available Background: The Kanuri tribe is found in the Lake Chad basin. However, the majority of the tribe lives in Borno State, Nigeria. Before this study was undertaken, factors related to fertility decisions among the tribe were not known. Objectives: This study is aimed at describing and documenting the sociocultural factors affecting decisions related to fertility among the Kanuri tribe. Method: The study applied the qualitative research method. In-depth interviews and focus-group discussions were used as data collection methods. Analysis was done manually. Results: Children among the Kanuri were highly valued and desired irrespective of their gender. The ideal family size, according to most of the respondents, was 16 children. Kanuri men are polygamous and can marry up to four wives in order to form large families. However, it is an abomination among Kanuri women to fall pregnant in quick succession; a phenomenon they termed konkomi. Other reasons for child-spacing were related to child welfare and maternal well-being. Methods for child-spacing included prolonged breastfeeding (Nganji yaye, ornaments in various forms and shapes, spiritual invocations and dried herbs (Nganji Yandeye. Few Kanuri women practiced modern methods of family planning. Conclusion: Trends in fertility among the Kanuri tribe need to be monitored regularly and appropriate measures be taken to introduce and promote modern family planning and child health services to ensure a healthier family life.

  3. High throughput proteomic analysis of the secretome in an explant model of articular cartilage inflammation

    Clutterbuck, Abigail L.; Smith, Julia R.; Allaway, David; Harris, Pat; Liddell, Susan; Mobasheri, Ali

    2011-01-01

    This study employed a targeted high-throughput proteomic approach to identify the major proteins present in the secretome of articular cartilage. Explants from equine metacarpophalangeal joints were incubated alone or with interleukin-1beta (IL-1β, 10 ng/ml), with or without carprofen, a non-steroidal anti-inflammatory drug, for six days. After tryptic digestion of culture medium supernatants, resulting peptides were separated by HPLC and detected in a Bruker amaZon ion trap instrument. The five most abundant peptides in each MS scan were fragmented and the fragmentation patterns compared to mammalian entries in the Swiss-Prot database, using the Mascot search engine. Tryptic peptides originating from aggrecan core protein, cartilage oligomeric matrix protein (COMP), fibronectin, fibromodulin, thrombospondin-1 (TSP-1), clusterin (CLU), cartilage intermediate layer protein-1 (CILP-1), chondroadherin (CHAD) and matrix metalloproteinases MMP-1 and MMP-3 were detected. Quantitative western blotting confirmed the presence of CILP-1, CLU, MMP-1, MMP-3 and TSP-1. Treatment with IL-1β increased MMP-1, MMP-3 and TSP-1 and decreased the CLU precursor but did not affect CILP-1 and CLU levels. Many of the proteins identified have well-established extracellular matrix functions and are involved in early repair/stress responses in cartilage. This high throughput approach may be used to study the changes that occur in the early stages of osteoarthritis. PMID:21354348

  4. The Weight of Health Expenditures on Household Income in Cameroon

    Joseph Parfait OWOUNDI

    2014-02-01

    Full Text Available  African leaders pledged at the Abuja conference in 2001, to mobilize more financial resources to allocate at least 15% of their national budgets to the health sector to achieve the Millennium Development Goals (MDGs, seem to have difficulty meeting this commitment because of weakness and fragmentation of health systems. These commitments were renewed in Gaborone, Botswana in 2005 and in Ouagadougou, Burkina Faso in 2006. Indeed, donor funding is still a large part of public health spending on the continent. In some countries, 50% or more of their budgets come from foreign or private assistance. In about half the countries, the private health financing is equal to or exceeds largely public funding, up to 70% in some states like Sudan, Côte d'Ivoire, Cameroon, Chad, Liberia and Uganda. Only five countries (Rwanda, Malawi, Zambia, Burkina Faso, and Togo have so far respected the promise made to the Abuja conference. In Cameroon, where 51% of the population lives on less than two dollars per day, the average propensity of the total medical consumption is very high. Indeed, 32% of households spend less than half of income on health, while 16% of households spend more than half of the income and 52% spend more than the total income. This corresponds to a weight of 68% in health care spending.  

  5. Progress Toward Containment of Poliovirus Type 2 - Worldwide, 2017.

    Previsani, Nicoletta; Singh, Harpal; St Pierre, Jeanette; Boualam, Liliane; Fournier-Caruana, Jacqueline; Sutter, Roland W; Zaffran, Michel

    2017-06-23

    The Global Polio Eradication Initiative (GPEI) continues to make progress toward the eradication target. Only one of the three serotypes, wild poliovirus (WPV) type 1 (WPV1), is still circulating, and the numbers of cases and countries with endemic transmission are at record lows. With the certification of wild poliovirus type 2 (WPV2) eradication in 2015 and the global replacement of trivalent oral poliovirus vaccine (tOPV) containing Sabin poliovirus types 1, 2, and 3 with bivalent OPV containing only Sabin poliovirus types 1 and 3 during April-May 2016, poliovirus type 2 (PV2) is now an eradicated pathogen. However, in eight countries (Cameroon, Chad, Democratic Republic of Congo, Mozambique, Niger, Nigeria, Pakistan, and Syria), monovalent type 2 OPV (mOPV2) was authorized for large-scale outbreak control after tOPV withdrawal (1). Poliovirus containment, an evolving area of work that affects every country, aims to ensure that all PV2 specimens are safely contained to minimize the risk for reintroducing the virus into communities. This report summarizes the current status of poliovirus containment and progress since the last report (2), and outlines remaining challenges. Within 30 countries, 86 facilities have been designated by the relevant national authorities (usually the Ministry of Health) to become poliovirus-essential facilities for the continued storage or handling of PV2 materials; each country is responsible for ensuring that these facilities meet all biorisk management requirements.

  6. CAMEROON FIGHTING BOKO HARAM

    Ж КЖ Кума

    2017-12-01

    Full Text Available This study proposes to retrace Boko Haram atrocities in Cameroon as well as the history of international cooperation against the Islamist sect since the declaration of the war against it in 2014. The principal internal counter-terrorist efforts are shown, including establishement of “Operational Com-mand” missions, partial reorganization of the territorial map of the army’s command, the expansion of defense policy at the subregional level and the gradual redefinition of military, the allocation of re-sources and tools adapted to these new missions. Cameroon engages in a process of multilateralization of the challenges of counter-terrorism coopera-tion, which gives a new dimension to the action of the defense and security forces as well as the multi-lateralization of the stakes of cooperation. The role of major powers and the countries of the subregion as well as the African Union and the United Nations is revealed. Cameroon is a traditional beneficiary of French military assistance. Counter-terrorist assistance also came from Russia, US, UK and Germany. The role of the Multinational Joint Task Force of Commission of the Lake Chad Basin (LCBC is shown. The author also shows that the war against Boko Haram seems to produce exceptional results that force both admiration and criticism of the Cameroonian people and the international community. The case of criticism by the NGO Amnesty International is analysed in details.

  7. Risk stratification and stroke prevention therapy care gaps in Canadian atrial fibrillation patients (from the Co-ordinated National Network to Engage Physicians in the Care and Treatment of Patients With Atrial Fibrillation chart audit).

    Patel, Ashish D; Tan, Mary K; Angaran, Paul; Bell, Alan D; Berall, Murray; Bucci, Claudia; Demchuk, Andrew M; Essebag, Vidal; Goldin, Lianne; Green, Martin S; Gregoire, Jean C; Gross, Peter L; Heilbron, Brett; Lin, Peter J; Ramanathan, Krishnan; Skanes, Allan; Wheeler, Bruce H; Goodman, Shaun G

    2015-03-01

    The objectives of this national chart audit (January to June 2013) of 6,346 patients with atrial fibrillation (AF; ≥18 years without a significant heart valve disorder) from 647 primary care physicians were to (1) describe the frequency of stroke and bleed risk assessments in patients with nonvalvular AF by primary care physicians, including the accuracy of these assessments relative to established predictive indexes; (2) outline contemporary methods of anticoagulation used; and (3) report the time in the therapeutic range among patients prescribed warfarin. An annual stroke risk assessment was not undertaken in 15% and estimated without a formal risk tool in 33%; agreement with CHADS2 score estimation was seen in 87% of patients. Major bleeding risk assessment was not undertaken in 25% and estimated without a formal risk tool in 47%; agreement with HAS-BLED score estimation was observed in 64% with physician overestimation in 26% of patients. Antithrombotic therapy included warfarin (58%), dabigatran (22%), rivaroxaban (14%), and apixaban (risk for stroke. There is apparent overestimation of bleeding risk in many patients. Warfarin was the dominant stroke prevention treatment; however, the suggested TTR target was achieved in only 55% of these patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Flood Inundation Mapping in the Logone Floodplain from Multi Temporal Landsat ETM+Imagery

    Jung, Hahn Chul; Alsdorf, Douglas E.; Moritz, Mark; Lee, Hyongki; Vassolo, Sara

    2011-01-01

    Yearly flooding in the Logone floodplain makes an impact on agricultural, pastoral, and fishery systems in the Lake Chad Basin. Since the flooding extent and depth are highly variable, flood inundation mapping helps us make better use of water resources and prevent flood hazards in the Logone floodplain. The flood maps are generated from 33 multi temporal Landsat Enhanced Thematic Mapper Plus (ETM+) during three years 2006 to 2008. Flooded area is classified using a short-wave infrared band whereas open water is classified by Iterative Self-organizing Data Analysis (ISODATA) clustering. The maximum flooding extent in the study area increases up to approximately 5.8K km2 in late October 2008. The study also provides strong correlation of the flooding extents with water height variations in both the floodplain and the river based on a second polynomial regression model. The water heights are from ENIVSAT altimetry in the floodplain and gauge measurements in the river. Coefficients of determination between flooding extents and water height variations are greater than 0.91 with 4 to 36 days in phase lag. Floodwater drains back to the river and to the northeast during the recession period in December and January. The study supports understanding of the Logone floodplain dynamics in detail of spatial pattern and size of the flooding extent and assists the flood monitoring and prediction systems in the catchment.

  9. Regional view of a Trans-African Drainage System

    Abdelkareem, Mohamed; El-Baz, Farouk

    2014-01-01

    Despite the arid to hyperarid climate of the Great Sahara of North Africa, pluvial climates dominated the region. Radar data shed some light on the postulated Trans-African Drainage System and its relationship to active and inactive tributaries of the Nile basin. Interpretations of recent elevation data confirm a source of the river water from the Red Sea highlands did not connect the Atlantic Ocean across Tushka basin, highlands of Uwinate and Darfur, and Chad basin, but northward to the ancestral Nile Delta. Elements of topography and climate were considered. They show that the former segments of the Nile closely mirror present-day tributaries of the Nile basin in drainage geometry, landscape, and climate. A rainfall data interpolation scenario revealed that this basin received concurrent runoff from both flanks such as Gabgaba-Allaqi to the east and Tushka basin to the west, similar to present-day Sobat and White Nile tributaries, respectively. Overall the western tributaries such as those of Tushka basin and Howar lead to the Nile, which was (and still is) the biggest river system in Africa. PMID:26257941

  10. Global variability in angina pectoris and its association with body mass index and poverty.

    Liu, Longjian; Ma, Jixiang; Yin, Xiaoyan; Kelepouris, Ellie; Eisen, Howard J

    2011-03-01

    In the absence of a previous global comparison, we examined the variability in the prevalence of angina across 52 countries and its association with body weight and the poverty index using data from the World Health Organization-World Health Survey. The participants with angina were defined as those who had positive results using a Rose angina questionnaire and/or self-report of a physician diagnosis of angina. The body mass index (BMI) was determined as the weight in kilograms divided by the square of the height in meters. The poverty index (a standard score of socioeconomic status for a given country) was extracted from the United Nations' statistics. The associations of angina with the BMI and poverty index were analyzed cross-sectionally using univariate and multivariate analyses. The results showed that the total participants (n = 210,787) had an average age of 40.64 years. The prevalence of angina ranged from 2.44% in Tunisia to 23.89% in Chad. Those participants with a BMI of poverty status was considered. A tendency was seen for underweight status and a poverty index >14.65% to be associated with the risk of having angina, although these associations were not statistically significant in the multilevel models. In conclusion, significant variations were found in the anginal rates across 52 countries worldwide. An increased BMI was significantly associated with the odds of having angina. Published by Elsevier Inc.

  11. A cluster randomized non-inferiority field trial on the immunogenicity and safety of tetanus toxoid vaccine kept in controlled temperature chain compared to cold chain.

    Juan-Giner, Aitana; Domicent, Camille; Langendorf, Céline; Roper, Martha H; Baoundoh, Paul; Fermon, Florence; Gakima, Primitive; Zipursky, Simona; Tamadji, Mbaihol; Grais, Rebecca F

    2014-10-29

    In resource-poor settings, cold chain requirements present barriers for vaccine delivery. We evaluated the immunogenicity and safety of tetanus toxoid (TT) vaccine in "Controlled Temperature Chain" (CTC; up to 40 °C for cold chain (SCC; 2-8 °C). Prior to the study, stability parameters of TT-CTC were shown to meet international requirements. A cluster randomized, non-inferiority trial was conducted in Moïssala district, Chad, December 2012-March 2013. Thirty-four included clusters were randomized to CTC or SCC. Women aged 14-49 years, eligible for TT vaccination and with a history of ≤1 TT dose, received two TT doses 4 weeks apart. Participants were blinded to allocation strategy. Tetanus antibody titers were measured using standard ELISA at inclusion and 4 weeks post-TT2. Primary outcome measures were post-vaccination seroconversion and fold-increase in geometric mean concentrations (GMC). Non-inferiority was by seroconversion difference (TTSCC-TTCTC) 95% of participants; upper 95%CI of the difference was 5.6%. Increases in GMC were over 4-fold; upper 95%CI of GMC ratio was 1.36 in the adjusted analysis. Few adverse events were recorded. This study demonstrates the immunogenicity and safety of TT in CTC at cold chain cannot be maintained. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. Riparian ecosystem resilience and livelihood strategies under test: lessons from Lake Chilwa in Malawi and other lakes in Africa.

    Kafumbata, Dalitso; Jamu, Daniel; Chiotha, Sosten

    2014-04-05

    This paper reviews the importance of African lakes and their management challenges. African inland lakes contribute significantly to food security, livelihoods and national economies through direct exploitation of fisheries, water resources for irrigation and hydropower generation. Because of these key contributions, the ecosystem services provided are under significant stress mainly owing to high demand by increasing populations, negative anthropogenic impacts on lake catchments and high levels of poverty which result in unsustainable use. Climate variability exacerbates the stress on these ecosystems. Current research findings show that the lakes cannot sustain further development activities on the scale seen over the past few decades. Millions of people are at risk of losing livelihoods through impacts on livestock and wildlife. The review further shows that the problems facing these lakes are beyond the purview of current management practices. A much better understanding of the interactions and feedbacks between different components of the lake socio-ecological systems is needed to address the complex challenges of managing these ecosystem services. This review suggests that the three small wetlands of Chad, Chilwa and Naivasha provide an opportunity for testing novel ideas that integrate sustainability of natural resource management with livelihoods in order to inform policy on how future land use and climatic variability will affect both food security and the ecosystem services associated with it.

  13. An evaluation of the impact of flooring types on exposures to fine and coarse particles within the residential micro-environment using CONTAM.

    Bramwell, Lisa; Qian, Jing; Howard-Reed, Cynthia; Mondal, Sumona; Ferro, Andrea R

    2016-01-01

    Typical resuspension activities within the home, such as walking, have been estimated to contribute up to 25% of personal exposures to PM10. Chamber studies have shown that for moderate walking intensities, flooring type can impact the rate at which particles are re-entrained into the air. For this study, the impact of residential flooring type on incremental average daily (24 h) time-averaged exposure was investigated. Distributions of incremental time-averaged daily exposures to fine and coarse PM while walking within the residential micro-environment were predicted using CONTAM, the multizone airflow and contaminant transport program of the National Institute of Standards and Technology. Knowledge of when and where a person was walking was determined by randomly selecting 490 daily diaries from the EPA's consolidated human activity database (CHAD). On the basis of the results of this study, residential flooring type can significantly impact incremental time-averaged daily exposures to coarse and fine particles (α=0.05, P<0.05, N=490, Kruskal-Wallis test) with high-density cut pile carpeting resulting in the highest exposures. From this study, resuspension from walking within the residential micro-environment contributed 6-72% of time-averaged daily exposures to PM10.

  14. Duloxetine in the treatment of chronic pain due to fibromyalgia and diabetic neuropathy

    Alan Wright

    2010-12-01

    Full Text Available Alan Wright, Kyle E Luedtke, Chad VanDenBergCenter for Clinical Research, Mercer University, Atlanta, Georgia, USAAbstract: Duloxetine is a serotonin-norepinephrine reuptake inhibitor approved by the US Food and Drug Administration for the treatment of fibromyalgia and painful diabetic neuropathy at doses of 60 mg daily. Duloxetine has been shown to significantly improve the symptoms of chronic pain associated with these disorders, as measured by the Fibromyalgia Impact Questionnaire, Brief Pain Inventory scores, the Clinical Global Impressions Scale, and other various outcome measures in several placebo-controlled, randomized, double-blind, multicenter studies. Symptom improvement generally began within the first few weeks, and continued for the duration of the study. In addition, the efficacy of duloxetine was found to be due to direct effects on pain symptoms rather than secondary to improvements in depression or anxiety. Adverse events including nausea, constipation, dry mouth, and insomnia, were mild and transient and occurred at relatively low rates. In conclusion, duloxetine, a selective inhibitor for the serotonin and norepinephrine transporters, is efficacious in the treatment of chronic pain associated with fibromyalgia or diabetic neuropathy, and has a predictable tolerability profile, with adverse events generally being mild to moderate.Keywords: duloxetine, chronic pain, neuropathic pain, fibromyalgia, efficacy, safety

  15. First early hominin from central Africa (Ishango, Democratic Republic of Congo.

    Isabelle Crevecoeur

    Full Text Available Despite uncontested evidence for fossils belonging to the early hominin genus Australopithecus in East Africa from at least 4.2 million years ago (Ma, and from Chad by 3.5 Ma, thus far there has been no convincing evidence of Australopithecus, Paranthropus or early Homo from the western (Albertine branch of the Rift Valley. Here we report the discovery of an isolated upper molar (#Ish25 from the Western Rift Valley site of Ishango in Central Africa in a derived context, overlying beds dated to between ca. 2.6 to 2.0 Ma. We used µCT imaging to compare its external and internal macro-morphology to upper molars of australopiths, and fossil and recent Homo. We show that the size and shape of the enamel-dentine junction (EDJ surface discriminate between Plio-Pleistocene and post-Lower Pleistocene hominins, and that the Ishango molar clusters with australopiths and early Homo from East and southern Africa. A reassessment of the archaeological context of the specimen is consistent with the morphological evidence and suggest that early hominins were occupying this region by at least 2 Ma.

