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Sample records for clinical african trypanosomiasis

  1. Expression and role of CXCL10 during the encephalitic stage of experimental and clinical African trypanosomiasis

    DEFF Research Database (Denmark)

    Amin, Daniel N; Rottenberg, Martin E; Thomsen, Allan R; Mumba, Dieudonné; Fenger, Christina; Kristensson, Krister; Büscher, Philippe; Finsen, Bente; Masocha, Willias

    2009-01-01

    BACKGROUND: Human African trypanosomiasis, caused by Trypanosoma brucei, involves an early hemolymphatic stage followed by a late encephalitic stage. METHODS: We studied the expression of chemokines with use of microarray and enzyme-linked immunosorbent assay in T. brucei brucei-infected mice and...... in patients with human African trypanosomiasis and examined their role in controlling brain accumulation of T cells and parasites. RESULTS: The messenger RNAs (mRNAs) encoding CXCR3 ligands CXCL9 and CXCL10 demonstrated the greatest increases among chemokines in brain specimens of infected mice, as...... reduced accumulation of trypanosomes and T cells in the brain parenchyma but similar parasitemia levels, compared with wild-type mice. CXCL10 and IFN-gamma levels were increased in the cerebrospinal fluid of patients with late stage but not early stage human African trypanosomiasis. Levels of CXCL10 in...

  2. African Trypanosomiasis Detection using Dempster-Shafer Theory

    OpenAIRE

    2012-01-01

    World Health Organization reports that African Trypanosomiasis affects mostly poor populations living in remote rural areas of Africa that can be fatal if properly not treated. This paper presents Dempster-Shafer Theory for the detection of African trypanosomiasis. Sustainable elimination of African trypanosomiasis as a public-health problem is feasible and requires continuous efforts and innovative approaches. In this research, we implement Dempster-Shafer theory for detecting African trypan...

  3. Orchitis as an unusual manifestation of human African trypanosomiasis.

    Science.gov (United States)

    Ehrhardt, Stephan; Lippert, Ute; Burchard, Gerd D; Sudeck, Hinrich

    2006-01-01

    African trypanosomiasis is a re-emerging disease. We report the case of an African patient whose predominant symptom was infertility due to a granulomatous orchitis. The patient was afebrile and had not been in Africa for years. Lymphadenopathy and splenomegaly led us eventually to the diagnosis of sleeping sickness. After treatment with suramin his spermiogram returned to normal. Sleeping sickness evolves through clinically different stages and leads to death if left untreated. The disease may, however, present clinically extremely variable and may thus be difficult to diagnose. PMID:15936085

  4. Human African Trypanosomiasis Transmission, Kinshasa, Democratic Republic of Congo

    Science.gov (United States)

    Diabakana, Philemon Mansinsa; Mesu, Victor Kande Betu Ku; Manzambi, Emile Zola; Ollivier, Gaelle; Asonganyi, Tazoacha; Cuny, Gerard; Grébaut, Pascal

    2006-01-01

    To investigate the epidemiology of human African trypanosomiasis (sleeping sickness) in Kinshasa, Democratic Republic of Congo, 2 entomologic surveys were conducted in 2005. Trypanosoma brucei gambiense and human-blood meals were found in tsetse fly midguts, which suggested active disease transmission. Vector control should be used to improve human African trypanosomiasis control efforts. PMID:17326955

  5. African Trypanosomiasis Detection using Dempster-Shafer Theory

    CERN Document Server

    Maseleno, Andino

    2012-01-01

    World Health Organization reports that African Trypanosomiasis affects mostly poor populations living in remote rural areas of Africa that can be fatal if properly not treated. This paper presents Dempster-Shafer Theory for the detection of African trypanosomiasis. Sustainable elimination of African trypanosomiasis as a public-health problem is feasible and requires continuous efforts and innovative approaches. In this research, we implement Dempster-Shafer theory for detecting African trypanosomiasis and displaying the result of detection process. We describe eleven symptoms as major symptoms which include fever, red urine, skin rash, paralysis, headache, bleeding around the bite, joint the paint, swollen lymph nodes, sleep disturbances, meningitis and arthritis. Dempster-Shafer theory to quantify the degree of belief, our approach uses Dempster-Shafer theory to combine beliefs under conditions of uncertainty and ignorance, and allows quantitative measurement of the belief and plausibility in our identificat...

  6. Research priorities for Chagas disease, human African trypanosomiasis and leishmaniasis.

    Science.gov (United States)

    2012-01-01

    This report provides a review and analysis of the research landscape for three diseases - Chagas disease, human African trypanosomiasis and leishmaniasis - that disproportionately afflict poor and remote populations with limited access to health services. It represents the work of the disease reference group on Chagas Disease, Human African Trypanosomiasis and Leishmaniasis (DRG3) which was established to identify key research priorities through review of research evidence and input from stakeholders' consultations. The diseases, which are caused by related protozoan parasites, are described in terms of their epidemiology and diseases burden, clinical forms and pathogenesis, HIV coinfection, diagnosis, drugs and drug resistance, vaccines, vector control, and health-care interventions. Priority areas for research are identified based on criteria such as public health relevance, benefit and impact on poor populations and equity, and feasibility. The priorities are found in the areas of diagnostics, drugs, vector control, asymptomatic infection, economic analysis of treatment and vector control methods, and in some specific issues such as surveillance methods or transmission-blocking vaccines for particular diseases. This report will be useful to researchers, policy and decision-makers, funding bodies, implementation organizations, and civil society. This is one of ten disease and thematic reference group reports that have come out of the TDR Think Tank, all of which have contributed to the development of the Global Report for Research on Infectious Diseases of Poverty, available at: www.who.int/tdr/stewardship/global_report/en/index.html. PMID:23484340