  16. Current presentation and management of 7148 patients with atrial fibrillation in cardiology and internal medicine hospital centers: the ATA AF study.

    Di Pasquale, Giuseppe; Mathieu, Giovanni; Maggioni, Aldo Pietro; Fabbri, Gianna; Lucci, Donata; Vescovo, Giorgio; Pirelli, Salvatore; Chiarella, Francesco; Scherillo, Marino; Gulizia, Michele Massimo; Gussoni, Gualberto; Colombo, Fabrizio; Panuccio, Domenico; Nozzoli, Carlo; Berisso, Massimo Zoni

    2013-09-10

    Atrial fibrillation (AF) is associated with a high risk of stroke and mortality. To describe the difference in AF management of patients (pts) referred to Cardiology (CARD) or Internal Medicine (MED) units in Italy. From May to July 2010, 360 centers enrolled 7148 pts (54% in CARD and 46% in MED). Median age was 77 years (IQR 70-83). Hypertension was the most prevalent associated condition, followed by hypercholesterolemia (28.9%), heart failure (27.7%) and diabetes (24.3%). MED pts were older, more frequently females and more often with comorbidities than CARD pts. In the 4845 pts with nonvalvular AF, a CHADS2 score ≥ 2 was present in 53.0% of CARD vs 75.3% of MED pts (pmanaged in MED had a significantly lower probability to be treated with OAC. Rate control strategy was pursued in 51.4% of the pts (60.5% in MED and 43.6% in CARD) while rhythm control was the choice in 39.8% of CARD vs 12.9% of MED pts (pmanage pts with large epidemiological differences. Both CARD and MED specialists currently fail to prescribe OAC in accordance with stroke risk. Patients managed by MED specialists have a lower probability to receive an OAC treatment, irrespective of the severity of clinical conditions. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  17. Predictors for Stroke and Death in Non-Anticoagulated Asian Patients with Atrial Fibrillation: The Fushimi AF Registry.

    Hamatani, Yasuhiro; Yamashita, Yugo; Esato, Masahiro; Chun, Yeong-Hwa; Tsuji, Hikari; Wada, Hiromichi; Hasegawa, Koji; Abe, Mitsuru; Lip, Gregory Y H; Akao, Masaharu

    2015-01-01

    Atrial fibrillation (AF) increases the risk of stroke and death. Data on the predictors for stroke and death in 'real-world' AF patients are limited, especially from large prospective Asian cohorts. The Fushimi AF Registry is a community-based prospective survey designed to enroll all AF patients who visited the participating medical institutions in Fushimi-ku, Kyoto, Japan. Follow-up data were available for 3,304 patients (median follow-up period 741 days). We explored the predictors for 'death, stroke, and systemic embolism (SE)' during follow-up in 1,541 patients not receiving oral anticoagulants (OAC) at baseline. The mean age was 73.1 ± 12.5 years, and 673 (44%) patients were female. The mean CHADS2 and CHA2DS2-VASc scores were 1.76 and 3.08, respectively. Cumulative events were as follows: stroke/SE in 61 (4%) and death in 230 (15%), respectively. On multivariate analysis, advanced age (hazard ratio (HR): 1.68, 95% confidence interval (CI): 1.24-2.29), underweight (body mass index death/stroke/SE. Cumulative numbers of these 6 risk predictors could stratify the incidence of death/stroke/SE in patients without OAC, as well as those with OAC in our registry. Advanced age, underweight, previous stroke/SE/transient ischemic attack, heart failure, chronic kidney disease, and anemia were independently associated with the risk of death/stroke/SE in non-anticoagulated Japanese AF patients.

  18. Following Saharan Dust Outbreak Toward The Amazon Basin

    Ben Ami, Y.; Koren, I.; Rudich, Y.; Flores, M.

    2008-12-01

    The role of the Amazon rainforest on earth climatic system is well recognized. To keep forest wellbeing and the fragile balance between the rainforest and the atmosphere, the Amazon must contain a satisfactory amount of nutrients to support the plants. The extensive rain and floods wash most of the soluble nutrients from the rainforest soil, leaving behind acidic kaolinite clay or sandy soil, with limited minerals for plant growth. It was suggested that lack of mineral in the soil may be replenished by deposition of Saharan mineral dust. Using remote sensing data (from the A-train satellites constellation) following with in-situ measurements (as part of the AMazonian Aerosol CharacteriZation Experiment (AMZE) campaign), ground-based data (from AErosol RObotic NETwork (AERONET)) and back trajectory calculations, we analyzed Saharan dust transport toward the Amazon basin during the AMZE period (Feb 7 to Mar 14, 2008). Dust mass, sink, vertical distribution and surface wind speeds were analyzed over the Bodele depression (located in Chad), where most of the dust is emitted, along the Atlantic Ocean and near the Brazilian coastline. Using an integrated data analysis approach we followed dust packages from their emission in the Sahara to their sink in the Amazon forest.

  19. Climate change and climate systems influence and control the atmospheric dispersion of desert dust: implications for human health

    Griffin, Dale W.; Ragaini, Richard C.

    2010-01-01

    The global dispersion of desert dust through Earth’s atmosphere is greatly influenced by temperature. Temporal analyses of ice core data have demonstrated that enhanced dust dispersion occurs during glacial events. This is due to an increase in ice cover, which results in an increase in drier terrestrial cover. A shorter temporal analysis of dust dispersion data over the last 40 years has demonstrated an increase in dust transport. Climate systems or events such as the North Atlantic Oscillation, the Indian Ocean subtropical High, Pacific Decadal Oscillation, and El Nino-Sothern Oscillation are known to influence global short-term dust dispersion occurrence and transport routes. Anthropogenic influences on dust transport include deforestation, harmful use of topsoil for agriculture as observed during the American Dust Bowl period, and the creation of dry seas (Aral Sea) and lakes (Lake Owens in California and Lake Chad in North Africa) through the diversion of source waters (for irrigation and drinking water supplies). Constituents of desert dust both from source regions (pathogenic microorganisms, organic and inorganic toxins) and those scavenged through atmospheric transport (i.e., industrial and agricultural emissions) are known to directly impact human and ecosystem health. This presentation will present a review of global scale dust storms and how these events can be both a detriment and benefit to various organisms in downwind environments.

  20. Safety of atrial fibrillation ablation with novel multi-electrode array catheters on uninterrupted anticoagulation-a single-center experience.

    Hayes, Christopher Ruslan

    2012-02-01

    INTRODUCTION: A recent single-center report indicated that the performance of atrial fibrillation ablation in patients on uninterrupted warfarin using a conventional deflectable tip electrode ablation catheter may be as safe as periprocedural discontinuation of warfarin and bridging with heparin. Novel multi-electrode array catheters for atrial fibrillation ablation are currently undergoing clinical evaluation. While offering the possibility of more rapid atrial fibrillation ablation, they are stiffer and necessitate the deployment of larger deflectable transseptal sheaths, and it remains to be determined if they increase the risk of cardiac perforation and vascular injury. Such potential risks would have implications for a strategy of uninterrupted periprocedural anticoagulation. METHOD AND RESULTS: We audited the safety outcomes of our atrial fibrillation ablation procedures using multi-electrode array ablation catheters in patients on uninterrupted warfarin (CHADS2 score>or=2) and in patients not on warfarin (uninterrupted aspirin). Two bleeding complications occurred in 49 patients on uninterrupted warfarin, both of which were managed successfully without longterm sequelae, and no bleeding complication occurred in 32 patients not on warfarin (uninterrupted aspirin). There were no thromboembolic events or other complication with either anticoagulant regimen. CONCLUSION: Despite the larger diameter and increased stiffness of multi-electrode array catheters and their deflectable transseptal sheaths, their use for catheter ablation in patients with atrial fibrillation on uninterrupted warfarin in this single-center experience does not appear to be unsafe, and thus, an adequately powered multicenter prospective randomized controlled trial should be considered.

  1. Radio as the Voice of God: Peace and Tolerance Radio Programming’s Impact on Norms

    Daniel P. Aldrich

    2012-12-01

    Full Text Available Observers have argued that radio programming can alter norms, especially through hate radio designed to increase animosity between groups. This article tests whether or not radio programming under the Countering Violent Extremism (CVE policy framework can reduce potential conflict and increase civic engagement and positive views of foreign nations. Data from surveys of more than 1,000 respondents in Mali, Chad, and Niger illuminate the ways in which peace and tolerance programming changed perspectives and altered behavior in statistically significant ways. Results show that individuals exposed to multi-level U.S. government programming were more likely to listen to peace and tolerance radio. Further, bivariate, multivariate regression, and propensity score matching techniques show that individuals who listened more regularly to such programs participated more frequently in civic activities and supported working with the West to combat terrorism (holding constant a number of potential confounding economic, demographic, and attitudinal factors. However, higher levels of radio listening had no measurable impact on opposition to the use of violence in the name of Islam or opposition to the imposition of Islamic law. Further, data indicate that women and men have responded to programming in measurably different ways. These mixed results have important implications for current and future “soft-side” programs for countering violent extremism.

  2. Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries.

    Neal, Sarah; Matthews, Zoë; Frost, Melanie; Fogstad, Helga; Camacho, Alma V; Laski, Laura

    2012-09-01

    There is strong evidence that the health risks associated with adolescent pregnancy are concentrated among the youngest girls (e.g. those under 16 years). Fertility rates in this age group have not previously been comprehensively estimated and published. By drawing data from 42 large, nationally representative household surveys in low resource countries carried out since 2003 this article presents estimates of age-specific birth rates for girls aged 12-15, and the percentage of girls who give birth at age 15 or younger. From these we estimate that approximately 2.5 million births occur to girls aged under 16 in low resource countries each year. The highest rates are found in Sub-Saharan Africa, where in Chad, Guinea, Mali, Mozambique, Niger and Sierra Leone more than 10% of girls become mothers before they are 16. Strategies to reduce these high levels are vital if we are to alleviate poor reproductive health. © 2012 The Authors  Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

  3. Farm Organization, Ownership and Food Productivity in Nigeria

    Nkasiobi Silas Oguzor

    2012-06-01

    Full Text Available African food production is in crisis. Today, despite Africa’s vast physical and climatic potentials to produce food, most African States depend on food importation. Africa’s capacity to deal with its food battles is severely constrained by its political instability, its early stage of scientific and institutional development, and a rapidly changing and complex global environment. In Nigeria and in most developing economies, there is a fundamental lack of political commitment to come grips with poverty, malnutrition and access to food. Because of these barriers, traditional economics is a rather limited tool to understand food production and other related variables. Poverty, hunger, malnutrition, famine and starvation in developing economies are just as much a function of political, macroeconomic, and institutional barriers as lack of technology. Illustrations from the agrarian chaos in Sudan, Ethiopia, Somalia, Chad and others are too numerous to conclude otherwise. The aim of this paper is to determine and analyze economics incentives and strategies, which could stimulate commercial agriculture in Nigeria. The analysis is based on the premise that the form of production organization in Nigerian agriculture is the major constraint to commercialization. The paper concludes that output price subsidy is the over-riding factor in the commercialization of agriculture in Nigeria.

  4. African climate and vegetation at the roots of humankind during the Pliocene

    Contoux, Camille; Ramstein, Gilles; Banks, Will; Sepulchre, Pierre; Schuster, Mathieu; Zhang, Zhongshi

    2017-04-01

    This study is devoted to the intricate links between climate, vegetation and hominin population distribution during Pliocene, during which peculiar combinations of climate and vegetation conditions have favored the development of hominin species. The aridification of North Africa from the Late Oligocene to the Tortonian has been recently linked to the Tethys shrinkage and associated changes in monsoon patterns. Since the Tortonian the response to orbital forcing has drastically increased accompanied by the onset of the Sahara desert [Zhang et al , Nature 2014] . Therefore, the context of the emergence and development of hominins is marked by a succession of wet and dry periods driven by orbital forcing factors. We focus here on the Pliocene period during which fossils have been discovered West and East of the African Rift (in the Chad basin and Rift Valley respectively). In order to better understand the climate and vegetation relationships during this period allowing populations to live both West and East of the Rift, we simulated the climate of the Pliocene for different orbital configurations with the coupled model IPSL-CM5A (OAGCM). We then use these simulated climates to carry out an equilibrium vegetation model, BIOME4, for 4 different orbital configurations with high eccentricity. We found that australopithecines occur in areas were primary productivity and precipitation are low, suggesting they were adapted to semi-arid environments.

  5. Comparison of the Microbial Diversity and Abundance Between the Freshwater Land-Locked Lakes of Schirmacher Oasis and the Perennially Ice-Covered Lake Untersee in East Antarctica

    Huang, Jonathan; Hoover, Richard B.; Swain, Ashit; Murdock, Chris; Bej, Asim K.

    2010-01-01

    Extreme conditions such as low temperature, dryness, and constant UV-radiation in terrestrial Antarctica are limiting factors of the survival of microbial populations. The objective of this study was to investigate the microbial diversity and enumeration between the open water lakes of Schirmacher Oasis and the permanently ice-covered Lake Untersee. The lakes in Schirmacher Oasis possessed abundant and diverse group of microorganisms compared to the Lake Untersee. Furthermore, the microbial diversity between two lakes in Schirmacher Oasis (Lake L27C and L47) was compared by culture-based molecular approach. It was determined that L27Chad a richer microbial diversity representing 5 different phyla and 7 different genera. In contrast L47 consisted of 4 different phyla and 6 different genera. The difference in microbial community could be due to the wide range of pH between L27C (pH 9.1) and L47 (pH 5.7). Most of the microbes isolated from these lakes consisted of adaptive biological pigmentation. Characterization of the microbial community found in the freshwater lakes of East Antarctica is important because it gives a further glimpse into the adaptation and survival strategies found in extreme conditions.

  6. EGFR targeted therapy in non-small cell lung cancer: potential role of cetuximab

    Chad A Reade

    2009-05-01

    Full Text Available Chad A Reade1, Apar Kishor Ganti1,21Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA; 2Section of Oncology-Hematology, Department of internal Medicine, VA Medical Center, Omaha, NE, USAAbstract: Chemotherapy alone has limited ability to significantly improve survival in non-small lung cancer (NSCLC beyond what has already been achieved. The epidermal growth factor (EGF pathway plays a vital role in the pathogenesis and progression of NSCLC. Two classes of drugs inhibit the EGF receptor (EGFR pathway: small molecules that inhibit the intracellular tyrosine kinase activity of the receptor, and monoclonal antibodies that target the extracellular domain in the ligand-binding region. Cetuximab is a human – mouse chimeric immunoglobulin G1 class monoclonal antibody directed against EGFR. Preclinical studies with cetuximab suggested that there was inhibition of growth of human NSCLC cell lines. Cetuximab is currently the focus of intense investigation in various patient populations with NSCLC. This review focuses on clinical trials of cetuximab in NSCLC and identifies future directions with this agent.Keywords: non-small cell lung cancer, EGFR, cetuximab, monoclonal antibodies

  7. Low Body Weight Is Associated With the Incidence of Stroke in Atrial Fibrillation Patients - Insight From the Fushimi AF Registry.

    Hamatani, Yasuhiro; Ogawa, Hisashi; Uozumi, Ryuji; Iguchi, Moritake; Yamashita, Yugo; Esato, Masahiro; Chun, Yeong-Hwa; Tsuji, Hikari; Wada, Hiromichi; Hasegawa, Koji; Abe, Mitsuru; Morita, Satoshi; Akao, Masaharu

    2015-01-01

    Japanese patients with atrial fibrillation (AF) are generally small and lean, but knowledge of the clinical characteristics of those with low body weight (LBW: ≤50 kg) is limited. The Fushimi AF Registry is a community-based prospective survey of AF patients who visited the participating medical institutions in Fushmi-ku, Japan. The BW and follow-up data were available for 2,945 patients. We compared the background and the incidence of clinical events during a median follow-up of 746 days between a LBW and non-LBW group. Patients in the LBW group accounted for 26.8% (788 patients) of the total. The LBW group was more often female, older, and had higher CHADS2score. The incidence of stroke/systemic embolism (SE) during follow-up was higher in the LBW group (hazard ratio (HR): 2.19, 95% confidence interval (CI): 1.57-3.04; Pincidence of stroke/SE, but the incidence of major bleeding was not particularly high.

  8. The role of participatory approaches in the dissemination of renewable-energy technologies in rural Sudan. The Experience of the energy research institute

    Abdelmagid, S.I.

    2005-01-01

    Sudan is the largest country in Africa and the Middle East. It has an area of 2. 7 m/sup 2/. This represents more than 8% of the African Continent and almost 2% of the World total area. The country is rejoined into 26 states, 112 Provinces and 614 Localities, constituting the Federal Republic. The geography of Sudan is classified from North to South into desert (34%), semi desert (20%), wood-forest- (35%), agricultural land (7%) and swamps and wetlands (1 %). The population of the country is estimated to be 30.3 million, which is unevenly distributed over the 26 states. The majority of the population is concentrated in 6 states of the central region. About 60% of the population live along the banks of the Nile. Natural disasters and civil conflicts have resulted in high rates of rural-urban migration reaching approximately 15%. Egypt is in the North of Sudan, The Red Sea in the Northeast, Ethiopia and Eritrea in the East, Kenya in the South, Central Africa in the Southwest, Chad in the West border of Sudan and Libya in the Northwest. The climate of Sudan is wholly tropical and rainfall varies with an average less than 75 mm/ annum in the desert and 75-300 mm/annum in semi-desert confined entirely to July and August, to an average of 300-1500 mm/annum in woodland Savannah. (author)

  9. Effect of hyperthyroidism on the hypercoagulable state and thromboembolic events in patients with atrial fibrillation.