  7. Immunology and immunopathology of African trypanosomiasis

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    Philippe Vincendeau

    2006-12-01

    Full Text Available Major modifications of immune system have been observed in African trypanosomiasis. These immune reactions do not lead to protection and are also involved in immunopathology disorders. The major surface component (variable surface glycoprotein,VSG is associated with escape to immune reactions, cytokine network dysfunctions and autoantibody production. Most of our knowledge result from experimental trypanosomiasis. Innate resistance elements have been characterised. In infected mice, VSG preferentially stimulates a Th 1-cell subset. A response of gd and CD8 T cells to trypanosome antigens was observed in trypanotolerant cattle. An increase in CD5 B cells, responsible for most serum IgM and production of autoantibodies has been noted in infected cattle. Macrophages play important roles in trypanosomiasis, in synergy with antibodies (phagocytosis and by secreting various molecules (radicals, cytokines, prostaglandins,.... Trypanosomes are highly sensitive to TNF-alpha, reactive oxygen and nitrogen intermediates. TNF-alpha is also involved in cachexia. IFN-gamma acts as a parasite growth factor. These various elements contribute to immunosuppression. Trypanosomes have learnt to use immune mechanisms to its own profit. Recent data show the importance of alternative macrophage activation, including arginase induction. L-ornithine produced by host arginase is essential to parasite growth. All these data reflect the deep insight into the immune system realised by trypanosomes and might suggest interference therapeutic approaches.Modificações importantes no sistema imune são observadas na tripanosomíase Africana. Essas reações imunológicas não protegem e estão envolvidas em distúrbios imunopatológicos. O principal componente de superfície (glicoproteína variante de superfície, VSG está associado à evasão das respostas imune, às disfunções da rede de citocinas e à produção de autoanticorpos. Muitos de nossos conhecimentos resultam

  8. The detection and treatment of human African trypanosomiasis

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    Bouteille B

    2012-06-01

    Full Text Available Bernard Bouteille,1 Alain Buguet21Laboratory of Parasitology, Dupuytren University Hospital of Limoges, France; 2Polyclinic Marie-Louise Poto-Djembo, Pointe-Noire, CongoAbstract: Human African trypanosomiasis (HAT is caused by the injection of Trypanosoma brucei (T. b. gambiense or T. b. rhodesiense by Glossina, the tsetse fly. Three historical eras followed the exclusive clinical approach of the 19th century. At the turn of the century, the “initial research” era was initiated because of the dramatic spread of HAT throughout intertropical Africa, and scientists discovered the agent and its vector. Two entities, recurrent fever and sleeping sickness, were then considered a continuum between hemolymphatic stage 1 and meningoencephalitic stage 2. Treatments were developed. Soon after World War I, specific services and mobile teams were created, initiating the “epidemiological” era, during which populations were visited, screened, and treated. As a result, by 1960, annual new cases were rare. New mass screening and staging tools were then developed in a third, “modern” era, especially to counter a new epidemic wave. Currently, diagnosis still relies on microscopic detection of trypanosomes without (wet and thick blood films or with concentration techniques (capillary tube centrifugation, miniature anion-exchange centrifugation technique. Staging is a vital step.Stage 1 patients are treated on site with pentamidine or suramin. However, stage 2 patients are treated in specialized facilities, using drugs that are highly toxic and/or that require complex administration procedures (melarsoprol, eflornithine, or nifurtimox-eflornithine combination therapy. Suramin and melarsoprol are the only medications active against Rhodesian HAT. Staging still relies on cerebrospinal fluid examination for trypanosome detection and white blood cell counts: stage 1, absence of trypanosomes, white blood cell counts ≤ 5/µL; stage 2, presence of

  9. Bioluminescence Imaging to Detect Late Stage Infection of African Trypanosomiasis.

    Science.gov (United States)

    Burrell-Saward, Hollie; Ward, Theresa H

    2016-01-01

    Human African trypanosomiasis (HAT) is a multi-stage disease that manifests in two stages; an early blood stage and a late stage when the parasite invades the central nervous system (CNS). In vivo study of the late stage has been limited as traditional methodologies require the removal of the brain to determine the presence of the parasites. Bioluminescence imaging is a non-invasive, highly sensitive form of optical imaging that enables the visualization of a luciferase-transfected pathogen in real-time. By using a transfected trypanosome strain that has the ability to produce late stage disease in mice we are able to study the kinetics of a CNS infection in a single animal throughout the course of infection, as well as observe the movement and dissemination of a systemic infection. Here we describe a robust protocol to study CNS infections using a bioluminescence model of African trypanosomiasis, providing real time non-invasive observations which can be further analyzed with optional downstream approaches. PMID:27284970

  10. Determinants of Human African Trypanosomiasis Elimination via Paratransgenesis.

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    Jennifer A Gilbert

    2016-03-01

    Full Text Available Human African trypanosomiasis (HAT, transmitted by tsetse flies, has historically infected hundreds of thousands of individuals annually in sub-Saharan Africa. Over the last decade, concerted control efforts have reduced reported cases to below 10,000 annually, bringing complete elimination within reach. A potential technology to eliminate HAT involves rendering the flies resistant to trypanosome infection. This approach can be achieved through the introduction of transgenic Sodalis symbiotic bacteria that have been modified to produce a trypanocide, and propagated via Wolbachia symbionts, which confer a reproductive advantage to the paratransgenic tsetse. However, the population dynamics of these symbionts within tsetse flies have not yet been evaluated. Specifically, the key factors that determine the effectiveness of paratransgenesis have yet to be quantified. To identify the impact of these determinants on T.b. gambiense and T.b. rhodesiense transmission, we developed a mathematical model of trypanosome transmission that incorporates tsetse and symbiont population dynamics. We found that fecundity and mortality penalties associated with Wolbachia or recombinant Sodalis colonization, probabilities of vertical transmission, and tsetse migration rates are fundamental to the feasibility of HAT elimination. For example, we determined that HAT elimination could be sustained over 25 years when Wolbachia colonization minimally impacted fecundity or mortality, and when the probability of recombinant Sodalis vertical transmission exceeded 99.9%. We also found that for a narrow range of recombinant Sodalis vertical transmission probability (99.9-90.6% for T.b. gambiense and 99.9-85.8% for T.b. rhodesiense, cumulative HAT incidence was reduced between 30% and 1% for T.b. gambiense and between 21% and 3% for T.b. rhodesiense, although elimination was not predicted. Our findings indicate that fitness and mortality penalties associated with paratransgenic

  11. Challenges in Diagnosing Human African Trypanosomiasis: Evaluation of the MSF OCG project in Dingila, DRC

    OpenAIRE

    Van Nieuwenhove, Simon

    2015-01-01

    Between late 2010 and the end of 2014 and under extremely difficult conditions, Médecins sans Frontières (MSF) carried out a project to combat Human African Trypanosomiasis (HAT), also known as sleeping sickness, in the Dingila, Ango and Zobia regions of Orientale Province in the Democratic Republic of Congo (DRC). HAT in DRC is caused by Trypanosoma brucei gambiense and is transmitted by the tsetse fly (Glossina genus) of the Palpalis group. Without effective treatment, virtually all f...

  12. The FAO programme for the control of African animal trypanosomiasis and related development

    International Nuclear Information System (INIS)

    The FAO proposal for a long-term Programme for the Control of African Animal Trypanosomiasis and Related Development was presented to the World Food Conference in November 1974. A recommendation was adopted that the programme should be implemented as a matter of urgency and should receive high priority in the FAO programme of work and budget. Following recommendations of support by FAO statutory bodies the preparatory phase, which led to implementation of a large-scale programme, was launched in 1980

  13. Syndromic algorithms for detection of gambiense human african trypanosomiasis in South Sudan.

    OpenAIRE

    Palmer, JJ; Surur, EI; Goch, GW; Mayen, MA; Lindner, AK; Pittet, A.; Kasparian, S; Checchi, F.; Whitty, CJ

    2013-01-01

    BACKGROUND Active screening by mobile teams is considered the best method for detecting human African trypanosomiasis (HAT) caused by Trypanosoma brucei gambiense but the current funding context in many post-conflict countries limits this approach. As an alternative, non-specialist health care workers (HCWs) in peripheral health facilities could be trained to identify potential cases who need testing based on their symptoms. We explored the predictive value of syndromic referral algorithms to...

  14. Human African Trypanosomiasis in South Sudan: How Can We Prevent a New Epidemic?

    OpenAIRE

    Ruiz-Postigo, José A; José R Franco; Mounir Lado; Pere P Simarro

    2012-01-01

    Human African trypanosomiasis (HAT) has been a major public health problem in South Sudan for the last century. Recurrent outbreaks with a repetitive pattern of responding-scaling down activities have been observed. Control measures for outbreak response were reduced when the prevalence decreased and/or socio-political crisis erupted, leading to a new increase in the number of cases. This paper aims to raise international awareness of the threat of another outbreak of sleeping sickness in Sou...

  15. Human African Trypanosomiasis in a Traveler: Diagnostic Pitfalls

    OpenAIRE

    Meltzer, Eyal; Leshem, Eyal; Steinlauf, Shmuel; MICHAELI, SHULAMIT; Sidi, Yechezkel; Schwartz, Eli

    2012-01-01

    An Israeli traveler returning from Tanzania presented with a relapsing febrile illness. A diagnosis of Trypanosoma brucei rhodesiense infection was established by blood smear after nearly a month. Blood polymerase chain reaction failed to provide an early diagnosis of human African trypanososmiasis. Recognition of suggestive signs should prompt physicians to perform repeated tests before ruling out human African trypanososmiasis.

  16. Genome sequence of the tsetse fly (Glossina morsitans ): Vector of African trypanosomiasis

    KAUST Repository

    Watanabe, Junichi

    2014-04-24

    Tsetse flies are the sole vectors of human African trypanosomiasis throughout sub-Saharan Africa. Both sexes of adult tsetse feed exclusively on blood and contribute to disease transmission. Notable differences between tsetse and other disease vectors include obligate microbial symbioses, viviparous reproduction, and lactation. Here, we describe the sequence and annotation of the 366-megabase Glossina morsitans morsitans genome. Analysis of the genome and the 12,308 predicted protein-encoding genes led to multiple discoveries, including chromosomal integrations of bacterial (Wolbachia) genome sequences, a family of lactation-specific proteins, reduced complement of host pathogen recognition proteins, and reduced olfaction/chemosensory associated genes. These genome data provide a foundation for research into trypanosomiasis prevention and yield important insights with broad implications for multiple aspects of tsetse biology.

  17. The changing epidemiology of human African trypanosomiasis among patients from nonendemic countries--1902-2012.

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    Ami Neuberger

    Full Text Available BACKGROUND: Although human African trypanosomiasis (HAT is uncommon among patients from non-endemic countries (NEC, there has been an increase in the number of cases reported in recent years. METHODS: A systematic review of the literature was performed. The number of incoming tourists to HAT endemic countries was obtained from the United Nations World Tourism Organization. All HAT cases diagnosed in patients from NEC were included. Immigrants and refugees were excluded. We compared patients during and after the colonial period, and analyzed the relationship between the number of incoming travellers and the number of HAT cases. RESULTS: Between 1902 and 2012, HAT was reported in 244 patients. Most HAT cases were reported before 1920, and after the year 2000. In the colonial era the average age of patients was lower (32.5±7.8 vs. 43.0±16.1 years, P<0.001, the proportion of females was lower (10.0% vs. 23.9%, P<0.01], most cases were diagnosed in expatriates, missionaries and soldiers (74.3%, and Gambian trypanosomiasis accounted for 86/110, (78% of cases. In the post-colonial era most patients 91/125 (72.8% were short-term tourists to game parks in Eastern and South-Eastern Africa (mainly in Tanzania; Rhodesian trypanosomiasis accounted for 94/123 (76.4% of cases. Between 1995 and 2010 there has been a constant linear increase in the number of incoming tourists to Tanzania, and HAT cases occurred in small outbreaks rather than following a similar linear pattern. CONCLUSIONS: In recent decades HAT patients from NEC are older, and more likely to be tourists who acquired the disease while visiting game-parks in Eastern and South-Eastern Africa. While Rhodesian trypanosomiasis is relatively uncommon among Africans, it now accounts for most cases reported among patients from NEC. Returning febrile travellers without an alternative diagnosis should be evaluated for HAT. Cases among travellers may serve as sentinels for Rhodesian trypanosomiasis "hot