    Chen, Qingxing; Yan, Yan; Zhang, Lei; Cheng, Kuan; Liu, Yuping; Zhu, Wenqing

    2014-01-01

    To clarify whether hyperthyroidism (HT) itself confers an additional effect on the hypercoagulable state and the risk of ischemic stroke among patients with hyperthyroid atrial fibrillation (AF). We prospectively evaluated plasma D-dimer levels and thromboembolic events among three groups of patients (hyperthyroid AF, n = 62; nonthyroid AF, n = 107, and HT without AF, n = 100). Plasma D-dimer levels were used to evaluate the hypercoagulable state. The D-dimer level was significantly higher in patients with hyperthyroid AF than in nonthyroid AF (0.66 ± 0.06 vs. 0.34 ± 0.02 mg/l, p hyperthyroid AF had a significantly higher incidence of ischemic stroke compared with patients with nonthyroid AF (hazard ratio, HR: 3.2, 95% confidence interval, CI: 1.01-5.59, p = 0.04). Cox regression analysis revealed that age (HR: 2.5, 95% CI: 1.01-1.21, p = 0.05), CHADS2-VAS score (HR: 5.5, 95% CI: 1.51-7.43, p = 0.01) and anticoagulation (HR: 0.45, 95% CI: 0.07-0.54, p = 0.01) were independent predictors of risk for the occurrence of ischemic stroke. The present study suggests that HT may enhance the hypercoagulable state and the risk of ischemic stroke in patients with AF.

  10. Electricity privatizations in Sahel: A U-turn?

    Gualberti, Giorgio; Alves, Luis; Micangeli, Andrea; Graca Carvalho, Maria da

    2009-01-01

    This paper examines the process of privatization of electrical utilities for the country members of CILLS (Burkina Faso, Cape Verde, The Gambia, Guinea-Bissau, Mali, Mauritania, Niger, Chad and Senegal). These Sahelian countries, the majority of whom rank at the bottom positions of the HDI and present extremely low access rates to modern energy services, together started a process of energy sector reform and energy utility privatization in the 1990s. The reforms, endorsed by the International Financial Institutions, focused on the privatization of the electrical utilities, and encountered many difficulties. The objective of this article is to analyze what happened in each of these nine countries and to understand the reasons that led to a general halt or reversal of the process. The analysis is first introduced by a brief examination of regional energy situations and of the international context in which the reforms took place; this includes the policy guidelines introduced by the IFIs and the investment decisions of energy corporations. We analyze management processes and ownership changes for each country. Finally, the article identifies the problems encountered as a result of reform design and the interaction of behaviors between the governments, the International Corporations and the IFIs; lastly, we draw conclusions.

  11. A community health programme in rural Tamil Nadu, India: the need for gender justice for women.

    Jacob, Mini Elizabeth; Abraham, Sulochana; Surya, Susila; Minz, Shantidani; Singh, Daisy; Abraham, Vinod Joseph; Prasad, Jasmin; George, Kuryan; Kuruvilla, Anju; Jacob, K S

    2006-05-01

    This article highlights the efforts of the Community Health and Development (CHAD) Programme of Christian Medical College to address the issues of gender discrimination and improve the status of women in the Kaniyambadi Block, Vellore, Tamil Nadu, India. The many schemes that are specifically for women and general projects for the community from which women can also benefit represent a multi-pronged approach whose aim is the improvement of women's health, education and employment in the context of community development. However, despite five decades of work with a clear bias in favour of women, the improvement in health and the empowerment of women has lagged behind that achieved by men. We believe this is because the community, with its strong male bias, utilises the health facilities and education and employment programmes more for the benefit of men and boys than women and girls. The article argues for a change of approach, in which gender and women's issues are openly discussed and debated with the community. It would appear that nothing short of social change will bring about an improvement in the health of women and a semblance of gender equality in the region.

  12. [Taxonomic status of the Tyulek virus (TLKV) (Orthomyxoviridae, Quaranjavirus, Quaranfil group) isolated from the ticks Argas vulgaris Filippova, 1961 (Argasidae) from the birds burrow nest biotopes in the Kyrgyzstan].

    L'vov, D K; Al'khovskiĭ, S V; Shchelkanov, M Iu; Shchetinin, A M; Deriabin, P G; Aristova, V A; Gitel'man, A K; Samokhvalov, E I; Botikov, A G

    2014-01-01

    The Tyulek virus (TLKV) was isolated from the ticks Argas vulgaris Filippova, 1961 (Argasidae), collected from the burrow biotopes in multispecies birds colony in the Aksu river floodplain near Tyulek village (northern part of Chu Valley, Kyrgyzstan). Recently, the TLKV was assigned to the Quaranfil group (including the Quaranfil virus (QRFV), Johnston Atoll virus (JAV), Lake Chad virus) that is a novel genus of the Quaranjavirus in the Orthomyxoviridae family. In his work, the complete genome (ID GenBank KJ438647-8) sequence of the TLKV was determined using next-generation sequencing (Illumina platform). Comparison of deduced amino acid sequences shows closed relationship of the TLKV with QRFV and JAV (86% and 84% identity for PB1 and about 70% for PB2 and PA, respectively). The identity level of the TLKV and QRFV in outer glycoprotein GP is 72% and 80% for nucleotide and amino acid sequences, respectively. The phylogenetic analysis showed that the TLKV belongs to the genus of the Quaranjavirus in the family Orthomyxoviridae.

  13. The status of the Hoopoe (Upupa epops in Hungary: a review

    Halmos Gergő

    2015-12-01

    Full Text Available The Hoopoe is a widespread species in Hungary with the strongest populations on the Great plains. The fact that in 2015 it became ‛The Bird of the Year’ in Hungary offers the possibility to summarise the information about the distribution, population size, dispersion, migration as well as the nature conservation status of the Hoopoe population breeding in Hungary. In the period of 1999–2014 the number of breeding pairs and trend of population level was estimated based on the Common Bird Census database. The population size was estimated as 13,500–17,500 pairs with a stable trend (slope=−1.3%, SE=2.5% over 1999–2014. There is very limited information on migration from bird ringing, only 8 recoveries between 1928–1963 indicate, that the Hungarian population is migrating on a south-southeast direction in autumn, wintering in the eastern parts of the Sahel, possibly in Chad and Sudan and migrates back in spring following a loop migration pattern further to the east. The main conservation issues are agricultural intensification impacting feeding possibilities, lack of nesting cavities and hunting during migration.

  14. The effect of natural weathering on the chemical and isotopic composition of biotites

    Clauer, N.; Bonnot-Courtois, C.

    1982-01-01

    The effect of progressive natural weathering on the isotopic (Rb-Sr, K-Ar, deltaD, delta 18 O) and chemical (REE, H 2 O + ) compositions of biotite has been studied on a suite of migmatitic biotites from the Chad Republic. During the early stages of weathering the Rb-Sr system is strongly affected, the hydrogen and oxygen isotope compositions change markedly, the minerals are depleted in light REE, the water content increases by a factor of two, and the K-Ar system is relatively little disturbed. During intensive weathering the K-Ar system is more strongly disturbed than the Rb-Sr system. Most of the isotopic and chemical modifications take place under nonequilibrium conditions and occur before newly formed kaolinite and/or smectite can be detected. These observations suggest that (a) 'protominerals' may form within the biotite structure during the initial period of weathering, and (b) only when chemical equilibrium is approached in the weathering profile are new minerals able to form. (author)

  15. Food as a linking device among the Guidar of North Cameroon La nourriture comme lien entre Guidar du nord-Cameroun

    Forka Leypey Mathew Fomine

    2009-07-01

    Full Text Available This article elucidates and illuminates food as a powerful device that established and strengthened cultural and commercial relationships among the Guidar of North Cameroon and between the Guidar and their neighbouring ethnic groups. During cultural ceremonies such as traditional wedding, death celebration, funeral entertainment, naming ceremony and group circumcision, the Guidar collectively consumed diverse food items that established and cemented cultural relationships among them. Food also aided in establishing commercial relationships between the Guidar and Moundang, Massa, Tupuri, Bamileke from Cameroon and the Sara from the Republic of Chad.Cet article montre le pouvoir instrumental alimentaire qui établit et renforce les relations culturelles et commerciales parmi les peuples Guidar du nord-Cameroun et différentes entités ethniques voisines. Durant les cérémonies traditionnelles telles que les mariages, les funérailles, les circoncisions en groupes, les peuples Guidar collectivement consomment un large éventail de produits alimentaires qui établissent et renforcent les relations culturelles. La nourriture également favorise l’établissement de relations commerciales entre les peuples Guidar, Moundang, Massa, Toupouri, Bamileke et les peuples Sara de la République du Tchad.

  16. Nanotechnology Research Directions for Societal Needs in 2020 Retrospective and Outlook

    Roco, Mihail C; Mirkin, Chad A

    2011-01-01

    This volume presents a comprehensive perspective on the global scientific, technological, and societal impact of nanotechnology since 2000, and explores the opportunities and research directions in the next decade to 2020.  The vision for the future of nanotechnology presented here draws on scientific insights from U.S. experts in the field, examinations of lessons learned, and international perspectives shared by participants from 35 countries in a series of high-level workshops organized by Mike Roco of the National Science Foundation (NSF), along with a team of American co-hosts that includes Chad Mirkin, Mark Hersam, Evelyn Hu, and several other eminent U.S. scientists.  The study performed in support of the U.S. National Nanotechnology Initiative (NNI) aims to redefine the R&D goals for nanoscale science and engineering integration and to establish nanotechnology as a general-purpose technology in the next decade. It intends to provide decision makers in academia, industry, and government with a n...

  17. Affordability of comprehensive community health worker programmes in rural sub-Saharan Africa.

    Taylor, Celia; Griffiths, Frances; Lilford, Richard

    2017-01-01

    Community health worker (CHW) programmes have low costs per person served and are central to achieving universal healthcare. However, their total cost is high and the target of one million CHWs for sub-Saharan Africa by 2015 was not met. We consider the affordability of rural CHW programmes by estimating total programme costs relative to national healthcare expenditure at different CHW salaries and resources available for healthcare. We combine an existing source of rural CHW programme costs with World Bank data to estimate relative CHW programme costs in 37 countries. We consider three 'salaries' (CHWs as volunteers, paid the local equivalent of US$80 per month and paid the national minimum wage) and four potential healthcare budgets (both actual and Abuja declaration allocations alone and increased by external funding received and potential foreign aid, respectively). Costs are shown in 2012 nominal US$. With CHWs paid the local equivalent of US$80 per month and financed from existing central government healthcare budgets, the median relative cost of a CHW programme would be 27% of the healthcare budget. While less than 2.5% in five countries (Botswana, Equatorial Guinea, Gabon, Namibia and South Africa), this relative cost would exceed 100% in three (Chad, Eritrea and Niger). There is a strong negative linear relationship (R 2 =0.83, psub-Saharan Africa. In many countries, such programmes are not yet affordable unless significant foreign aid is received.

  18. Effect of maternal age on facility-based delivery: analysis of first-order births in 34 countries of sub-Saharan Africa using demographic and health survey data.

    Dunlop, Catherine L; Benova, Lenka; Campbell, Oona

    2018-04-13

    Increasing access to skilled birth attendance, usually via childbirth in health facilities, is a key intervention to reduce maternal and perinatal mortality and morbidity. Yet, in some countries of sub-Saharan Africa, the uptake is Health Surveys from 34 sub-Saharan African countries were used to assess women's delivery locations. 72 772 women having their first birth in the 5 years preceding the surveys were included in the analysis. Proportions and 95% CIs of facility-based deliveries were estimated overall and by country. Multivariable logistic regression was used to calculate the odds of facility-based delivery for different maternal age groups (15-19, 20-24 and ≥25 years) for a pooled sample of all countries. 59.9% of women had a facility-based delivery for their first birth (95% CI 58.6 to 61.2), ranging from 19.4% in Chad to 96.6% in Rwanda. Compared with women aged 15-19 years, the adjusted odds of having a facility-based delivery for those aged 20-24 was 1.4 (95% CI 1.3 to 1.5, psub-Saharan Africa. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  19. Urban Health and Welfare in Sub-Saharan Africa: Population Growth, Urbanisation, Water/Sanitation Services, Slumisation and Poverty

    RICHARD INGWE

    2012-01-01

    Full Text Available Spatio-temporal analysis was applied on data representing urbanisation, slumisation, poverty, safe water/ sanitation in urban sub-Saharan Africa (SSA. The findings include: rapid rates of national population growth and urbanisation throughout SSA from 1980 to 2005, averaging 93.8% (range: 90.5% points, lowest and highest rates being 40% (Lesotho and 130.5% (Niger, respectively; high national poverty rates, widespread in SSA: (>50% in about seven countries; it might have been similar in more countries if a large number of SSA countries had reported their 1993 poverty rates; high urban/rural poverty ratios (1.05-1.79 points range between Nigeria and Benin Republics. High average rate (73% of slumisation in SSA in 2001 (range: 96%, lowest and highest rates being in Zimbabwe (3% and Chad/Ethiopia (99%, respectively. SSA’s 2000 health adjusted life expectancy was generally low: 38.8 years (<40 years in 24 countries. Use of safe/improved water/sanitation services were poor almost throughout SSA: declined rapidly and ubiquitously from 72% (2000 to 55% (2002, minus 17% points decrease in three years within individual countries with alarming declines up to minus 69% points in Guinea. The policy implications of the findings include the urgent and imperative need to massively implement urban improvement programmes designed to provide health-inducing services/facilities across SSA.

  20. Review of Finger millet (Eleusine coracana (L. Gaertn: A power house of health benefiting nutrients

    Dinesh Chandra

    2016-09-01

    Full Text Available The bulk of the world's millet crop is produced by India, Nigeria, Niger, Mali, Burkina Faso, Chad, and China. Finger millet (Eleusine coracana (L. Gaertn, little millet (Panicum sumatrense Roth ex Roem. & Schult., foxtail millet (Setaria italica (L. P. Beauvois and proso millet (Panicum miliaceum L. are most commonly found species among various millet varieties. In India, finger millet occupy the largest area under cultivation among the small millets. Finger millet stands unique among the cereals such as barley, rye and oats with higher nutritional contents and has outstanding properties as a subsistence food crop. It is rich in calcium (0.34%, dietary fiber (18%, phytates (0.48%, protein (6%–13% minerals (2.5%–3.5%, and phenolics (0.3%–3%. Moreover, it is also a rich source of thiamine, riboflavin, iron, methionine, isoleucine, leucine, phenylalanine and other essential amino acids. The abundance of these phytochemicals enhances the nutraceutical potential of finger millet, making it a powerhouse of health benefiting nutrients. It has distinguished health beneficial properties, such as anti-diabetic (type 2 diabetes mellitus, anti-diarrheal, antiulcer, anti-inflammatory, antitumerogenic (K562 chronic myeloid leukemia, atherosclerogenic effects, antimicrobial and antioxidant properties.

  1. Organic geochemical characterization of potential hydrocarbon source rocks in the upper Benue Trough

    Obaje, N. G.; Pearson, M. J.; Suh, C. E.; Dada, S. S.

    1999-01-01

    The Upper Benue Trough of Nigeria is the northeastern most portion of the Benue rift structure that extends from the northern limit of the Niger Delta in the south to the southern limit of the Chad basin int he northeast. this portion of the trough is made up of two arms: the Gongola Arm and the Yola Arm. Stratigraphic sequence in the Gongola Arm comprises the continental Albian Bima Sandstone, the transitional Cenomanian Yolde Formation and the marine Turonian - Santonian Gongila, Pindiga, and Fika Formations. Overlying these are the continental Campane - Maastrichtian Gombe Sandstone and the Tertiary Kerri - Kerri Formation. In the Yola Arm, the Turonian - Santonian sequence is replaced by the equally marine Dukul, Jessu, Sekuliye Formations, Numanha Shale, and the Lamja Sandstone. Organic geochemical studies have been carried on outcrop sample form the Gongila, Pindiga, Dukul Formations, the Fika shale and the shaly units of the Gombe Sandstone, with the aim of assessing their source rock potential. Gas Chromatography (GC), Gas Chromatography - Mass Spectrometry (C - MS), and Rock Eval Pyrolysis were the major organic geochemical tools employed. Biomaker hydrocarbon signatures obtained from the GC - MS and the Rock Eval Pyrolysis results indicate that all he formations studied, except the Dukul formation, are immature and are all lean in organic matter

  2. Nations of the earth report

    1992-01-01

    These books contain summaries of the national reports prepared for the UN Conference on Environment and Development held in Rio de Janeiro, June 1992. Summary reports of the following countries are included: V. 1) Algeria, Argentina, Barbados, Belize, Benin, Burkina Faso, Burundi, Canada, Chad, China, Costa Rica, Cote d'Ivoire, Cyprus, Djibouti, Egypt, Fiji, Finland, France, Guinea, Jordan, Maldives, Mali, Mauritania, Mozambique, Netherlands, Niger, Nigeria, Niue, Paraguay, Romania, Senegal, Singapore, Solomon Islands, South Africa, Sri Lanka, Swaziland, Sweden, Tokelau, Turkey, Uganda, Ukraine, United Kingdom, United Republic of Tanzania, Vanuatu, Western Samoa, Yemen Arab Republic, Yugoslavia. V. 2) Afghanistan, Antigua and Barbuda, Bangladesh, Bhutan, Brazil, British Virgin Islands, Bulgaria, Central African Republic, Colombia, Czech and Slovak Federal Republic, Denmark, Dominican Republic, Equatorial Guinea, Ethiopia, Gambia, Germany, Ghana, Guinea-Bissau, Guyana, Honduras, Japan, Kenya, Republic of Korea, Lao People's Democratic Republic, Lebanon, Lesotho, Marshall Islands, Mauritius, Morocco, New Zealand, Nicaragua, Oman, Organization of Eastern Caribbean States, Pacific Islands Developing Countries, Pakistan, Philippines, Poland, Portugal, Qatar, Rwanda, Saudi Arabia, Seychelles, Sierra Leone, Spain, Sudan, Thailand, Tonga, Trinidad and Tobago, Uruguay, Zimbabwe

  3. Use of Lot Quality Assurance Sampling (LQAS) to estimate vaccination coverage helps guide future vaccination efforts.

    Alberti, K P; Guthmann, J P; Fermon, F; Nargaye, K D; Grais, R F

    2008-03-01

    Inadequate evaluation of vaccine coverage after mass vaccination campaigns, such as used in national measles control programmes, can lead to inappropriate public health responses. Overestimation of vaccination coverage may leave populations at risk, whilst underestimation can lead to unnecessary catch-up campaigns. The problem is more complex in large urban areas where vaccination coverage may be heterogeneous and the programme may have to be fine-tuned at the level of geographic subunits. Lack of accurate population figures in many contexts further complicates accurate vaccination coverage estimates. During the evaluation of a mass vaccination campaign carried out in N'Djamena, the capital of Chad, Lot Quality Assurance Sampling was used to estimate vaccination coverage. Using this method, vaccination coverage could be evaluated within smaller geographic areas of the city as well as for the entire city. Despite the lack of accurate population data by neighbourhood, the results of the survey showed heterogeneity of vaccination coverage within the city. These differences would not have been identified using a more traditional method. The results can be used to target areas of low vaccination coverage during follow-up vaccination activities.

  4. Duloxetine for the management of fibromyalgia syndrome

    Beth A Scholz

    2009-07-01

    Full Text Available Beth A Scholz, Cara L Hammonds, Chad S BoomershineDepartment of Medicine, Vanderbilt University, Nashville, TN, USAAbstract: Fibromyalgia syndrome (FMS is a widespread pain condition associated with a wide range of additional symptoms including fatigue, insomnia, depression, anxiety and stiffness. Duloxetine is one of three medications currently FDA approved for use in FMS management. Duloxetine is a mixed serotonin and norepinephrine reuptake inhibitor (SNRI that functions by increasing central nervous system levels of serotonin and norepinephrine. This review is a primer on use of duloxetine in FMS management and includes information on pharmacology and pharmacokinetics, a review of the three duloxetine FMS treatment trials currently in publication, a discussion of the safety and tolerability of duloxetine, and patient-focused perspectives on duloxetine use in FMS management. Duloxetine has proven efficacy in managing pain and mood symptoms in adult FMS patients with and without major depressive disorder. However, due to side effects, duloxetine must be used with caution in patients with fatigue, insomnia, gastrointestinal complaints, headache, cardiovascular disease, bleeding-risk, and in those 24 years of age and younger due to risk of suicidality. Duloxetine use should be avoided in patients with liver disease or alcoholics. As with all medications, duloxetine is best used as part of an individualized regimen that includes nonpharmacologic modalities of exercise, education and behavioral therapies.Keywords: fibromyalgia, duloxetine, SNRI, safety

  5. Wounds and weapons

    Vogel, H. [Asklepios Klinik St. Georg, Roentgenabteilung, Lohmuehlenstrasse 5, 20099 Hamburg (Germany)], E-mail: Hermann.vogel@ak-stgeorg.lbk-hh.de; Dootz, B. [Asklepios Klinik St. Georg, Roentgenabteilung, Lohmuehlenstrasse 5, 20099 Hamburg (Germany)

    2007-08-15

    Purpose: X-ray findings are described, which are typical for injuries due to conventional weapons. It is intended to demonstrate that radiographs can show findings characteristic for weapons. Material and method: The radiograms have been collected in Vietnam, Croatia, Serbia, Bosnia, Chad, Iran, Afghanistan, USA, Great Britain, France, Israel, Palestine, and Germany. Results: Radiograms of injuries due to hand grenades show their content (globes) and cover fragments. The globes are localized regionally in the victim's body. Survivors of cluster bombs show singular or few globes; having been hit by many globes would have been lethal. Shotguns produce characteristic distributions of the pallets and depth of penetration different from those of hand grenades and cluster bombs; cover fragments are lacking. Gunshot wounds (GSW) can be differentiated in those to low velocity bullets, high velocity projectiles, and projectiles, which disintegrate on impact. The radiogram furnishes the information about a dangerous shock and helps to recognize the weapon. Radiograms of victims of explosion show fragments and injuries due to the blast, information valid for therapy planning and prognosis. The radiogram shows details which can be used in therapy, forensic medicine and in war propaganda - examples could be findings typical for cluster bombs and for dumdum bullets; it shows the cruelty of the employment of weapons against humans and the conflict between the goal of medical care and those of military actions. Conclusion: Radiographs may show, which weapon has been employed; they can be read as war reports.

  6. Wounds and weapons

    Vogel, H.; Dootz, B.

    2007-01-01

    Purpose: X-ray findings are described, which are typical for injuries due to conventional weapons. It is intended to demonstrate that radiographs can show findings characteristic for weapons. Material and method: The radiograms have been collected in Vietnam, Croatia, Serbia, Bosnia, Chad, Iran, Afghanistan, USA, Great Britain, France, Israel, Palestine, and Germany. Results: Radiograms of injuries due to hand grenades show their content (globes) and cover fragments. The globes are localized regionally in the victim's body. Survivors of cluster bombs show singular or few globes; having been hit by many globes would have been lethal. Shotguns produce characteristic distributions of the pallets and depth of penetration different from those of hand grenades and cluster bombs; cover fragments are lacking. Gunshot wounds (GSW) can be differentiated in those to low velocity bullets, high velocity projectiles, and projectiles, which disintegrate on impact. The radiogram furnishes the information about a dangerous shock and helps to recognize the weapon. Radiograms of victims of explosion show fragments and injuries due to the blast, information valid for therapy planning and prognosis. The radiogram shows details which can be used in therapy, forensic medicine and in war propaganda - examples could be findings typical for cluster bombs and for dumdum bullets; it shows the cruelty of the employment of weapons against humans and the conflict between the goal of medical care and those of military actions. Conclusion: Radiographs may show, which weapon has been employed; they can be read as war reports

  7. First Early Hominin from Central Africa (Ishango, Democratic Republic of Congo)

    Crevecoeur, Isabelle; Skinner, Matthew M.; Bailey, Shara E.; Gunz, Philipp; Bortoluzzi, Silvia; Brooks, Alison S.; Burlet, Christian; Cornelissen, Els; De Clerck, Nora; Maureille, Bruno; Semal, Patrick; Vanbrabant, Yves; Wood, Bernard

    2014-01-01

    Despite uncontested evidence for fossils belonging to the early hominin genus Australopithecus in East Africa from at least 4.2 million years ago (Ma), and from Chad by 3.5 Ma, thus far there has been no convincing evidence of Australopithecus, Paranthropus or early Homo from the western (Albertine) branch of the Rift Valley. Here we report the discovery of an isolated upper molar (#Ish25) from the Western Rift Valley site of Ishango in Central Africa in a derived context, overlying beds dated to between ca. 2.6 to 2.0 Ma. We used µCT imaging to compare its external and internal macro-morphology to upper molars of australopiths, and fossil and recent Homo. We show that the size and shape of the enamel-dentine junction (EDJ) surface discriminate between Plio-Pleistocene and post-Lower Pleistocene hominins, and that the Ishango molar clusters with australopiths and early Homo from East and southern Africa. A reassessment of the archaeological context of the specimen is consistent with the morphological evidence and suggest that early hominins were occupying this region by at least 2 Ma. PMID:24427292

  8. Focus on a few countries

    Kane, M.

    2016-01-01

    This article presents the situation of wind energy in 5 countries. Egypt is strengthening its wind power production by starting the construction of a new wind farm of 250 MW while another is planned and 2 others are in the project phase. 'The Blue Circle', the first wind energy company of south-east Asia has launched a joint project with the Vietnamese TSV company to build a 40 MW wind farm in Viet-Nam. The government of South-Africa has opted for the development of solar and wind energies. Today 500.000 South-African households are powered by wind energy through 15 wind farms totaling 3 GW. Morocco plans to build 5 new wind power plants within 4 years, their cumulated capacity will reach 850 MW and the selling price of the electricity will be one of the lowest in the world: between 25 and 30 dollars/MWh. In Chad the city of Amdjaras will be soon entirely supplied with renewable energies. A wind farm connected to a high capacity system for storing energy is being built. (A.C.)

  9. Mitochondrial and nuclear genes-based phylogeography of Arvicanthis niloticus (Murinae and sub-Saharan open habitats pleistocene history.

    Gauthier Dobigny

    Full Text Available A phylogeographic study was conducted on the Nile grass rat, Arvicanthis niloticus, a rodent species that is tightly associated with open grasslands from the Sudano-Sahelian regions. Using one mitochondrial (cytochrome b and one nuclear (intron 7 of Beta Fibrinogen gene, robust patterns were retrieved that clearly show that (i the species originated in East Africa concomitantly with expanding grasslands some 2 Ma, and (ii four parapatric and genetically well-defined lineages differentiated essentially from East to West following Pleistocene bioclimatic cycles. This strongly points towards allopatric genetic divergence within savannah refuges during humid episodes, then dispersal during arid ones; secondary contact zones would have then stabilized around geographic barriers, namely, Niger River and Lake Chad basins. Our results pertinently add to those obtained for several other African rodent as well as non-rodent species that inhabit forests, humid zones, savannahs and deserts, all studies that now allow one to depict a more comprehensive picture of the Pleistocene history of the continent south of the Sahara. In particular, although their precise location remains to be determined, at least three Pleistocene refuges are identified within the West and Central African savannah biome.

  10. Interactions and Feedbacks Between Biomass Burning and Water Cycle Dynamics Across the Northern Sub-Saharan African Region

    Ichoku, Charles

    2012-01-01

    The northern sub-Saharan African (NSSA) region, bounded on the north and south by the Sahara and the Equator, respectively, and stretching from the West to the East African coastlines, has one of the highest biomass-burning rates per unit land area among all regions of the world. Because of the high concentration and frequency of fires in this region, with the associated abundance of heat release and gaseous and particulate smoke emissions, biomass-burning activity is believed to be one of the drivers of the regional carbon and energy cycles, with serious implications for the water cycle. A new interdisciplinary research effort sponsored by NASA is presently being focused on the NSSA region, to better understand the possible connection between the intense biomass burning observed from satellite year after year across the region and the rapid depletion of the regional water resources, as exemplified by the dramatic drying of Lake Chad. A combination of remote sensing and modeling approaches is being utilized in investigating multiple regional surface, atmospheric, and water-cycle processes, and inferring possible links between them. In this presentation, we will discuss preliminary results as well as the path toward improved understanding of the interrelationships and feedbacks between the biomass burning and the environmental change dynamics in the NSSA region.

  11. Thromboembolic and Major Bleeding Events With Rivaroxaban Versus Warfarin Use in a Real-World Setting.

    Russo-Alvarez, Giavanna; Martinez, Kathryn A; Valente, Megan; Bena, James; Hu, Bo; Luxenburg, Jennifer; Chaitoff, Alexander; Ituarte, Catherine; Brateanu, Andrei; Rothberg, Michael B

    2018-01-01

    Although randomized trials demonstrate the noninferiority of rivaroxaban compared with warfarin in the context of nonvalvular atrial fibrillation (AF), little is known about how these drugs compare in practice. To assess the relative effectiveness and safety of rivaroxaban versus warfarin in a large health system and to evaluate this association by time in therapeutic range (TTR). We conducted a retrospective cohort study with propensity matching in the Cleveland Clinic Health System. The study included patients initiated on warfarin or rivaroxaban for thromboembolic prevention in nonvalvular AF between January 2012 and July 2016. The main outcomes were thromboembolic events and major bleeds. Analyses were stratified by warfarin patients' TTR. The cohort consisted of 472 propensity-matched pairs. The mean age was 73.6 years (SD = 11.7), and the mean CHADS 2 score was 1.8. The median TTR for warfarin patients was 64%. In the propensity-matched analysis, there was no significant difference in thromboembolic or major bleeding events between groups. Among warfarin patients with a TTR warfarin and rivaroxaban were associated with similar safety and effectiveness, even among those with suboptimal therapeutic control. Individualized decision making, taking into account the nontherapeutic tradeoffs associated with these medications (eg, monitoring, half-life, cost) is warranted.

  12. Outcomes With Edoxaban Versus Warfarin in Patients With Previous Cerebrovascular Events

    Rost, Natalia S; Giugliano, Robert P; Ruff, Christian T

    2016-01-01

    BACKGROUND AND PURPOSE: Patients with atrial fibrillation and previous ischemic stroke (IS)/transient ischemic attack (TIA) are at high risk of recurrent cerebrovascular events despite anticoagulation. In this prespecified subgroup analysis, we compared warfarin with edoxaban in patients with ver......BACKGROUND AND PURPOSE: Patients with atrial fibrillation and previous ischemic stroke (IS)/transient ischemic attack (TIA) are at high risk of recurrent cerebrovascular events despite anticoagulation. In this prespecified subgroup analysis, we compared warfarin with edoxaban in patients...... with versus without previous IS/TIA. METHODS: ENGAGE AF-TIMI 48 (Effective Anticoagulation With Factor Xa Next Generation in Atrial Fibrillation-Thrombolysis in Myocardial Infarction 48) was a double-blind trial of 21 105 patients with atrial fibrillation randomized to warfarin (international normalized ratio......). Because only HDER is approved, we focused on the comparison of HDER versus warfarin. RESULTS: Of 5973 (28.3%) patients with previous IS/TIA, 67% had CHADS2 (congestive heart failure, hypertension, age, diabetes, prior stroke/transient ischemic attack) >3 and 36% were ≥75 years. Compared with 15 132...

  13. The state, refugees and migration in sub-Saharan Africa.

    Akokpari, J K

    1998-01-01

    Migration and refugee movements could significantly decline in sub-Saharan African countries. However, countries must redistribute meager resources equitably and engage in environmental protection. Refugee and migrant populations have increased in sub-Saharan Africa during 1969-95, from 700,000 to 6.8 million. This study examined the causes of migration and the implications for host countries. Doornbos (1990) identifies the root problem as the partisan nature of African politics and the incapacity to manage ecological degradation. The African state is wholly or partially responsible for the creation of conflicts. Examples abound in Zaire, South Africa, Sudan, Rwanda, Burundi, Somalia, Ethiopia, Liberia, Congo, and Chad. State partisanship is also evident in Angola, Mozambique, Uganda, and Sierra Leone. An estimated 10 million Africans, in 1985, left their homes due to wars, government repression, or the inability of land to support them. In 1994, USAID estimated that 11.6 million Africans in 10 countries were threatened by famine from drought. Environmental degradation has generated conflicts. Africa's marginalized economy results in recession, unemployment, inflation, and distributional conflicts. Democratization has brought conflicts between the state, civil society, and exiles. Refugees face homelessness, poverty, emotional distress, inadequate food, and disease. Host countries face security threats, pressure on limited resources, rebellions from refugees and their involvement with foreign mercenaries, local conflicts between native and refugee populations, and environmental degradation from refugees.

  14. Understanding the Environmental and Climate Impacts of Biomass Burning in Northern Sub-Saharan Africa

    Ichoku, Charles; Gatebe, Charles; Bolten, John; Policelli, Fritz; Habib, Shahid; Lee, Jejung; Wang, Jun; Wilcox, Eric; Adegoke, Jimmy

    2011-01-01

    The northern sub-Saharan African (NSSA) region, bounded on the north and south by the Sahara and the Equator, respectively, and stretching from the West to the East African coastlines, has one of the highest biomass-burning rates per unit land area among all regions of the world. Because of the high concentration and frequency of fires in this region, with the associated abundance of heat release and gaseous and particulate smoke emissions, biomass-burning activity is believed to be one of the drivers of the regional carbon and energy cycles, with serious implications for the water cycle. A new interdisciplinary research effort sponsored by NASA is presently being focused on the NSSA region, to better understand the possible connection between the intense biomass burning observed from satellite year after year across the region and the rapid depletion of the regional water resources, as exemplified by the dramatic drying of Lake Chad. A combination of remote sensing and modeling approaches is being utilized in investigating multiple regional surface, atmospheric, and water-cycle processes, and inferring possible links between them. In this presentation, we will discuss preliminary results as well as the path toward improved understanding'of the interrelationships and feedbacks between the biomass burning and the environmental change dynamics in the NSSA region.

  15. Activities of Protection against Ionizing Radiation in Niger

    Kando Hamadou, M.

    2008-01-01

    Niger, sahelian country of Western Africa, is limited to North by Libya and Algeria, to the South by Nigeria and the Benin, to the East by Chad and the West by Mali and Burkina Faso. It covers a surface of 1 267 000 km2 and has a population of approximately 12 000 000 inhabitants. Niger is a large uranium producer with two extraction and treatment development companies of uranium ore which are the company of the mines of Air (SOMAIR) created in 1971 and the mining company of Akouta (COMINAK) created in 1978. Beyond the mining sector, ionizing radiation sources are used in the fields of industry, health, teaching and research. The first lawful text of protection against ionizing radiation was signed on December 5, 1979 and specifically related to the mining activities of uranium. With the multiform assistance of International Atomic Energy Agency (IAEA) protection against radiation knew a significant evolution. A national centre of protection against radiation was created in 1998, two laws relating to the field were adopted in June 2006 and three lawful texts of application of these laws are in the process of finalization

  16. Validation and Application of a Dried Blood Spot Ceftriaxone Assay

    Page-Sharp, Madhu; Nunn, Troy; Salman, Sam; Moore, Brioni R.; Batty, Kevin T.; Davis, Timothy M. E.