  18. Therapeutic evaluation of Acacia nilotica (Linn stem bark extract in experimental African trypanosomiasis

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    E O Ogbadoyi

    2011-06-01

    Full Text Available Summary: Chemotherapy of African trypanosomiasis still remains far from being satisfactory, being severely limited by a number of factors including unacceptable toxicity, increasing parasite resistance, high cost and unavailability. There is an urgent need for therapeutic agents that are effective, affordable and accessible to the rural poor in Africa who bear most of the disease burden. The objective of this study was to evaluate the therapeutic effects of Acacia nilotica in experimental Trypanosoma brucei brucei infection in mice.  Methanol extract of stem bark of the plant was investigated for its therapeutic effects in experimental African trypanosomiasis. Acute toxicity studies were also conducted. Crude extract of 70% v/v (Methanol/Water at a dose of 400mg kg-1 body weight per day completely cured the experimental T.b. brucei infection in mice, while doses of 50, 100, 200, 300, and 400mgkg-1 body weight per day of the partially purified extract completely cured the experimental infection in mice within two days.  Sub inoculation of blood and cerebrospinal fluid drawn from the cured mice into healthy mice failed to produce any infection within 28 days of post inoculation. Phytochemical analysis showed the presence of carbohydrates, saponin, tannin and cardiac glycoside. LD50 of the partially purified extract was found to be 2000mg/kg body weight, the extract being acutely toxic at a dose of 1600mgkg-1 body weight. It is concluded that methanol extract of stem bark of A. nilotica cures experimental T. b. brucei infection in mice.   Industrial relevance: The findings in this study provide very useful clue for biopharmaceutical industries and drug manufacturers for the development of phytotherapeutic agents from this plant, not only for therapeutic intervention in the control of African trypanosomiasis but also for the treatment of cancer. This is because of the strong link between Chemotherapy of human African trypanosomiasis (sleeping

  19. LAMP for human African trypanosomiasis: a comparative study of detection formats.

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    Sally L Wastling

    Full Text Available Loop-mediated isothermal amplification (LAMP is at the forefront of the search for innovative diagnostics for human African trypanosomiasis (HAT. Several simple endpoint detection methods have been developed for LAMP and here we compare four of these: (i visualization of turbidity; (ii addition of hydroxynaphthol blue before incubation; (iii addition of calcein with MnCl₂ before incubation and (iv addition of Quant-iT PicoGreen after incubation. These four methods were applied to four LAMP assays for the detection of human African trypanosomiasis, including two Trypanozoon specific and two Trypanosoma brucei rhodesiense specific reactions using DNA extracted from cryo-preserved procyclic form T. b. rhodesiense. A multi-observer study was performed to assess inter-observer reliability of two of these methods: hydroxynapthol blue and calcein with MnCl₂, using DNA prepared from blood samples stored on Whatman FTA cards. Results showed that hydroxynaphthol blue was the best of the compared methods for easy, inexpensive, accurate and reliable interpretation of LAMP assays for HAT. Hydroxynapthol blue generates a violet to sky blue colour change that was easy to see and was consistently interpreted by independent observers. Visible turbidity detection is not possible for all currently available HAT LAMP reactions; Quant-iT PicoGreen is expensive and addition of calcein with MnCl₂ adversely affects reaction sensitivity and was unpopular with several observers.

  20. Improving the diagnosis and control of trypanosomiasis and other vector-borne diseases of African livestock using immunoassay methods

    International Nuclear Information System (INIS)

    This publication contains the results presented by the participants of the Co-ordinated Research Programme (CRP) on improving the diagnosis and control of trypanosomiasis and other vector-borne diseases of African livestock using immunoassay methods. The CRP lasted from 1987 until 1992. The individual contributions have been indexed separately. Refs, figs and tabs

  1. Human African trypanosomiasis prevention, treatment and control costs: a systematic review.

    Science.gov (United States)

    Keating, Joseph; Yukich, Joshua O; Sutherland, C Simone; Woods, Geordie; Tediosi, Fabrizio

    2015-10-01

    The control and eventual elimination of human African trypanosomiasis (HAT) requires the expansion of current control and surveillance activities. A systematic review of the published literature on the costs of HAT prevention, treatment, and control, in addition to the economic burden, was conducted. All studies that contained primary or secondary data on costs of prevention, treatment and control were considered, resulting in the inclusion of 42 papers. The geographically focal nature of the disease and a lack of standardization in the cost data limit the usefulness of the available information for making generalizations across diverse settings. More recent information on the costs of treatment and control interventions for HAT is needed to provide accurate information for analyses and planning. The cost information contained herein can be used to inform rational decision making in control and elimination programs, and to assess potential synergies with existing vector-borne disease control programs, but programs would benefit significantly from new cost data collection. PMID:26056739

  2. Evaluation of the diagnostic accuracy of prototype rapid tests for human African trypanosomiasis.

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    Jeremy M Sternberg

    2014-12-01

    Full Text Available Diagnosis of human African trypanosomiasis (HAT remains a challenge both for active screening, which is critical in control of the disease, and in the point-of-care scenario where early and accurate diagnosis is essential. Recently, the first field deployment of a lateral flow rapid diagnostic test (RDT for HAT, "SD BIOLINE HAT" has taken place. In this study, we evaluated the performance of "SD BIOLINE HAT" and two new prototype RDTs.The performance of "SD BIOLINE HAT" and 2 prototype RDTs was tested using archived plasma from 250 Trypanosoma brucei gambiense patients, and 250 endemic controls. As well as comparison of the sensitivity and specificity of each device, the performance of individual antigens was assessed and the hypothetical performance of novel antigen combinations extrapolated. Neither of the prototype devices were inferior in sensitivity or specificity to "SD BIOLINE HAT" (sensitivity 0.82±0.01, specificity 0.97±0.01, 95% CI at the 5% margins, while one of the devices (BBI had significantly superior sensitivity (0.88±0.03. Analysis of the performance of individual antigens was used to model new antigen combinations to be explored in development of the next generation of HAT RDTs. The modelling showed that an RDT using two recombinant antigens (rLiTat1.5 and rISG65 would give a performance similar to the best devices in this study, and would also offer the most robust performance under deteriorating field conditions.Both "SD BIOLINE HAT" and the prototype devices performed comparably well to one another and also to the published performance range of the card agglutination test for trypanosomiasis in sensitivity and specificity. The performance of individual antigens enabled us to predict that an all-recombinant antigen RDT can be developed with an accuracy equivalent to " SD BIOLINE HAT." Such an RDT would have advantages in simplified manufacture, lower unit cost and assured reproducibility.

  3. Trypanosomiasis in Red Sokoto and West African Dwarf Goats at Ikpa Abattoir, Nsukka, Enugu State, Nigeria

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    Okafor Obioma Juliet

    2013-10-01

    Full Text Available Goat serves as a major investment to most homes in Nigeria, mainly for provision of animal protein and income. The output of this animal is disturbed by Tsetse infestation which is the primary vector of Trypanosome. A survey of Trypanosomiasis of goat in Ikpa abattoir Nsukka, Enugu State, Nigeria was carried out between September and October 2010. This was aimed at determining the species of Trypanosome prevalent in the area and their infection rates among breeds of goat. 106 goats were sampled, among which 15(14.1% were positive for Trypanosome infection. The infection rates among the goat breeds were; Sokoto red (10.4% and West African Dwarf Goat (50.0%. The species of Trypanosome encountered were Trypanosoma vivax(66.7% and Trypanosoma brucei (33.3%. In the infection by sex, this was common among female goats in the various breeds examined and this stood as follows; 9.4% in Sokoto red and 4.7% in West African Dwarf goat. Considering the overall infection rate of Trypanosome in the breeds of goat in the study area, this was relatively high when compared with similar results in related areas; chemo prophylactic and insect control measures should be put in place to rescue the area.

  4. Identifying Transmission Cycles at the Human-Animal Interface: The Role of Animal Reservoirs in Maintaining Gambiense Human African Trypanosomiasis

    OpenAIRE

    Sebastian Funk; Hiroshi Nishiura; Hans Heesterbeek; W. John Edmunds; Francesco Checchi

    2013-01-01

    Many infections can be transmitted between animals and humans. The epidemiological roles of different species can vary from important reservoirs to dead-end hosts. Here, we present a method to identify transmission cycles in different combinations of species from field data. We used this method to synthesise epidemiological and ecological data from Bipindi, Cameroon, a historical focus of gambiense Human African Trypanosomiasis (HAT, sleeping sickness), a disease that has often been considere...

  5. Cattle owners' perceptions of African bovine trypanosomiasis and its control in Busia and Kwale Districts of Kenya.

    Science.gov (United States)

    Machila, Noreen; Wanyangu, Samuel W; McDermott, John; Welburn, Susan C; Maudlin, Ian; Eisler, Mark C

    2003-04-01

    A study using a structured questionnaire was conducted in Busia District, Western Kenya and Kwale District, Coastal Kenya to obtain qualitative and quantitative information from 256 cattle owners about their production systems, their perceptions of the diseases encountered in their cattle, the drugs used, and other measures adopted to control trypanosomiasis in cattle. The predominant production system was mixed crop-livestock with farmers owning 2-11 local cattle on holdings between 2 and 5 ha. Approximately 15% of disease episodes in cattle were perceived to be trypanosomiasis, although the farmers' ability to make diagnoses was limited in that over half of the diagnoses were inconsistent with the clinical signs described. Drugs were generally obtained from agro-veterinary shops, and the farmers themselves administered slightly more than half of these. One third of drug treatments given to sick cattle were trypanocides, but over half of these trypanocidal treatments were given to cattle believed to have diseases other than trypanosomiasis. PMID:12711100

  6. Human African trypanosomiasis in South Sudan: how can we prevent a new epidemic?

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    José A Ruiz-Postigo

    Full Text Available Human African trypanosomiasis (HAT has been a major public health problem in South Sudan for the last century. Recurrent outbreaks with a repetitive pattern of responding-scaling down activities have been observed. Control measures for outbreak response were reduced when the prevalence decreased and/or socio-political crisis erupted, leading to a new increase in the number of cases. This paper aims to raise international awareness of the threat of another outbreak of sleeping sickness in South Sudan. It is a review of the available data, interventions over time, and current reports on the status of HAT in South Sudan. Since 2006, control interventions and treatments providing services for sleeping sickness have been reduced. Access to HAT diagnosis and treatment has been considerably diminished. The current status of control activities for HAT in South Sudan could lead to a new outbreak of the disease unless 1 the remaining competent personnel are used to train younger staff to resume surveillance and treatment in the centers where HAT activities have stopped, and 2 control of HAT continues to be given priority even when the number of cases has been substantially reduced. Failure to implement an effective and sustainable system for HAT control and surveillance will increase the risk of a new epidemic. That would cause considerable suffering for the affected population and would be an impediment to the socioeconomic development of South Sudan.

  7. Spatial distribution of African Animal Trypanosomiasis in Suba and Teso districts in Western Kenya

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    Jung'a Joseph O

    2010-01-01

    Full Text Available Abstract Background Studies on the epidemiology of African Animal Trypanosomiasis (AAT rarely consider the spatial dimension of disease prevalence. This problem is confounded by use of parasitological diagnostic methods of low sensitivity in field surveys. Here we report a study combining highly sensitive and species specific molecular diagnostic methods, and Geographical information system (GIS for spatial analysis of trypanosome infection patterns, to better understand its epidemiology. Blood samples from 44 and 59 animals randomly selected from Teso and Suba districts respectively were screened for trypanosomes using PCR diagnostic assays. Spatial distribution of the positive cases was mapped and average nearest neighbour analysis used to determine the spatial pattern of trypanosome cases detected. Findings Trypanosome prevalence of 41% and 29% in Suba and Teso districts respectively was observed. T. vivax infections were most prevalent in both areas. Higher proportions of T. brucei infections (12% were observed in Suba, a known sleeping sickness foci compared with 2% in Teso. Average nearest neighbour analysis showed the pattern of trypanosome infections as random. An overlay with tsetse maps showed cases lying outside the tsetse infested areas, mostly being cases of T. vivax which is known to be transmitted both biologically by tsetse and mechanically by biting flies. Conclusion These findings suggest a need to design control strategies that target not just the biological vector tsetse, but also the parasite in cattle in order to clear the possibly mechanically transmitted T. vivax infections. There is need to also review the accuracy of available tsetse maps.