    2015-01-01

    Dried blood spot (DBS) antibiotic assays can facilitate pharmacokinetic/pharmacodynamic (PK/PD) studies in situations where venous blood sampling is logistically and/or ethically problematic. In this study, we aimed to develop, validate, and apply a DBS ceftriaxone assay. A liquid chromatography-tandem mass spectroscopy (LC-MS/MS) DBS ceftriaxone assay was assessed for matrix effects, process efficiency, recovery, variability, and limits of quantification (LOQ) and detection (LOD). The effects of hematocrit, protein binding, red cell partitioning, and chad positioning were evaluated, and thermal stability was assessed. Plasma, DBS, and cell pellet ceftriaxone concentrations in 10 healthy adults were compared, and plasma concentration-time profiles of DBS and plasma ceftriaxone were incorporated into population PK models. The LOQ and LOD for ceftriaxone in DBS were 0.14 mg/liter and 0.05 mg/liter, respectively. Adjusting for hematocrit, red cell partitioning, and relative recovery, DBS-predicted plasma concentrations were comparable to measured plasma concentrations (r > 0.95, P 95% initial concentrations in DBS for 14 h, 35 h, 30 days, 21 weeks, and >11 months, respectively. The present DBS ceftriaxone assay is robust and can be used as a surrogate for plasma concentrations to provide valid PK and PK/PD data in a variety of clinical situations, including in studies of young children and of those in remote or resource-poor settings. PMID:26438505

  17. The global polio eradication initiative: lessons learned and prospects for success.

    Aylward, Bruce; Tangermann, Rudolf

    2011-12-30

    Nigeria, endemic transmission appeared to be restricted to the north-east and north-west corners of the country. While polio cases due to WPV type 3 were still being detected in west and central Africa, the overall level of WPV3 transmission globally was at an all-time low. Uncontrolled WPV transmission appeared to be restricted to Chad and Pakistan, which increasingly represented the greatest risks to the GPEI. Although insufficient financing continued to be a major concern, political support for completing polio eradication in polio-infected countries was stronger than ever by mid-2011. While continued transmission in some areas, particularly in Pakistan and Chad, still had to be controlled as a matter of urgency, there were real opportunities to achieve new landmarks in polio eradication, especially in the key WPV reservoirs of India and Nigeria, setting the stage for polio to soon follow smallpox into the history books. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. Validity and feasibility of a satellite imagery-based method for rapid estimation of displaced populations.

    Checchi, Francesco; Stewart, Barclay T; Palmer, Jennifer J; Grundy, Chris

    2013-01-23

    Estimating the size of forcibly displaced populations is key to documenting their plight and allocating sufficient resources to their assistance, but is often not done, particularly during the acute phase of displacement, due to methodological challenges and inaccessibility. In this study, we explored the potential use of very high resolution satellite imagery to remotely estimate forcibly displaced populations. Our method consisted of multiplying (i) manual counts of assumed residential structures on a satellite image and (ii) estimates of the mean number of people per structure (structure occupancy) obtained from publicly available reports. We computed population estimates for 11 sites in Bangladesh, Chad, Democratic Republic of Congo, Ethiopia, Haiti, Kenya and Mozambique (six refugee camps, three internally displaced persons' camps and two urban neighbourhoods with a mixture of residents and displaced) ranging in population from 1,969 to 90,547, and compared these to "gold standard" reference population figures from census or other robust methods. Structure counts by independent analysts were reasonably consistent. Between one and 11 occupancy reports were available per site and most of these reported people per household rather than per structure. The imagery-based method had a precision relative to reference population figures of layout. For each site, estimates were produced in 2-5 working person-days. In settings with clearly distinguishable individual structures, the remote, imagery-based method had reasonable accuracy for the purposes of rapid estimation, was simple and quick to implement, and would likely perform better in more current application. However, it may have insurmountable limitations in settings featuring connected buildings or shelters, a complex pattern of roofs and multi-level buildings. Based on these results, we discuss possible ways forward for the method's development.

  19. Disentangling migratory routes and wintering grounds of Iberian near-threatened European Rollers Coracias garrulus.

    Juan Rodríguez-Ruiz

    Full Text Available Long-distance migrants are suffering drastic declines in the last decades. Causes beneath this problem are complex due to the wide spatial and temporal scale involved. We aim to reveal migratory routes, stopover areas, wintering grounds, and migratory strategies for the most southwestern populations of the near-threatened European Roller Coracias garrulus in order to identify conservation key areas for the non-breeding stage of this species. To this end, we used tracking data from seven satellite transmitters fitted to birds breeding in different populations throughout the Iberian Peninsula and four geolocators fitted to individuals in a southeastern Iberian population. Precise satellite data were used to describe daily activity patterns and speed in relation to the main regions crossed during the migration. Individuals from the most southwestern Iberian populations made a detour towards the Atlantic African coast whereas those from northeastern populations followed a straight north-to-south route. We identified important stopover areas in the Sahel belt, mainly in the surroundings of the Lake Chad, and wintering grounds on southwestern Africa farther west than previously reported for the species. Concerning the migratory strategy, satellite data revealed: 1 a mainly nocturnal flying activity, 2 that migration speed depended on the type of crossed habitat, with higher average speed while crossing the desert; and 3 that the migration was slower and lasted longer in autumn than in spring. The studied populations showed weak migratory connectivity, suggesting the confluence of birds from a wide range of breeding grounds in a restricted wintering area. Therefore, we suggest to target on defining precisely key areas for this species and identifying specific threats in them in order to develop an appropriate global conservation programme for the European Roller.

  20. Climatology of nocturnal low-level jets over North Africa and implications for modeling mineral dust emission.

    Fiedler, S; Schepanski, K; Heinold, B; Knippertz, P; Tegen, I

    2013-06-27

    [1] This study presents the first climatology for the dust emission amount associated with Nocturnal Low-Level Jets (NLLJs) in North Africa. These wind speed maxima near the top of the nocturnal boundary layer can generate near-surface peak winds due to shear-driven turbulence in the course of the night and the NLLJ breakdown during the following morning. The associated increase in the near-surface wind speed is a driver for mineral dust emission. A new detection algorithm for NLLJs is presented and used for a statistical assessment of NLLJs in 32 years of ERA-Interim reanalysis from the European Centre for Medium-Range Weather Forecasts. NLLJs occur in 29% of the nights in the annual and spatial mean. The NLLJ climatology shows a distinct annual cycle with marked regional differences. Maxima of up to 80% NLLJ frequency are found where low-level baroclinicity and orographic channels cause favorable conditions, e.g., over the Bodélé Depression, Chad, for November-February and along the West Saharan and Mauritanian coast for April-September. Downward mixing of NLLJ momentum to the surface causes 15% of mineral dust emission in the annual and spatial mean and can be associated with up to 60% of the total dust amount in specific areas, e.g., the Bodélé Depression and south of the Hoggar-Tibesti Channel. The sharp diurnal cycle underlines the importance of using wind speed information with high temporal resolution as driving fields for dust emission models. Citation: Fiedler, S., K. Schepanski, B. Heinold, P. Knippertz, and I. Tegen (2013), Climatology of nocturnal low-level jets over North Africa and implications for modeling mineral dust emission, J. Geophys. Res. Atmos., 118, 6100-6121, doi:10.1002/jgrd.50394.

  1. Modelling soil dust aerosol in the Bodélé depression during the BoDEx campaign

    Tegen, I.; Heinold, B.; Todd, M.; Helmert, J.; Washington, R.; Dubovik, O.

    2006-09-01

    We present regional model simulations of the dust emission events during the Bodélé Dust Experiment (BoDEx) that was carried out in February and March 2005 in Chad. A box model version of the dust emission model is used to test different input parameters for the emission model, and to compare the dust emissions computed with observed wind speeds to those calculated with wind speeds from the regional model simulation. While field observations indicate that dust production occurs via self-abrasion of saltating diatomite flakes in the Bodélé, the emission model based on the assumption of dust production by saltation and using observed surface wind speeds as input parameters reproduces observed dust optical thicknesses well. Although the peak wind speeds in the regional model underestimate the highest wind speeds occurring on 10-12 March 2005, the spatio-temporal evolution of the dust cloud can be reasonably well reproduced by this model. Dust aerosol interacts with solar and thermal radiation in the regional model; it is responsible for a decrease in maximum daytime temperatures by about 5 K at the beginning the dust storm on 10 March 2005. This direct radiative effect of dust aerosol accounts for about half of the measured temperature decrease compared to conditions on 8 March. Results from a global dust model suggest that the dust from the Bodélé is an important contributor to dust crossing the African Savannah region towards the Gulf of Guinea and the equatorial Atlantic, where it can contribute up to 40% to the dust optical thickness.

  2. Anticoagulation Control in Patients With Nonvalvular Atrial Fibrillation Attended at Primary Care Centers in Spain: The PAULA Study.

    Barrios, Vivencio; Escobar, Carlos; Prieto, Luis; Osorio, Genoveva; Polo, José; Lobos, José María; Vargas, Diego; García, Nicolás

    2015-09-01

    To determine the current status of anticoagulation control in patients with nonvalvular atrial fibrillation treated with vitamin K antagonists in the primary care setting in Spain. The PAULA study was a multicenter cross-sectional/retrospective observational study conducted throughout Spain. The study included patients with nonvalvular atrial fibrillation who had been receiving vitamin K antagonist therapy during the past year and were attended at primary care centers. International normalized ratio (INR) values over the past 12 months were recorded. The degree of anticoagulation control was defined as the time the patient had remained within the therapeutic range and was determined by both the direct method (poor control < 60%) and by the Rosendaal method (poor control < 65%). The study assessed 1524 patients (mean age, 77.4 ± 8.7 years; 48.6% women; 64.2% in permanent atrial fibrillation; CHADS2 mean, 2.3 ± 1.2; CHA2DS2-VASc, 3.9 ± 1.5, and HAS-BLED, 1.6 ± 0.9). The mean number of INR readings recorded per patient was 14.4 ± 3.8. A total of 56.9% of patients had adequate INR control according to the direct method and 60.6% according to the Rosendaal method. The multivariate analysis identified the following predictors for poor INR control: female sex, dietary habits potentially affecting anticoagulation with vitamin K antagonists, multidrug therapy, and a history of labile INR. Approximately 40% of patients (43.1% by the direct method and 39.4% by the Rosendaal method) with nonvalvular atrial fibrillation who were receiving anticoagulation therapy with vitamin K antagonists in primary care in Spain had poor anticoagulation control during the previous 12 months. Copyright © 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  3. Adherence to recommendations of the Therapeutic Positioning Report about treatment with oral anticoagulants in elderly patients with atrial fibrillation. The ESPARTA study.

    Suárez Fernández, Carmen; Mostaza, Jose María; Castilla Guerra, Luis; Cantero Hinojosa, Jesus; Suriñach, Josep Maria; Acosta de Bilbao, Fernando; Tamarit, Juan José; Diaz Diaz, José Luis; Hernandez, Jose Luis; Cazorla, Daniel; Ràfols, Carles

    2017-10-06

    To evaluate the adherence to the recommendations in clinical practice performed by the Therapeutic Positioning Report (TPR) of the Spanish Agency of Medicines and Sanitary Products about the treatment with oral anticoagulants in patients aged≥75 years old with nonvalvular atrial fibrillation (NVAF) treated in Internal Medicine departments in Spain. Observational, cross-sectional and multicenter study in which 837 patients aged≥75 years old with NVAF, with stable treatment with oral anticoagulants at least 3 months before inclusion, and that had started treatment with oral anticoagulants before the inclusion period were included. Mean age was 83.0±5.0 years old, mean CHADS 2 score 3.2±1.2, mean CHA 2 DS 2 -VASc score 5.0±1.4, and mean HAS-BLED score 2.1±0.9. A percentage of 70.8 of patients were treated with vitamin K antagonists (VKA) and the rest of patients with direct oral anticoagulants (DOACs). A percentage of 65.6 of patients treated with VKA did not follow the recommendations made by the TPR compared with 43.0% of patients treated with DOACs (P<.0001). In the case of VKA, the main reason for being considered as not appropriate according to the TPR was having poor control of anticoagulation and not switching to DOACs, whereas in the case of DOACs, it was not receiving the adequate dose according to the TPR. In a high proportion of anticoagulated elderly patients with NVAF in Spain, the recommendations performed by the TPR are not followed, particularly with VKA, since patients are not switched to DOACs despite time in therapeutic range. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  4. Anticoagulant use for the prevention of stroke in patients with atrial fibrillation: findings from a multi-payer analysis.

    Lang, Kathleen; Bozkaya, Duygu; Patel, Aarti A; Macomson, Brian; Nelson, Winnie; Owens, Gary; Mody, Samir; Schein, Jeff; Menzin, Joseph

    2014-07-28

    Oral anticoagulation is recommended for stroke prevention in intermediate/high stroke risk atrial fibrillation (AF) patients. The objective of this study was to demonstrate the usefulness of analytic software tools for descriptive analyses of disease management in atrial AF; a secondary objective is to demonstrate patterns of potential anticoagulant undertreatment in AF. Retrospective data analyses were performed using the Anticoagulant Quality Improvement Analyzer (AQuIA), a software tool designed to analyze health plan data. Two-year data from five databases were analyzed: IMS LifeLink (IMS), MarketScan Commercial (MarketScanCommercial), MarketScan Medicare Supplemental (MarketScanMedicare), Clinformatics™ DataMart, a product of OptumInsight Life Sciences (Optum), and a Medicaid Database (Medicaid). Included patients were ≥ 18 years old with a new or existing diagnosis of AF. The first observed AF diagnosis constituted the index date, with patient outcomes assessed over a one year period. Key study measures included stroke risk level, anticoagulant use, and frequency of International Normalized Ratio (INR) monitoring. High stroke risk (CHADS2 ≥ 2 points) was estimated in 54% (IMS), 22% (MarketScanCommercial), 64% (MarketscanMedicare), 42% (Optum) and 62% (Medicaid) of the total eligible population. Overall, 35%, 29%, 38%, 39% and 16% of all AF patients received an anticoagulant medication in IMS, MarketScanCommercial, MarketScanMedicare, Optum and Medicaid, respectively. Among patients at high risk for stroke, 19% to 51% received any anticoagulant. The AQuIA provided a consistent platform for analysis across multiple AF populations with varying baseline characteristics. Analyzer results show that many high-risk AF patients in selected commercial, Medicare-eligible, and Medicaid populations do not receive appropriate thromboprophylaxis, as recommended by treatment guidelines.

  5. Forms of War

    Vogel, H. [Asklepios Klinik St. Georg, Roentgenabteilung, Lohmuehlenstrasse 5, 20099 Hamburg (Germany)], E-mail: Hermann.vogel@ak-stgeorg.lbk-hh.de; Bartelt, D. [Asklepios Klinik St. Georg, Roentgenabteilung, Lohmuehlenstrasse 5, 20099 Hamburg (Germany)

    2007-08-15

    Purpose: Under war conditions, employed weapons can be identified on radiographs obtained in X-ray diagnostic. The analysis of such X-ray films allows concluding that there are additional information about the conditions of transport and treatment; it shall be shown that there are X-ray findings which are typical and characteristic for certain forms of warfare. Material and method: The radiograms have been collected during thirty years; they come from hospitals, where war casualties had been treated, and personal collections. Results: The material is selected, because in war X-ray diagnostic will be limited and the interest of the opposing parties influence the access to the material; furthermore the possibilities to publish or to communicate facts and thoughts are different. Citizens of the USA, GB, France, or Israel will have easier access to journals than those of Vietnam, Chad, and Zimbabwe. Under war conditions, poor countries, like North Vietnam may develop own concepts of medical care. There are X-ray findings which are typical or even characteristic for air warfare, guerrilla warfare, gas war, desert warfare, conventional warfare, and annihilation warfare, and city guerrilla warfare/civil war. The examples demonstrate that weapons and the conditions of transport and treatment can be recognized by X-ray findings. The radiogram can be read like a document. Conclusion: In War, there are differences between a treatment and imaging diagnostic in countries, which control the air space and in those who do not. Medical care of the poor, i.e. in countries (in general those opposing the western nations) will hardly be published, and poverty has no advocate.