  8. Development of multiplex serological assay for the detection of human African trypanosomiasis.

    Science.gov (United States)

    Nzou, Samson Muuo; Fujii, Yoshito; Miura, Masashi; Mwau, Matilu; Mwangi, Anne Wanjiru; Itoh, Makoto; Salam, Md Abdus; Hamano, Shinjiro; Hirayama, Kenji; Kaneko, Satoshi

    2016-04-01

    Human African trypanosomiasis (HAT) is a disease caused by Kinetoplastid infection. Serological tests are useful for epidemiological surveillance. The aim of this study was to develop a multiplex serological assay for HAT to assess the diagnostic value of selected HAT antigens for sero-epidemiological surveillance. We cloned loci encoding eight antigens from Trypanosoma brucei gambiense, expressed the genes in bacterial systems, and purified the resulting proteins. Antigens were subjected to Luminex multiplex assays using sera from HAT and VL patients to assess the antigens' immunodiagnostic potential. Among T. b. gambiense antigens, the 64-kDa and 65-kDa invariant surface glycoproteins (ISGs) and flagellar calcium binding protein (FCaBP) had high sensitivity for sera from T. b. gambiense patients, yielding AUC values of 0.871, 0.737 and 0.858 respectively in receiver operating characteristics (ROC) analysis. The ISG64, ISG65, and FCaBP antigens were partially cross-reactive to sera from Trypanosoma brucei rhodesiense patients. The GM6 antigen was cross-reactive to sera from T. b. rhodesiense patients as well as to sera from VL patients. Furthermore, heterogeneous antibody responses to each individual HAT antigen were observed. Testing for multiple HAT antigens in the same panel allowed specific and sensitive detection. Our results demonstrate the utility of applying multiplex assays for development and evaluation of HAT antigens for use in sero-epidemiological surveillance. PMID:26519611

  9. Development of a nanoparticulate formulation of diminazene to treat African trypanosomiasis

    Energy Technology Data Exchange (ETDEWEB)

    Kroubi, Maya; Betbeder, Didier [EA 4483, IFR 114 IMPRT, Faculte de Medecine, Pole recherche, Departement de Physiologie, 1 place de Verdun, 59045 Lille Cedex (France); Daulouede, Sylvie; Mossalayi, Djavad; Vincendeau, Philippe [Laboratoire de Parasitologie, Universite Victor Segalen Bordeaux 2, 146 rue Leo Saignat, 33076 Bordeaux Cedex (France); Karembe, Hamadi [CEVA Sante Animale, ZI la Ballastiere, BP 126, 33501 Libourne (France); Jallouli, Youssef [Faculte de Pharmacie, Universite de Lille 2, 3 rue du Professeur Laguesse, 59006 Lille (France); Howsam, Mike, E-mail: dbetbeder@aol.com [Centre Universitaire de Mesure et d' Analyse, Faculte de Pharmacie, Universite de Lille 2, 3 rue du Professeur Laguesse, 59006 Lille (France)

    2010-12-17

    There is a real need to develop new therapeutic strategies for African trypanosomiasis infections. In our study, we developed a new drug delivery system of diminazene (DMZ), a trypanocidal drug registered for veterinary use. This drug candidate presents a limited efficacy, a poor affinity for brain tissue and instability. The development of colloidal formulations based on a porous cationic nanoparticle with an oily core ({sub 70}DGNP{sup +}), has potentially two advantages: stabilization of the drug and potential targeting of the parasite. We analyzed two processes of drug loading: in process (DMZ was added during the preparation of {sub 70}DGNP{sup +} at 80 deg. C) and post-loading (DMZ was mixed with a {sub 70}DGNP{sup +} solution at room temperature). Poor stability of the drug was observed using the in process technique. When using the post-loading technique over 80% drug entrapment efficiency was obtained at a ratio of DMZ:phospholipids (wt:wt) < 5%. Moreover, DMZ loaded into {sub 70}DGNP{sup +} was found to be protected against oxidation and was stable for at least six months at 4 deg. C. Finally, in vitro tests on T.b. brucei showed an increased efficacy of DMZ loaded in {sub 70}DGNP{sup +}.

  10. Syndromic algorithms for detection of gambiense human African trypanosomiasis in South Sudan.

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    Jennifer J Palmer

    Full Text Available BACKGROUND: Active screening by mobile teams is considered the best method for detecting human African trypanosomiasis (HAT caused by Trypanosoma brucei gambiense but the current funding context in many post-conflict countries limits this approach. As an alternative, non-specialist health care workers (HCWs in peripheral health facilities could be trained to identify potential cases who need testing based on their symptoms. We explored the predictive value of syndromic referral algorithms to identify symptomatic cases of HAT among a treatment-seeking population in Nimule, South Sudan. METHODOLOGY/PRINCIPAL FINDINGS: Symptom data from 462 patients (27 cases presenting for a HAT test via passive screening over a 7 month period were collected to construct and evaluate over 14,000 four item syndromic algorithms considered simple enough to be used by peripheral HCWs. For comparison, algorithms developed in other settings were also tested on our data, and a panel of expert HAT clinicians were asked to make referral decisions based on the symptom dataset. The best performing algorithms consisted of three core symptoms (sleep problems, neurological problems and weight loss, with or without a history of oedema, cervical adenopathy or proximity to livestock. They had a sensitivity of 88.9-92.6%, a negative predictive value of up to 98.8% and a positive predictive value in this context of 8.4-8.7%. In terms of sensitivity, these out-performed more complex algorithms identified in other studies, as well as the expert panel. The best-performing algorithm is predicted to identify about 9/10 treatment-seeking HAT cases, though only 1/10 patients referred would test positive. CONCLUSIONS/SIGNIFICANCE: In the absence of regular active screening, improving referrals of HAT patients through other means is essential. Systematic use of syndromic algorithms by peripheral HCWs has the potential to increase case detection and would increase their participation in HAT

  11. Spatial predictions of Rhodesian Human African Trypanosomiasis (sleeping sickness prevalence in Kaberamaido and Dokolo, two newly affected districts of Uganda.

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    Nicola A Batchelor

    Full Text Available The continued northwards spread of Rhodesian sleeping sickness or Human African Trypanosomiasis (HAT within Uganda is raising concerns of overlap with the Gambian form of the disease. Disease convergence would result in compromised diagnosis and treatment for HAT. Spatial determinants for HAT are poorly understood across small areas. This study examines the relationships between Rhodesian HAT and several environmental, climatic and social factors in two newly affected districts, Kaberamaido and Dokolo. A one-step logistic regression analysis of HAT prevalence and a two-step logistic regression method permitted separate analysis of both HAT occurrence and HAT prevalence. Both the occurrence and prevalence of HAT were negatively correlated with distance to the closest livestock market in all models. The significance of distance to the closest livestock market strongly indicates that HAT may have been introduced to this previously unaffected area via the movement of infected, untreated livestock from endemic areas. This illustrates the importance of the animal reservoir in disease transmission, and highlights the need for trypanosomiasis control in livestock and the stringent implementation of regulations requiring the treatment of cattle prior to sale at livestock markets to prevent any further spread of Rhodesian HAT within Uganda.

  12. Monitoring the use of nifurtimox-eflornithine combination therapy (NECT in the treatment of second stage gambiense human African trypanosomiasis

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    Franco JR

    2012-08-01

    Full Text Available Jose R Franco,1 Pere P Simarro,1 Abdoulaye Diarra,2 Jose A Ruiz-Postigo,3 Mireille Samo,1 Jean G Jannin11World Health Organization, Control of Neglected Tropical Diseases, Innovative and Intensified Disease Management, Geneva, Switzerland; 2World Health Organization, Regional Office for Africa, Brazzaville, Congo; 3World Health Organization, Communicable Disease Control, Control of Tropical Diseases and Zoonoses Regional Office for the Eastern Mediterranean, Cairo, EgyptAbstract: After inclusion of the nifurtimox-eflornithine combination therapy (NECT in the Model List of Essential Medicines for the treatment of second-stage gambiense human African trypanosomiasis (HAT, the World Health Organization, in collaboration with National Sleeping Sickness Control Programs and nongovernmental organizations set up a pharmacovigilance system to assess the safety and efficacy of NECT during its routine use. Data were collected for 1735 patients treated with NECT in nine disease endemic countries during 2010–2011. At least one adverse event (AE was described in 1043 patients (60.1% and a total of 3060 AE were reported. Serious adverse events (SAE were reported for 19 patients (1.1% of treated, leading to nine deaths (case fatality rate of 0.5%. The most frequent AE were gastrointestinal disorders (vomiting/nausea and abdominal pain, followed by headache, musculoskeletal pains, and vertigo. The most frequent SAE and cause of death were convulsions, fever, and coma that were considered as reactive encephalopathy. Two hundred and sixty-two children below 15 years old were treated. The characteristics of AE were similar to adults, but the major AE were less frequent in children with only one SAE and no deaths registered in this group. Gastrointestinal problems (vomiting and abdominal pain were more frequent than in adults, but musculoskeletal pains, vertigo, asthenia, neuropsychiatric troubles (headaches, seizures, tremors, hallucinations, insomnia were less

  13. The molecular basis of livestock disease as illustrated by African trypanosomiasis

    International Nuclear Information System (INIS)

    African trypanosomes are protozoan parasites, most species of which are transmitted by tsetse flies. They reside in the mammalian bloodstream and evade the immune system by periodically switching the major protein on their surface - a phenomenon called antigenic variation, mediated by gene rearrangements in the trypanosome genome. The trypanosomes eventually enter the central nervous system and cause a fatal disease, commonly called ngana in domestic cattle and sleeping sickness in humans. Two sub-species of Trypanosoma brucei infect humans (T. b. rhodesiense and T. b. gambiense) and one sub-species does not survive in humans (T. b. brucei) because it is lysed by the human-specific serum protein, apolipoprotein L-I. Wild animals in Africa have other (less well understood) molecular mechanisms of suppressing the number of African trypanosomes in the blood, and some indigenous breeds of African cattle also display a partial 'trypanotolerance' whose genetic loci have recently been mapped. (author)

  14. Molecular Evidence of a Trypanosoma brucei gambiense Sylvatic Cycle in the Human African Trypanosomiasis Foci of Equatorial Guinea

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    Carlos eCordon-Obras

    2015-07-01

    Full Text Available Gambiense trypanosomiasis is considered an anthroponotic disease. Consequently, control programs are generally aimed at stopping transmission of Trypanosoma brucei gambiense (T. b. gambiense by detecting and treating human cases. However, the persistence of numerous foci despite efforts to eliminate this disease questions this strategy as unique tool to pursue the eradication. The role of animals as a reservoir of T. b. gambiense is still controversial, but could partly explain maintenance of the infection at hypo-endemic levels. In the present study, we evaluated the presence of T. b. gambiense in wild animals in Equatorial Guinea. The infection rate ranged from 0.8% in the insular focus of Luba to more than 12% in Mbini, a focus with a constant trickle of human cases. The parasite was detected in a wide range of animal species including four species never described previously as putative reservoirs. Our study comes to reinforce the hypothesis that animals may play a role in the persistence of T. b. gambiense transmission, being particularly relevant in low transmission settings. Under these conditions the integration of sustained vector control and medical interventions should be considered to achieve the elimination of Gambiense trypanosomiasis.

  15. Genetically Distinct Glossina fuscipes fuscipes Populations in the Lake Kyoga Region of Uganda and Its Relevance for Human African Trypanosomiasis

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    Richard Echodu

    2013-01-01

    Full Text Available Tsetse flies (Glossina spp. are the sole vectors of Trypanosoma brucei—the agent of human (HAT and animal (AAT trypanosomiasis. Glossina fuscipes fuscipes (Gff is the main vector species in Uganda—the only country where the two forms of HAT disease (rhodesiense and gambiense occur, with gambiense limited to the northwest. Gff populations cluster in three genetically distinct groups in northern, southern, and western Uganda, respectively, with a contact zone present in central Uganda. Understanding the dynamics of this contact zone is epidemiologically important as the merger of the two diseases is a major health concern. We used mitochondrial and microsatellite DNA data from Gff samples in the contact zone to understand its spatial extent and temporal stability. We show that this zone is relatively narrow, extending through central Uganda along major rivers with south to north introgression but displaying no sex-biased dispersal. Lack of obvious vicariant barriers suggests that either environmental conditions or reciprocal competitive exclusion could explain the patterns of genetic differentiation observed. Lack of admixture between northern and southern populations may prevent the sympatry of the two forms of HAT disease, although continued control efforts are needed to prevent the recolonization of tsetse-free regions by neighboring populations.