  6. Update on vaccine-derived polioviruses - worldwide, July 2012-December 2013.

    Diop, Ousmane M; Burns, Cara C; Wassilak, Steven G; Kew, Olen M

    2014-03-21

    In 1988, the World Health Assembly resolved to eradicate poliomyelitis worldwide. One of the main tools used in polio eradication efforts has been live, attenuated oral poliovirus vaccine (OPV), an inexpensive vaccine easily administered by trained volunteers. OPV might require several doses to induce immunity, but then it provides long-term protection against paralytic disease through durable humoral immunity. Rare cases of vaccine-associated paralytic poliomyelitis can occur among immunologically normal OPV recipients, their contacts, and persons who are immunodeficient. In addition, vaccine-derived polioviruses (VDPVs) can emerge in areas with low OPV coverage to cause polio outbreaks and can replicate for years in persons who have primary, B-cell immunodeficiencies. This report updates previous surveillance summaries and describes VDPVs detected worldwide during July 2012-December 2013. Those include a new circulating VDPV (cVDPV) outbreak identified in Pakistan in 2012, with spread to Afghanistan; an outbreak in Afghanistan previously identified in 2009 that continued into 2013; a new outbreak in Chad that spread to Cameroon, Niger, and northeastern Nigeria; and an outbreak that began in Somalia in 2008 that continued and spread to Kenya in 2013. A large outbreak in Nigeria that was identified in 2005 was nearly stopped by the end of 2013. Additionally, 10 newly identified persons in eight countries were found to excrete immunodeficiency-associated VDPVs (iVDPVs), and VDPVs were found among immunocompetent persons and environmental samples in 13 countries. Because the majority of VDPV isolates are type 2, the World Health Organization has developed a plan for coordinated worldwide replacement of trivalent OPV (tOPV) with bivalent OPV (bOPV; types 1 and 3) by 2016, preceded by introduction of at least 1 dose of inactivated poliovirus vaccine (IPV) containing all three poliovirus serotypes into routine immunization schedules worldwide to ensure high population

  7. Towards reconstructing herbaceous biome dynamics and associated precipitation in Africa: insights from the classification of grass morphological traits

    Pasturel, Marine; Alexandre, Anne; Novello, Alice; Moctar Dieye, Amadou; Wele, Abdoulaye; Paradis, Laure; Hely, Christelle

    2014-05-01

    Inter-tropical herbaceous ecosystems occupy a 1/5th of terrestrial surface, a half of the African continent, and are expected to extend in the next decades. Dynamic of these ecosystems is simulated with poor accuracy by Dynamic Global Vegetation Models (DGVMs). One of the bias results from the fact that the diversity of the grass layer dominating these herbaceous ecosystems is poorly taken into account. Mean annual precipitation and the length of the dry season are the main constrains of the dynamics of these ecosystems. Conversely, changes in vegetation affect the water cycle. Inaccuracy in herbaceous ecosystem simulation thus impacts simulations of the water cycle (including precipitation) and vice versa. In order to increase our knowledge of the relationships between grass morphological traits, taxonomy, biomes and climatic niches in Western and South Africa, a 3-step methodology was followed: i) values of culm height, leaf length and width of dominant grass species from Senegal were gathered from flora and clustered using the Partition Around Medoids (PAM) method; ii) trait group ability to sign climatic domains and biomes was assessed using Kruskal-Wallis tests; iii) genericity and robustness of the trait groups were evaluated through their application to Chadian and South African botanical datasets. Results show that 8 grass trait groups are present either in Senegal, Chad or South Africa. These 8 trait groups are distributed along mean annual precipitation and dry season length gradients. The combination of three of them allow to discriminate mean annual precipitation domains (1000 mm) and herbaceous biomes (steppes, savannas, South African grasslands and Nama-Karoo). With these results in hand, grass Plant Functional Types (PFTs) of the DGMV LPJ-GUESS will be re-parameterized and particular attention will be given to the herbaceous biomass assigned to each grass trait group. Simultaneously, relationships between grass trait groups and phytolith vegetation

  8. The Italian START-Register on Anticoagulation with Focus on Atrial Fibrillation

    2015-01-01

    START-Register – Survey on anTicoagulated pAtients RegisTer – is an independent, inception-cohort, observational, collaborative database aimed at recording prospectively the clinical history of adult patients starting anticoagulant treatment for any reason and using whatever drug. In this article we present the START-Register and give cross section baseline data focusing on non valvular atrial fibrillation (NVAF). Participants are asked to insert prospectively consecutive patients recorded as electronic file on the web-site of the registry. Required data are: demographic and clinical characteristics of patients, associated risk factors for stroke and bleeding, laboratory routine data, clinical indication for treatment, expected therapeutic range (in cases of treatment with vitamin K antagonists -VKAs). The follow-up is carried out to record: quality of treatment (for patients on VKAs), bleeding complications, thrombotic events, and the onset of any type of associated disease. To date 5252 patients have been enrolled; 97.6% were on VKAs because direct oral anticoagulants (DOAC) have been available in Italy only recently. The median age was 74 years [interquartile range (IQR) 64-80]; males 53.7%. This analysis is focused on the 3209 (61.1%) NVAF patients. Mean CHADS2 score was 2.1±1.1, CHADSVASc score was 3.1±1.3;median age was 76 years (IQR 70-81); 168 patients (5.3%) had severe renal failure [Creatinine clearance (CrCl) START-Register data shows that two-third of patients who started chronic anticoagulant treatment had NVAF, one-third of them was > 80 years with high prevalence of renal failure. PMID:26001109

  9. Access to non-pecuniary benefits: does gender matter? Evidence from six low- and middle-income countries.

    Gupta, Neeru; Alfano, Marco

    2011-10-19

    Gender issues remain a neglected area in most approaches to health workforce policy, planning and research. There is an accumulating body of evidence on gender differences in health workers' employment patterns and pay, but inequalities in access to non-pecuniary benefits between men and women have received little attention. This study investigates empirically whether gender differences can be observed in health workers' access to non-pecuniary benefits across six low- and middle-income countries. The analysis draws on cross-nationally comparable data from health facility surveys conducted in Chad, Côte d'Ivoire, Jamaica, Mozambique, Sri Lanka and Zimbabwe. Probit regression models are used to investigate whether female and male physicians, nurses and midwives enjoy the same access to housing allowance, paid vacations, in-service training and other benefits, controlling for other individual and facility-level characteristics. While the analysis did not uncover any consistent pattern of gender imbalance in access to non-monetary benefits, some important differences were revealed. Notably, female nursing and midwifery personnel (the majority of the sample) are found significantly less likely than their male counterparts to have accessed in-service training, identified not only as an incentive to attract and retain workers but also essential for strengthening workforce quality. This study sought to mainstream gender considerations by exploring and documenting sex differences in selected employment indicators across health labour markets. Strengthening the global evidence base about the extent to which gender is independently associated with health workforce performance requires improved generation and dissemination of sex-disaggregated data and research with particular attention to gender dimensions.

  10. Access to non-pecuniary benefits: does gender matter? Evidence from six low- and middle-income countries

    Alfano Marco

    2011-10-01

    Full Text Available Abstract Background Gender issues remain a neglected area in most approaches to health workforce policy, planning and research. There is an accumulating body of evidence on gender differences in health workers' employment patterns and pay, but inequalities in access to non-pecuniary benefits between men and women have received little attention. This study investigates empirically whether gender differences can be observed in health workers' access to non-pecuniary benefits across six low- and middle-income countries. Methods The analysis draws on cross-nationally comparable data from health facility surveys conducted in Chad, Côte d'Ivoire, Jamaica, Mozambique, Sri Lanka and Zimbabwe. Probit regression models are used to investigate whether female and male physicians, nurses and midwives enjoy the same access to housing allowance, paid vacations, in-service training and other benefits, controlling for other individual and facility-level characteristics. Results While the analysis did not uncover any consistent pattern of gender imbalance in access to non-monetary benefits, some important differences were revealed. Notably, female nursing and midwifery personnel (the majority of the sample are found significantly less likely than their male counterparts to have accessed in-service training, identified not only as an incentive to attract and retain workers but also essential for strengthening workforce quality. Conclusion This study sought to mainstream gender considerations by exploring and documenting sex differences in selected employment indicators across health labour markets. Strengthening the global evidence base about the extent to which gender is independently associated with health workforce performance requires improved generation and dissemination of sex-disaggregated data and research with particular attention to gender dimensions.

  11. Transport of North African dust from the Bodélé depression to the Amazon Basin: a case study

    Y. Ben-Ami

    2010-08-01

    Full Text Available Through long-range transport of dust, the North-African desert supplies essential minerals to the Amazon rain forest. Since North African dust reaches South America mostly during the Northern Hemisphere winter, the dust sources active during winter are the main contributors to the forest. Given that the Bodélé depression area in southwestern Chad is the main winter dust source, a close link is expected between the Bodélé emission patterns and volumes and the mineral supply flux to the Amazon.

    Until now, the particular link between the Bodélé and the Amazon forest was based on sparse satellite measurements and modeling studies. In this study, we combine a detailed analysis of space-borne and ground data with reanalysis model data and surface measurements taken in the central Amazon during the Amazonian Aerosol Characterization Experiment (AMAZE-08 in order to explore the validity and the nature of the proposed link between the Bodélé depression and the Amazon forest.

    This case study follows the dust events of 11–16 and 18–27 February 2008, from the emission in the Bodélé over West Africa (most likely with contribution from other dust sources in the region the crossing of the Atlantic Ocean, to the observed effects above the Amazon canopy about 10 days after the emission. The dust was lifted by surface winds stronger than 14 m s−1, usually starting early in the morning. The lofted dust, mixed with biomass burning aerosols over Nigeria, was transported over the Atlantic Ocean, and arrived over the South American continent. The top of the aerosol layer reached above 3 km, and the bottom merged with the boundary layer. The arrival of the dusty air parcel over the Amazon forest increased the average concentration of aerosol crustal elements by an order of magnitude.

  12. [Scope of the latest RE-LY substudies: clinical implications].

    Ruiz-Giménez Arrieta, N

    2012-03-01

    The approval of the use of dabiatran in stroke prevention in patients with nonvalvular atrial fibrilation (NVAF) is based on the results of the RE-LY (Randomized Evaluation of Long-Term Anticoagulation Therapy) trial, one of the largest studies to date in this entity. In this trial, dabigatran showed similar safety and efficacy to warfarin in primary and secondary prevention of stroke in patients with AF. At a dose of 150 mg twice daily, dabigatran was superior to warfarin in the prevention of stroke or systemic embolism and the 110 mg dose twice daily showed similar efficacy and greater safety, given the lower incidence of hemorrhage. These results were consistently found in the various subanalyses, with some slight differences of interest for clinical practice. The ideal candidates for dabiatran are patients with NVAF suitable for cardioversion, who require short periods of anticoagulation, patients in remote geographical areas with difficulty in achieving good anticoagulation control or good control with anti-vitamin K treatment due to IRN fluctuations, and patients with a low risk of hemorrhage and a CHADS score ≥ 3 and/or with prior stroke, whenever there are no contraindications. The choice of dabigatran dose should be evaluated according to the patient's individual characteristics (caution must be exercised when prescribing this drug in the elderly and in renal insufficiency) and embolic and/or hemorrhagic risk. Studies of the long-term safety of this drug, pharmacoeconomic analyses in Spain and post-commercialization pharmacovigilance data are required before the definitive uses of this drug can be established. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  13. Quality of life, activity impairment, and healthcare resource utilization associated with atrial fibrillation in the US National Health and Wellness Survey.

    Amir Goren

    Full Text Available OBJECTIVES: This study builds upon current studies of atrial fibrillation (AF and health outcomes by examining more comprehensively the humanistic burden of illness (quality of life, activity impairment, and healthcare resource utilization among adult patients with AF, using a large, nationally representative sample and matched controls. METHODS: Data were analyzed from the Internet-based 2009 US National Health and Wellness Survey. Outcomes were Mental and Physical Component Summary (MCS and PCS and health utility scores from the SF-12, activity impairment, hospitalizations, and healthcare provider and emergency room (ER visits. Patients with self-reported diagnosis of AF were matched randomly on age and gender with an equal number of respondents without AF. Generalized linear models examined outcomes as a function of AF vs. non-AF status, controlling for CHADS2 score, comorbidity counts, demographics, and clinical variables. Exploratory structural equation modeling assessed the above in an integrated model of humanistic burden. RESULTS: Mean age of AF patients (1,296 from a total sample of 75,000 was 64.9 years and 65.1% were male. Adjusting for covariates, compared with non-AF patients, AF patients had lower MCS, PCS, and utility scores, greater activity impairment (rate ratio = 1.26, more traditional provider visits (rate ratio = 1.43, and increased odds of ER visits (OR = 2.53 and hospitalizations (OR = 2.71. Exploratory structural equation modeling analyses revealed that persons with AF experienced a significantly higher overall humanistic burden. CONCLUSIONS: This study highlights and clarifies the substantial burden of AF and its implications for preparing efficacious AF management plans to address the imminent rise in prevalence.

  14. Clinical Differences between Subtypes of Atrial Fibrillation and Flutter: Cross-Sectional Registry of 407 Patients

    Eduardo Dytz Almeida

    2015-01-01

    Full Text Available Introduction: Atrial fibrillation and atrial flutter account for one third of hospitalizations due to arrhythmias, determining great social and economic impacts. In Brazil, data on hospital care of these patients is scarce. Objective: To investigate the arrhythmia subtype of atrial fibrillation and flutter patients in the emergency setting and compare the clinical profile, thromboembolic risk and anticoagulants use. Methods: Cross-sectional retrospective study, with data collection from medical records of every patient treated for atrial fibrillation and flutter in the emergency department of Instituto de Cardiologia do Rio Grande do Sul during the first trimester of 2012. Results: We included 407 patients (356 had atrial fibrillation and 51 had flutter. Patients with paroxysmal atrial fibrillation were in average 5 years younger than those with persistent atrial fibrillation. Compared to paroxysmal atrial fibrillation patients, those with persistent atrial fibrillation and flutter had larger atrial diameter (48.6 ± 7.2 vs. 47.2 ± 6.2 vs. 42.3 ± 6.4; p < 0.01 and lower left ventricular ejection fraction (66.8 ± 11 vs. 53.9 ± 17 vs. 57.4 ± 16; p < 0.01. The prevalence of stroke and heart failure was higher in persistent atrial fibrillation and flutter patients. Those with paroxysmal atrial fibrillation and flutter had higher prevalence of CHADS2 score of zero when compared to those with persistent atrial fibrillation (27.8% vs. 18% vs. 4.9%; p < 0.01. The prevalence of anticoagulation in patients with CHA2DS2-Vasc ≤ 2 was 40%. Conclusions: The population in our registry was similar in its comorbidities and demographic profile to those of North American and European registries. Despite the high thromboembolic risk, the use of anticoagulants was low, revealing difficulties for incorporating guideline recommendations. Public health strategies should be adopted in order to improve these rates.

  15. Oil for health in sub-Saharan Africa: health systems in a 'resource curse' environment.

    Calain, Philippe

    2008-10-21

    In a restricted sense, the resource curse is a theory that explains the inverse relationship classically seen between dependence on natural resources and economic growth. It defines a peculiar economic and political environment, epitomized by oil extraction in sub-Saharan Africa. Based on secondary research and illustrations from four oil-rich geographical areas (the Niger Delta region of Nigeria, Angola, southern Chad, Southern Sudan), I propose a framework for analysing the effects of the resource curse on the structure of health systems at sub-national levels. Qualitative attributes are emphasised. The role of the corporate sector, the influence of conflicts, and the value of classical mitigation measures (such as health impact assessments) are further examined. Health systems in a resource curse environment are classically fractured into tripartite components, including governmental health agencies, non-profit non-governmental organisations, and the corporate extractive sector. The three components entertain a range of contractual relationships generally based on operational considerations which are withdrawn from social or community values. Characterisation of agencies in this system should also include: values, operating principles, legitimacy and operational spaces. From this approach, it appears that community health is at the same time marginalized and instrumentalized toward economic and corporate interests in resource curse settings. From a public health point of view, the resource curse represents a fundamental failure of dominant development theories, rather than a delay in creating the proper economy and governance environment for social progress. The scope of research on the resource curse should be broadened to include more accurate or comprehensive indicators of destitution (including health components) and more open perspectives on causal mechanisms.

  16. Oil for health in sub-Saharan Africa: health systems in a 'resource curse' environment

    Calain Philippe

    2008-10-01

    Full Text Available Abstract Background In a restricted sense, the resource curse is a theory that explains the inverse relationship classically seen between dependence on natural resources and economic growth. It defines a peculiar economic and political environment, epitomised by oil extraction in sub-Saharan Africa. Methods Based on secondary research and illustrations from four oil-rich geographical areas (the Niger Delta region of Nigeria, Angola, southern Chad, Southern Sudan, I propose a framework for analysing the effects of the resource curse on the structure of health systems at sub-national levels. Qualitative attributes are emphasised. The role of the corporate sector, the influence of conflicts, and the value of classical mitigation measures (such as health impact assessments are further examined. Results Health systems in a resource curse environment are classically fractured into tripartite components, including governmental health agencies, non-profit non-governmental organisations, and the corporate extractive sector. The three components entertain a range of contractual relationships generally based on operational considerations which are withdrawn from social or community values. Characterisation of agencies in this system should also include: values, operating principles, legitimacy and operational spaces. From this approach, it appears that community health is at the same time marginalised and instrumentalised toward economic and corporate interests in resource curse settings. Conclusion From a public health point of view, the resource curse represents a fundamental failure of dominant development theories, rather than a delay in creating the proper economy and governance environment for social progress. The scope of research on the resource curse should be broadened to include more accurate or comprehensive indicators of destitution (including health components and more open perspectives on causal mechanisms.

  17. Immunogenicity and efficacy of a chimpanzee adenovirus-vectored Rift Valley fever vaccine in mice.

    Warimwe, George M; Lorenzo, Gema; Lopez-Gil, Elena; Reyes-Sandoval, Arturo; Cottingham, Matthew G; Spencer, Alexandra J; Collins, Katharine A; Dicks, Matthew D J; Milicic, Anita; Lall, Amar; Furze, Julie; Turner, Alison V; Hill, Adrian V S; Brun, Alejandro; Gilbert, Sarah C

    2013-12-05

    Rift Valley Fever (RVF) is a viral zoonosis that historically affects livestock production and human health in sub-Saharan Africa, though epizootics have also occurred in the Arabian Peninsula. Whilst an effective live-attenuated vaccine is available for livestock, there is currently no licensed human RVF vaccine. Replication-deficient chimpanzee adenovirus (ChAd) vectors are an ideal platform for development of a human RVF vaccine, given the low prevalence of neutralizing antibodies against them in the human population, and their excellent safety and immunogenicity profile in human clinical trials of vaccines against a wide range of pathogens. Here, in BALB/c mice, we evaluated the immunogenicity and efficacy of a replication-deficient chimpanzee adenovirus vector, ChAdOx1, encoding the RVF virus envelope glycoproteins, Gn and Gc, which are targets of virus neutralizing antibodies. The ChAdOx1-GnGc vaccine was assessed in comparison to a replication-deficient human adenovirus type 5 vector encoding Gn and Gc (HAdV5-GnGc), a strategy previously shown to confer protective immunity against RVF in mice. A single immunization with either of the vaccines conferred protection against RVF virus challenge eight weeks post-immunization. Both vaccines elicited RVF virus neutralizing antibody and a robust CD8+ T cell response. Together the results support further development of RVF vaccines based on replication-deficient adenovirus vectors, with ChAdOx1-GnGc being a potential candidate for use in future human clinical trials.

  18. Assessment of Circadian Rhythmicity of Respiratory Determinants Related to Diurnal Activities of Children and Adolescents: A Case Study in the City of Isfahan

    Zeinab Rafiei

    2017-03-01

    Full Text Available Background: Diurnal sequences of activities conducted at several locations visited by individuals have an impact on population exposure to air pollution. However, data on individual's movement with a fine time resolution is rare. Methods: In the current study, 399 children and adolescents (aged 11–18 years from Isfahan city were asked to recall their 24-hour diary during winter and spring 2014-2015. Daily ventilation rates for individuals were calculated using Consolidated Human Activity Database (CHAD and were subject to cosinor analysis. Results: There was a significant circadian rhythm in inhalation rate, outdoor time-spent and ambient NO2 pollution. The ANOVA of rhythm parameters showed a significant difference (P < 0.05 between gender groups and day types, whereas the difference between age groups and seasons was not significant. Analysis of results showed that increased NO2 pollution was concurrent with increased inhalation rate and outdoor time-spent. Inhalation rates obtained for population groups were 9.3, 11.6, 9.0 and 11.3 L/min for high school girls, high school boys, elementary girls and elementary boys, respectively. Elementary boys were at higher risk of exposure to air pollution. Boys spent more time outdoors and in traffic than girls. Respondents spent 89% of their time inside and 82% of their inside time at home. They also spent 10% of their time during a year in school. Respondents were exposed to cooking generated pollutants 11 times a week. Among them, 30% were exposed to second-hand smoke, and 86.3% reported in very good health. Conclusion: We concluded that actual exposure levels may be underestimated when the simple risk assessment method is implemented without the survey of fine time resolution spatiotemporal activity data.

  19. Duloxetine in the management of diabetic peripheral neuropathic pain

    Boomershine CS

    2011-07-01

    Full Text Available Michelle J Ormseth, Beth A Sholz, Chad S BoomershineDivision of Rheumatology and Immunology, Vanderbilt University, Nashville, TN, USAAbstract: Diabetic neuropathy affects up to 70% of diabetics, and diabetic peripheral neuropathic pain (DPNP is the most common and debilitating of the diabetic neuropathies. DPNP significantly reduces quality of life and increases management costs in affected patients. Despite the impact of DPNP, management is poor with one-quarter of patients receiving no treatment and many treated with medications having little or no efficacy in managing DPNP. Duloxetine is one of two drugs approved by the United States Food and Drug Administration for DPNP management. Duloxetine is a serotonin and norepinephrine reuptake inhibitor (SNRI proven safe, effective, and cost-saving in reducing DPNP symptoms at a dose of 60 mg/day. Duloxetine doses greater than 60 mg/day for DPNP management are not recommended since they are no more efficacious and associated with more side effects; addition of pregabalin or gabapentin for these patients may be beneficial. Side effects of duloxetine are generally mild and typical for the SNRI class including nausea, dizziness, somnolence, fatigue, sweating, dry mouth, constipation, and diarrhea. Given its other indications, duloxetine is a particularly good choice for DPNP treatment in patients with coexisting depression, anxiety, fibromyalgia, or chronic musculoskeletal pain. Duloxetine treatment had no clinically significant effect on glycemic control and did not increase the risk of cardiovascular events in diabetes patients. However, duloxetine use should be avoided in patients with hepatic disease or severe renal impairment. Given its safety, efficacy, and tolerability, duloxetine is an excellent choice for DPNP treatment in many patients.Keywords: duloxetine, diabetic peripheral neuropathic pain, review, treatment

  20. The anticoagulation choices of internal medicine residents for stroke prevention in non-valvular atrial fibrillation.

    Moulson, Nathaniel; McIntyre, William F; Oqab, Zardasht; Yazdan-Ashoori, Payam; Quinn, Kieran L; van Oosten, Erik; Hopman, Wilma M; Baranchuk, Adrian

    2017-06-01

    To explore the oral anticoagulation (OAC) prescribing choices of Canadian internal medicine residents, at different training levels, in comparison with the Canadian Cardiovascular Society (CCS) guidelines for non-valvular atrial fibrillation (NVAF). Cross-sectional, web-based survey, involving clinical scenarios designed to favour the use of non-vitamin K antagonists (NOACs) as per the 2014 CCS NVAF guidelines. Additional questions were also designed to determine resident attitudes towards OAC prescribing. A total of 518 internal medicine responses were analysed, with 196 postgraduate year (PGY)-1s, 169 PGY-2s and 153 PGY-3s. The majority of residents (81%) reported feeling comfortable choosing OAC, with 95% having started OAC in the past 3 months. In the initial clinical scenario involving an uncomplicated patient with a CHADS2 score of 3, warfarin was favoured over any of the NOACs by PGY-1s (81.6% vs 73.9%), but NOACs were favoured by PGY-3s (88.3% vs 83.7%). This was the only scenario where OAC choices varied by PGY year, as each of the subsequent clinical scenarios residents generally favoured warfarin over NOACs irrespective of level of training. The majority of residents stated that they would no longer prescribe warfarin once NOAC reversal agents are available, and residents felt risk of adverse events was the most important factor when choosing OAC. Canadian internal medicine residents favoured warfarin over NOACs for patients with NVAF, which is in discordance with the evidence-based CCS guidelines. This finding persisted throughout the 3 years of core internal medicine training. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  1. The food crisis and environmental conservation in Africa.

    Stiles, D; Brennan, R

    1986-11-01

    In spite of good rains in Africa in 1985, 30-35 million people suffered the effects of famine. Much of Africa is still dependent on food aid. The main causes of insufficient food production are land degradation--desertification--and high population growth. Distribution of the US $2.9 billion in food and non-food aid has been hampered by transport and logistical problems. The major challenge for 1986 is non-food support. Only US $460 million (15.3%) of non-food aid had been received as of March. Country profiles of Angola, Chad, Ethiopia, Mozambique, Somalia, Sudan, Lesotho, Mali, Mauritania, Niger, Rwanda, Tanzania, and Zambia show a pattern of high food assistance needs and displaced refugee populations. The 1st 6 of the group suffer from civil strife. There is some good news; e.g. Niger, which is embarking on agressive agricultural development, and Tanzania, which has enjoyed bumper crops, but the crisis is clearly far from over. Few African Governments have been willing to face the population problem; population in the area will probably continue to increase at 3% yearly. It is shown that desertification: reducing the biological potential of the land through over-exploitation, animal husbandry, and deforestation, is a wordwide problem particularly acute in Africa. Lost production totals $26 billion annually. Straightforward cost-benefit analysis of projects to halt or reverse the problem does not adequately take factors such as human attachment to the land into account. Unfortunately halting desertification does not receive the attention it should receive from donor agencies. Investment goes towards high-return projects, e.g. power dams; sugar factories, when a more careful study reveals that returns from afforestations are much more long-term. There has been increased consciousness of the long-term benefits of dryland rehabilitation, which will hopefully impact policy in the future. But since desertification is a self-accelerating process, there is a need for

  2. Reflections on the maternal mortality millennium goal.

    Lawson, Gerald W; Keirse, Marc J N C

    2013-06-01

    Nearly every 2 minutes, somewhere in the world, a woman dies because of complications of pregnancy and childbirth. Every such death is an overwhelming catastrophe for everyone confronted with it. Most deaths occur in developing countries, especially in Africa and southern Asia, but a significant number also occur in the developed world. We examined the available data on the progress and the challenges to the United Nations' fifth Millennium Development Goal of achieving a 75 percent worldwide reduction in the maternal mortality by 2015 from what it was in 1990. Some countries, such as Belarus, Egypt, Estonia, Honduras, Iran, Lithuania, Malaysia, Romania, Sri Lanka and Thailand, are likely to meet the target by 2015. Many poor countries with weak health infrastructures and high fertility rates are unlikely to meet the goal. Some, such as Botswana, Cameroon, Chad, Congo, Guyana, Lesotho, Namibia, Somalia, South Africa, Swaziland and Zimbabwe, had worse maternal mortality ratios in 2010 than in 1990, partially because of wars and civil strife. Worldwide, the leading causes of maternal death are still hemorrhage, hypertension, sepsis, obstructed labor, and unsafe abortions, while indirect causes are gaining in importance in developed countries. Maternal death is especially distressing if it was potentially preventable. However, as there is no single cause, there is no silver bullet to correct the problem. Many countries also face new challenges as their childbearing population is growing in age and in weight. Much remains to be done to make safe motherhood a reality. © 2013, Copyright the Authors, Journal compilation © 2013, Wiley Periodicals, Inc.

  3. Synergistic Use of Remote Sensing and Modeling for Tracing Dust Storms in the Mediterranean

    D. G. Kaskaoutis

    2012-01-01

    Full Text Available This study focuses on the detection of the dust source region and monitoring of the transport of the dust plume from its primary outflow to final deposition. The application area is the Sahara desert and the eastern Mediterranean, where two dust events occurred during the period 4–6 February 2009, an unusual event for a winter period. The Aqua-MODIS and OMI observations clearly define the spatial distribution of the dust plumes, while the CALIPSO observations of total attenuated backscatter (TAB at 532 nm, depolarization ratio (DR, and attenuated color ratio (1064/532 nm on 5 February 2009 provide a clear view and vertical structure of the dust-laden layer. The dust source region is defined to be near the Chad-Niger-Libyan borders, using satellite observations and model (DREAM output. This dust plume is vertically extended up to 2.5 km and is observed as a mass plume of dust from surface level to that altitude, where the vertical variation of TAB (0.002 to 0.2 and DR (0.2–0.5 implies dust-laden layer with non-spherical particles. CALIPSO profiles show that after the dust plume reached at its highest level, the dust particles start to be deposited over the Mediterranean and the initial dust plume was strongly attenuated, while features of dust were limited below about 1–1.5 km for latitudes northern of ~36° (Greek territory.

  4. Nigeria National Petroleum Reserves Asset: Looking Beyond the Niger Delta

    Obaje, P. N.

    2002-01-01

    Nigeria's current national petroleum reserves asset (proven) put at 28 billion barrels of oil and 150 trillion standard cubic feet of gas derives mainly from the Niger Delta onshore and offshore.However, there are opportunities to tremendously add to this asset from the inland basins. These inland basins have continued to frustrate the efforts of many explorers, principally because of their virginity and far distance from existing infrastructure, and for these reasons, many international companies have turned their focus away from frontier onshore to frontier deep-water and ultra deep-water offshore.Petroleum exploration, particularly in the Sudan and Chad Republics has shown that commercial success can be achieved in our own sector, even if it may take some time to put all the elements together. Some pointers have been found from the successes in the other rifted inland basins and the strategies adopted there have been examined in this paper. Congnizance has also been taken of the relative success of Shell's Kolmani River-1 well (33 billion cubit feet of gas) in the Gongola Basin. The paper went ahead to highlight potential petroleum systems in the different sectors of Nigeria's inland basins.Recommendations have also been put forward, which include amongst others (i) the introduction of a JV arrangement that allows State Governments on the inland basins to participate in the exploration for hydrocarbons in their domains (ii) tie future allocation of offshore blocks to acquisition of at least a block in any of the inland basins (iii) initiate a programme of deep drilling and coring of at least one research well to penetrate the entire sedimentary rock successions in each of the inland basins to facilitate a better understanding of their petroleum geology and benefit future exploration campaigns; to be funded and supervised by the Petroleum Technology Development Fund (PTDF)

  5. Estudo transversal das estratégias de tratamento clínico na fibrilação atrial

    Lucas Hollanda Oliveira

    2012-03-01

    Full Text Available FUNDAMENTO: A despeito de elevada prevalência e importância clínica da Fibrilação Atrial (FA, não existem até o momento publicações brasileiras informando o perfil clínico e a estratégia de tratamento (controle de ritmo vs. controle de frequência cardíaca mais utilizada nesse universo de pacientes. OBJETIVO: Avaliar a estratégia de tratamento mais empregada na FA em ambulatório especializado no manejo dessa doença. Secundariamente, procurou-se descrever o perfil clínico dessa população. MÉTODOS: Estudo transversal que avaliou sequencialmente, em 167 portadores de FA, a estratégia de tratamento mais empregada, bem como o perfil clínico desses pacientes. Utilizou-se questionário padronizado para coleta de dados. A análise estatística foi realizada por meio do software SPSS® versão 13.0. RESULTADOS: Nessa população de alto risco para eventos tromboembólicos (61% com score CHADS2 > 2, em que 54% dos indivíduos apresentavam fibrilação atrial paroxística ou persistente, 96,6% utilizavam antagonistas da vitamina K ou AAS, e 76,6% faziam uso de betabloqueador (81,2% frequência x 58,8% ritmo, p 2 (60,5% x 39,5%; p = 0,07 e valvopatias (25,8% x 11,8%; p = 0,08 no segmento de controle da frequência. CONCLUSÃO: Nessa população de alto risco para eventos tromboembólicos, a estratégia de controle de frequência cardíaca foi a mais empregada.

  6. Accelerating improvements in nutritional and health status of young children in the Sahel region of Sub-Saharan Africa: review of international guidelines on infant and young child feeding and nutrition.

    Wuehler, Sara E; Hess, Sonja Y; Brown, Kenneth H

    2011-04-01

    The United Nations Convention on the Rights of the Child holds governments responsible to ensure children's right to the highest attainable standard of health by providing breastfeeding support, and access to nutritious foods, appropriate health care, and clean drinking water. International experts have identified key child care practices and programmatic activities that are proven to be effective at reducing infant and young child undernutrition, morbidity, and mortality. Nevertheless, progress towards reducing the prevalence of undernutrition has been sporadic across countries of the Sahel sub-region of Sub-Saharan Africa. In view of this uneven progress, a working group of international agencies was convened to 'Reposition children's right to adequate nutrition in the Sahel.' The first step towards this goal was to organize a situational analysis of the legislative, research, and programmatic activities related to infant and young child nutrition (IYCN) in six countries of the sub-region: Burkina Faso, Chad, Mali, Mauritania, Niger, and Senegal. The purposes of this introductory paper are to review current information concerning the nutritional and health status of infants and young children in the Sahel and to summarize international guidelines on optimal IYCN practices. These guidelines were used in completing the above-mentioned situational analyses and encompass specific recommendations on: (i) breastfeeding (introduction within the first hour after birth, exclusivity to 6 months, continuation to at least 24 months); (ii) complementary feeding (introduction at 6 months, use of nutrient dense foods, adequate frequency and consistency, and responsive feeding); (iii) prevention and/or treatment of micronutrient deficiencies (vitamin A, zinc, iron and anaemia, and iodine); (iv) prevention and/or treatment of acute malnutrition; (v) feeding practices adapted to the maternal situation to reduce mother-to-child transmission of HIV; (vi) activities to ensure food

  7. Milnacipran for the management of fibromyalgia syndrome

    Michelle J Ormseth

    2010-03-01

    Full Text Available Michelle J Ormseth, Anne E Eyler, Cara L Hammonds, Chad S BoomershineDivision of Rheumatology and Immunology, Vanderbilt University, Nashville, TN, USAAbstract: Fibromyalgia syndrome (FMS is a widespread pain condition associated with fatigue, cognitive dysfunction, sleep disturbance, depression, anxiety, and stiffness. Milnacipran is one of three medications currently approved by the Food and Drug Administration in the United States for the management of adult FMS patients. This review is the second in a three-part series reviewing each of the approved FMS drugs and serves as a primer on the use of milnacipran in FMS treatment including information on pharmacology, pharmacokinetics, safety and tolerability. Milnacipran is a mixed serotonin and norepinephrine reuptake inhibitor thought to improve FMS symptoms by increasing neurotransmitter levels in descending central nervous system inhibitory pathways. Milnacipran has proven efficacy in managing global FMS symptoms and pain as well as improving symptoms of fatigue and cognitive dysfunction without affecting sleep. Due to its antidepressant activity, milnacipran can also be beneficial to FMS patients with coexisting depression. However, side effects can limit milnacipran tolerability in FMS patients due to its association with headache, nausea, tachycardia, hyper- and hypotension, and increased risk for bleeding and suicidality in at-risk patients. Tolerability can be maximized by starting at low dose and slowly up-titrating if needed. As with all medications used in FMS management, milnacipran works best when used as part of an individualized treatment regimen that includes resistance and aerobic exercise, patient education and behavioral therapies.Keywords: fibromyalgia, milnacipran, treatment

  8. Aeolian system dynamics derived from thermal infrared data

    Scheidt, Stephen Paul

    Thermal infrared (TIR) remote-sensing and field-based observations were used to study aeolian systems, specifically sand transport pathways, dust emission sources and Saharan atmospheric dust. A method was developed for generating seamless and radiometrically accurate mosaics of thermal infrared data from the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) instrument. Using a combination of high resolution thermal emission spectroscopy results of sand samples and mosaic satellite data, surface emissivity was derived to map surface composition, which led to improvement in the understanding of sand accumulation in the Gran Desierto of northern Sonora, Mexico. These methods were also used to map sand transport pathways in the Sahara Desert, where the interaction between sand saltation and dust emission sources was explored. The characteristics and dynamics of dust sources were studied at White Sands, NM and in the Sahara Desert. At White Sands, an application was developed for studying the response of dust sources to surface soil moisture based on the relationship between soil moisture, apparent thermal inertia and the erosion potential of dust sources. The dynamics of dust sources and the interaction with sand transport pathways were also studied, focusing on the Bodele Depression of Chad and large dust sources in Mali and Mauritania. A dust detection algorithm was developed using ASTER data, and the spectral emissivity of observed atmospheric dust was related to the dust source area in the Sahara. At the Atmospheric Observatory (IZO) in Tenerife, Spain where direct measurement of the Saharan Air Layer could be made, the cycle of dust events occurring in July 2009 were examined. From the observation tower at the IZO, measurements of emitted longwave atmospheric radiance in the TIR wavelength region were made using a Forward Looking Infrared Radiometer (FLIR) handheld camera. The use of the FLIR to study atmospheric dust from the Saharan is a

  9. [Contribution of migrations to the process of urbanization].

    Bocquier, P

    1997-10-01

    An average of 22% of the populations of the Sahel countries resided in urban areas in the mid-1970s, a lower level than in the rest of sub-Saharan Africa. The proportion urban has increased by about 5.5% annually over the past 2 decades. By 1993, four Sahel countries had over 30% of their populations in urban areas, and only Burkina Faso had less than 20% urban. The landlocked Sahel countries of Burkina Faso, Mali, Niger, and Chad have maintained rates of urbanization comparable to those of the coastal countries (Cape Verde, Gambia, Mauritania, and Senegal), which had more significant levels of urbanization in the past. The rate of growth of the urban population of all of sub-Saharan Africa was around 5.0% during the past 20 years. Only Dakar among the Sahel capitals has a population of over 1 million. Cities are small, and the urban environment is usually limited to the capital. In Guinea-Bissau, for example, the capital concentrates nearly 85% of the urban population. The increased rates of urbanization are due mainly to migration. In the landlocked countries covered by surveys of the Migration and Urbanization Networks in Western Africa (Burkina Faso, Mali, and Niger), the rural exodus was directed primarily to other countries. In Senegal and Mauritania, on the other hand, around two-thirds of migrations were internal. Women contribute more than men to urban growth in the Sahel. Returning migrants also show a strong preference for capital cities. Labor markets are international for men but national for women. Urban unemployment rates in the Sahel countries studied were lower for migrants than nonmigrants.

  10. Gene expression profile of the cartilage tissue spontaneously regenerated in vivo by using a novel double-network gel: Comparisons with the normal articular cartilage

    Kurokawa Takayuki

    2011-09-01

    Full Text Available Abstract Background We have recently found a phenomenon that spontaneous regeneration of a hyaline cartilage-like tissue can be induced in a large osteochondral defect by implanting a double-network (DN hydrogel plug, which was composed of poly-(2-Acrylamido-2-methylpropanesulfonic acid and poly-(N, N'-Dimetyl acrylamide, at the bottom of the defect. The purpose of this study was to clarify gene expression profile of the regenerated tissue in comparison with that of the normal articular cartilage. Methods We created a cylindrical osteochondral defect in the rabbit femoral grooves. Then, we implanted the DN gel plug at the bottom of the defect. At 2 and 4 weeks after surgery, the regenerated tissue was analyzed using DNA microarray and immunohistochemical examinations. Results The gene expression profiles of the regenerated tissues were macroscopically similar to the normal cartilage, but showed some minor differences. The expression degree of COL2A1, COL1A2, COL10A1, DCN, FMOD, SPARC, FLOD2, CHAD, CTGF, and COMP genes was greater in the regenerated tissue than in the normal cartilage. The top 30 genes that expressed 5 times or more in the regenerated tissue as compared with the normal cartilage included type-2 collagen, type-10 collagen, FN, vimentin, COMP, EF1alpha, TFCP2, and GAPDH genes. Conclusions The tissue regenerated by using the DN gel was genetically similar but not completely identical to articular cartilage. The genetic data shown in this study are useful for future studies to identify specific genes involved in spontaneous cartilage regeneration.

  11. Induction and Maintenance of CX3CR1-Intermediate Peripheral Memory CD8+ T Cells by Persistent Viruses and Vaccines

    Claire Louse Gordon

    2018-04-01

    Full Text Available Summary: The induction and maintenance of T cell memory is critical to the success of vaccines. A recently described subset of memory CD8+ T cells defined by intermediate expression of the chemokine receptor CX3CR1 was shown to have self-renewal, proliferative, and tissue-surveillance properties relevant to vaccine-induced memory. We tracked these cells when memory is sustained at high levels: memory inflation induced by cytomegalovirus (CMV and adenovirus-vectored vaccines. In mice, both CMV and vaccine-induced inflationary T cells showed sustained high levels of CX3R1int cells exhibiting an effector-memory phenotype, characteristic of inflationary pools, in early memory. In humans, CX3CR1int CD8+ T cells were strongly induced following adenovirus-vectored vaccination for hepatitis C virus (HCV (ChAd3-NSmut and during natural CMV infection and were associated with a memory phenotype similar to that in mice. These data indicate that CX3CR1int cells form an important component of the memory pool in response to persistent viruses and vaccines in both mice and humans. : Gordon et al. demonstrate that CX3CR1int peripheral memory T cells are a substantial component of memory inflation induced by persistent CMVs and adenoviral vaccination. They are characterized by sustained proliferation and an effector-memory phenotype linked to these expanded CD8+ T cell memory responses. Core phenotypic features are shared by humans and mice. Keywords: cytomegalovirus, T cells, memory, adenovirus, vaccination, CX3CR1, memory inflation, mouse, human

  12. Therapeutical considerations in associated atrial fibrillation and heart failure.

    Mitu, O; Mitu, F; Constantin, S; Cojocaru, Elena; Leon, Maria-Magdalena

    2014-01-01

    Atrial fibrillation is a supraventricular tachyarrhythmia very common in medical practice, often associated with heart failure. Pathophysiological relationship between atrial fibrillation and heart failure is in the attention of numerous case studies, being incomplete elucidated. We made a retrospective study on patients with both diseases, hospitalized in Cardiovascular Rehabilitation Hospital, Iasi, during 01.01.2013 - 31.12.2013. The obtained data allowed the classification of patients according to gender distribution, age groups, area of origin, clinical aspects, and association with other diseases, instituted treatment and appreciation of CHADS2 score. Data interpretation was performed with appropriate statistical methods. We found a higher frequency of the disease among male patients, male: female ratio being 2:1; the most of the patients lived in urban area. The pick of diseases incidence was in patients over 65 years with a total percentage of 70.84% of cases. We noted that the most common symptoms were exertional dyspnea (in all patients), palpitations, dizziness, headache, fatigue, asthenia, dyspnea at rest and pain/chest pressure. In our study, the majority of patients received the beta-blocker--digoxin combination (46 patients, 40 patients respectively). The coexistence of the two disorders could be explained by identifying common risk factors. Beta blockers should be the first therapeutic option in patients with chronic heart failure and atrial fibrillation because they have the effect of controlling heart rate and improve survival in patients with these disorders. Meanwhile, digoxin is a drug, only certain conditions of high accuracy monitoring; whose major clinical indications are heart failure and atrial rhythm disturbances.

  13. Role of the convergence zone over West Africa in controlling Saharan mineral dust load and transport in the boreal summer

    Owen M. Doherty

    2014-07-01

    Full Text Available During summer, large amounts of mineral dust are emitted and transported from North Africa over the tropical North Atlantic towards the Caribbean with the exact quantity varying greatly from year to year. Much effort has been made to explain the variability of summer season mineral dust load, for example, by relating dust variability to teleconnection indices such as ENSO and the NAO. However, only weak relationships between such climate indices and the abundance of mineral dust have been found. In this work, we demonstrate the role of the near-surface convergence zone over West Africa in controlling dust load and transport of mineral dust. We apply the ‘Center of Action’ approach to obtain indices that quantify the movement and strength of the convergence zone using NCEP/NCAR Reanalysis data. The latitudinal position of the convergence zone is significantly correlated with the quantity of mineral dust at Barbados over the period 1965–2003 (r=−0.47. A southward displacement of the convergence zone is associated with both increased near-surface flow and decreased precipitation over the dust source regions of the southern Saharan desert, Sahel and Lake Chad. This in turn reduces soil moisture and vegetation, furthering the potential for dust emission. In contrast, the intensity of the convergence zone is not correlated with dust concentration at Barbados. We conclude that the coupling of changes in near-surface winds with changes in precipitation in source regions driven by a southward movement of the convergence zone most directly influence dust load at Barbados and over the tropical North Atlantic during summer.

  14. Using Giovanni in Investigating the Links between Environmental Processes and Drought in Northern sub-Saharan Africa

    Ichoku, Charles; Gatebe, Charles; Lee, Jejung; Wang, Jun; Bolten, John; Policelli, Fritz; Wilcox, Eric; Adegoke, Jimmy; Habib, Shahid; Babamaaji, Rakiya; hide

    2013-01-01

    The northern sub-Saharan African (NSSA) region, bounded on the north and south by the Sahara and the Equator, respectively, and stretching East-West across Africa, is very vulnerable because of the highly active environmental and meteorological processes associated with its unique location and human activities that adversely impact the regional water cycle. Over the years, this region has suffered frequent severe droughts that have caused tremendous hardship and loss of life to millions of its inhabitants due to the rapid depletion of the regional water resources, as exemplified by the dramatic drying of Lake Chad. On the other hand, the NSSA region shows one of the highest biomass-burning rates per unit land area among all regions of the world. Because of the high concentration and frequency of fires in this region, with the associated abundance of heat release and gaseous and particulate smoke emissions, biomass-burning activity is believed to be one of the drivers of the regional carbon and energy cycles, with serious implications for the water cycle. An interdisciplinary research effort funded by NASA is presently being focused on the NSSA region, to better understand possible connections between the intense biomass burning observed from satellite year after year across the region and the water cycle, through associated changes in land-cover, surface albedo, emissions, atmospheric processes, precipitation, soil moisture, surface evaporation and runoff, and groundwater recharge. A combination of remote sensing and modeling approaches is being utilized to investigate these multiple processes to clarify possible links between them. However, by using Giovanni, we are able to extract and jointly analyze some of the important relevant parameters to obtain a first insight into their relationships. In this presentation, we will discuss these preliminary results as well as the path toward improved understanding of the interrelationships and feedbacks between the water

  15. Genome wide gene expression analysis of the posterior capsule in patients with osteoarthritis and knee flexion contracture.

    Campbell, Thomas Mark; Trudel, Guy; Wong, Kayleigh Kristin; Laneuville, Odette

    2014-11-01

    Knee flexion contractures (KFC) are limitations in the ability to fully extend the knee joint. In people with knee osteoarthritis (OA), KFC are common, impair function, and worsen outcomes after arthroplasty. In KFC, the posterior knee capsule is believed to play a key role, but the pathophysiology remains poorly understood. We sought to identify gene expression differences in the posterior knee capsule of patients with OA with and without KFC. Capsule tissue was obtained from the knees of 12 subjects diagnosed with advanced-stage OA at the time of knee arthroplasty surgery. The presence or absence of KFC allocated patients into 2 groups using a case-control design. Genomewide capsular gene expression was compared between the 2 patient groups. Confirmation of differential expression of the corresponding proteins was performed by immunohistochemistry on tissue sections. There were no significant demographic differences between the patients with OA with KFC and without KFC save for reduced extension in their surgical knee (pKFC patients showed a 6.4-fold decrease in CSN1S1 (p=0.017) gene expression and a 3.7-, 2.0-, and 2.6-fold increase in CHAD, Sox9, and Cyr61 gene expression, respectively (p=0.001, 0.004, 0.001, respectively). There were corresponding increases in protein levels for chondroadherin, sex determining region Y-box 9, and casein alphaS1 (all pKFC exhibited differential expression of 4 genes all previously documented to be associated with tissue fibrosis.

  16. Reflection and Transmission of Plane Electromagnetic Waves by a Geologic Layer.

    Aldridge, David F. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-04-01

    Electric field and magnetic field reflection and transmission responses generated by a plane wave normally incident onto a finite - thickness geologic layer are mathematically derived and numerically evaluated. A thin layer with enhanced electric current conductivity and/or magnetic permeability is a reasonable geophysical representation of a hydraulic fracture inject ed with a high - contrast proppant pack. Both theory and numerics indicate that backward - and forward - scattered electromagnetic wavefields are potentially observable in a field experiment, despite the extreme thinness of a fracture compared to a typical low - frequency electromagnetic wavelength. The First Born Approximation (FBA) representation of layer scattering, significant for inversion studies, is shown to be accurate for a thin layer with mild medium parameter (i.e., conductivity, permeability, and per mittivity) contrasts with the surrounding homogeneous wholespace. However, FBA scattering theory breaks down for thick layers and strong parameter contrasts. ACKNOWLEDGEMENTS Sandia National Laboratories is a multi - mission laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the US Department of Energy's National Nuclear Security Administration under contract DE - AC04 - 94AL85000. This research is conducted under the auspices of CRADA (Cooperative Research and Development Agreement) SC11/01780.00 between Carbo Ceramics Inc. and Sandia National Laboratories. The author acknowledges former Carbo R&D Vic e - President Mr. Chad Cannan and former SNL Geophysics Department manage r Ms. Amy Halloran for their interest i n and support of this work. Technical discussions with Project Manager and Principal Investigator Dr. Chester J. Weiss of the SNL Geophysics Department greatly benefited this work. Dr. Lewis C. Bartel, formerly with S NL and presently a consultant to Carbo Ceramics, provided many useful and intuitive insights, and

  17. Dust emission and transport over Iraq associated with the summer Shamal winds

    Bou Karam Francis, D.; Flamant, C.; Chaboureau, J.-P.; Banks, J.; Cuesta, J.; Brindley, H.; Oolman, L.

    2017-02-01

    In this study, we investigate the diurnal evolution of the summer Shamal wind (a quasi-permanent low-level northwesterly wind feature) and its role in dust emission and transport over Iraq, using ground-based and space-borne observations together with a numerical simulation performed with the mesoscale model meso-NH. A 6-year dataset from the synoptic stations over Iraq allows establishing the prominence of the link between strong near surface winds and reduced visibility in the summer. The detailed processes at play during Shamal events are explored on the basis of a meso-NH simulation for a given, representative case study (25 June-3 July 2010). The Shamal exhibits an out-of-phase relationship between the surface wind and winds in the lower troposphere (typically 500 m above ground level), the maximum surface wind speeds being observed during the day while in altitude the maximum wind speeds are observed at night. The daytime near surface winds, at the origin of dust emission, are associated with the downward transfer of momentum from the nocturnal low-level jet to the surface due to turbulent mixing after solar heating commences each day. For the first time, an estimate of the dust load associated with summer Shamal events over Iraq has been made using aerosol optical depths derived from the Spinning Enhanced Visible and Infrared Imager, the Moderate Resolution Imaging Spectroradiometer, and the simulation. The dust load exhibits a large diurnal variability, with a daily minimum value of 1 Tg around 0600 UTC and a daily peak of 2.5 Tg or more around 1500 UTC, and is driven by the diurnal cycle of the near surface wind speed. The daily dust load peak associated with the summer Shamal over Iraq is in the same order of magnitude as those derived from simulations downstream of the Bodélé depression in Chad, known to be the world's largest dust source.

  18. The use of unsaturated zone solutes and deuterium profiles in the study of groundwater recharge in the semi-arid zone of Nigeria

    Goni, I.B.; Edmunds, W.M.

    2001-01-01

    Two unsaturated zone profiles (MF and MG) in NE Nigeria have been sampled for inert tracers (Cl, Br, NO 3 and δ 2 H to investigate recharge rates and processes. The upper MF and MG profiles have sandy lithology, lower moisture content ( 2 H around -30 per mille. All these indicate that present day recharge is taking place. The lower section of the MF profile shows a distinct contrast with high moisture content (up to 27%), very high chloride (average 2892 mg/L) and relatively enriched deuterium (-12 per mille), indicating the effect of evaporative enrichment. This lower section corresponds to low permeability lacustrine deposits probably representing the former bed of Lake Chad where little or no infiltration has been occurring since the mid-Holocene when the lake extended over this area. The sand-covered areas of the Sahel of the NE Nigeria provide an important phreatic aquifer. An estimation of the amount of recharge using the unsaturated zone chloride mass balance gives significant rates of 14 mm/a and 22 mm/a for the upper MF and MG profiles respectively. These rates mainly span the period of the recent Sahel drought and even higher recharge rates may occur during wetter periods. These rates fall within the 14 mm/a to 53 mm/a range estimated for the Manga Grasslands area in the NE Nigeria obtained in an earlier study. From the water resource point of view, the region has potential for perennially-recharged groundwater resources that can sustain the present abstraction level which is mainly via dug wells. (author)

  19. Child mortality and poverty in three world regions (the West, Asia and Sub-Saharan Africa) 1988-2010: Evidence of relative intra-regional neglect?

    Pritchard, Colin; Keen, Steven

    2016-12-01

    Poverty kills children. This study assesses the relationship between poverty and child mortality rates (CMRs) in 71 societies from three world regions to determine whether some countries, relative to their region, neglect their children. Spearman rank order correlations were calculated to determine any association between the CMR and poverty data, including income inequality and gross national income. A current CMR one standard deviation (SD) above or below the regional average and a percentage change between 1988 and 2010 were used as the measures to assess the progress of nations. There were positive significant correlations between higher CMRs and relative poverty measures in all three regions. In Western countries, the current CMRs in the USA, New Zealand and Canada were 1 SD below the Western mean. The narrowest income inequalities, apart from Japan, were seen in the Scandinavian nations alongside low CMRs. In Asia, the current CMRs in Pakistan, Myanmar and India were the highest in their region and were 1 SD below the regional mean. Alongside South Korea, these nations had the lowest percentage reductions in CMRs. In Sub-Saharan Africa, the current CMRs in Somalia, Burkina Faso, Sierra Leone, Chad, Democratic Republic of Congo and Angola were the highest in their region and were 1 SD below the regional mean. Those concerned with the pursuit of social justice need to alert their societies to the corrosive impact of poverty on child mortality. Progress in reducing CMRs provides an indication of how well nations are meeting the needs of their children. Further country-specific research is required to explain regional differences.

  20. Forms of War

    Vogel, H.; Bartelt, D.

    2007-01-01

    Purpose: Under war conditions, employed weapons can be identified on radiographs obtained in X-ray diagnostic. The analysis of such X-ray films allows concluding that there are additional information about the conditions of transport and treatment; it shall be shown that there are X-ray findings which are typical and characteristic for certain forms of warfare. Material and method: The radiograms have been collected during thirty years; they come from hospitals, where war casualties had been treated, and personal collections. Results: The material is selected, because in war X-ray diagnostic will be limited and the interest of the opposing parties influence the access to the material; furthermore the possibilities to publish or to communicate facts and thoughts are different. Citizens of the USA, GB, France, or Israel will have easier access to journals than those of Vietnam, Chad, and Zimbabwe. Under war conditions, poor countries, like North Vietnam may develop own concepts of medical care. There are X-ray findings which are typical or even characteristic for air warfare, guerrilla warfare, gas war, desert warfare, conventional warfare, and annihilation warfare, and city guerrilla warfare/civil war. The examples demonstrate that weapons and the conditions of transport and treatment can be recognized by X-ray findings. The radiogram can be read like a document. Conclusion: In War, there are differences between a treatment and imaging diagnostic in countries, which control the air space and in those who do not. Medical care of the poor, i.e. in countries (in general those opposing the western nations) will hardly be published, and poverty has no advocate