  16. Clinical and diagnostic study of trypanosomiasis of cattle in mosul, Iraq

    OpenAIRE

    M. S. H. Rhaymah; B. A. AL-Badrani

    2012-01-01

    This study reported the occurrence of Trypanosoma vivax in cattle in Mosul, Iraq and its effect on their haemotology. The main clinical sings were anemia, lethargy, weakness, general weight loss and, loss of appetite. Blood samples from infected cattle were collected which showed decrease of hemoglobin concentration, packed cell volume and total erythrocytes count with leucopenia especially neutropenia and esonopenia. Blood smears showed short form of trypanos...

  17. Clinical and diagnostic study of trypanosomiasis of cattle in mosul, Iraq

    Directory of Open Access Journals (Sweden)

    M. S. H. Rhaymah; B. A. AL-Badrani

    2012-02-01

    Full Text Available This study reported the occurrence of Trypanosoma vivax in cattle in Mosul, Iraq and its effect on their haemotology. The main clinical sings were anemia, lethargy, weakness, general weight loss and, loss of appetite. Blood samples from infected cattle were collected which showed decrease of hemoglobin concentration, packed cell volume and total erythrocytes count with leucopenia especially neutropenia and esonopenia. Blood smears showed short form of trypanosome in acute cases and long forms in chronic cases. Morphological changes of erythrocytes showed the presence of anisocytosis, poikelocytosis, target cells, macrocytes, punctuate basophile and sometimes monocytes. Anemia was basically normocytic normochromic. This study provides the baseline data for further studies on this parasite.

  18. Constraints in the Control of African Trypanosomiasis the Prevailing Factors in Kurmin Kaduna, Northern, Nigeria (Review Article

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    Attahir Abubakar

    2010-02-01

    Full Text Available The aim of this review is to further highlight the prevailing factors in the control of African trypanosomosis in Nigeria. The effectiveness of trypanocides as a means of control is being curtailed by, wide spread drug resistance, lack of alternative drugs, multiple resistance, fake drugs,insufficient veterinary services, proliferation of quacks, high cost of trypanocides and the ability of the parasite to survive in cryptic foci poorly accessible to drugs. Trypanotolerance is a relative rather than absolute trait, severely affected by heavy challenge, malnutrition, stress, breed, age, season, and concurrent disease, Trypanotolerant breeds are poorly utilized and accepted because of their size, productivity and traction power compared with the large zebu breeds. Use of insecticide has been the most effective and reliable method of control but fear of emergence of resistance, cross resistance, environmental damage, accumulation in food chains with damaging effect on fertility etc constitute a major drawback on its use. Poor policies formulation and enforcement, human beliefs and behaviors, tsetse redistribution, mechanical transmitters and reservoire host has hindered effective control. The scanty inform ation on distribution, prevalence and economic impact of trypanosomosis in Nigeria, coupled with corruption, lack of community participation, inability to implement cost effective control strategies, these has resulted in the negative attitude of national governments and international funding organizations towards control of the disease, leading to collapse of many control projects. There is no control method that can be used alone; rather a combination of different control methods has proven effective due to the social, economical and cultural behaviors of Nigerians.

  19. A mixed methods study of a health worker training intervention to increase syndromic referral for gambiense human African trypanosomiasis in South Sudan.

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    Jennifer J Palmer

    2014-03-01

    Full Text Available BACKGROUND: Active screening by mobile teams is considered the most effective method for detecting gambiense-type human African trypanosomiasis (HAT but constrained funding in many post-conflict countries limits this approach. Non-specialist health care workers (HCWs in peripheral health facilities could be trained to identify potential cases for testing based on symptoms. We tested a training intervention for HCWs in peripheral facilities in Nimule, South Sudan to increase knowledge of HAT symptomatology and the rate of syndromic referrals to a central screening and treatment centre. METHODOLOGY/PRINCIPAL FINDINGS: We trained 108 HCWs from 61/74 of the public, private and military peripheral health facilities in the county during six one-day workshops and assessed behaviour change using quantitative and qualitative methods. In four months prior to training, only 2/562 people passively screened for HAT were referred from a peripheral HCW (0 cases detected compared to 13/352 (2 cases detected in the four months after, a 6.5-fold increase in the referral rate observed by the hospital. Modest increases in absolute referrals received, however, concealed higher levels of referral activity in the periphery. HCWs in 71.4% of facilities followed-up had made referrals, incorporating new and pre-existing ideas about HAT case detection into referral practice. HCW knowledge scores of HAT symptoms improved across all demographic sub-groups. Of 71 HAT referrals made, two-thirds were from new referrers. Only 11 patients completed the referral, largely because of difficulties patients in remote areas faced accessing transportation. CONCLUSIONS/SIGNIFICANCE: The training increased knowledge and this led to more widespread appropriate HAT referrals from a low base. Many referrals were not completed, however. Increasing access to screening and/or diagnostic tests in the periphery will be needed for greater impact on case-detection in this context. These data

  20. Influence of Pastoralists' Sociocultural Activities on Tsetse-Trypanosome-Cattle Reservoir Interface: The Risk of Human African Trypanosomiasis in North-Central Nigeria.

    Science.gov (United States)

    Alhaji, N B; Kabir, J

    2016-06-01

    The study investigated socio-cultural characteristics of pastoralists that influenced on the tsetse-trypanosome-cattle reservoir interface thereby predisposing them to HAT in Niger State, North-central Nigeria. It was a cross-sectional survey of adult pastoral herders, aged 30 years and above, and conducted between October 2012 and February 2013. A face-to-face structured questionnaire was administered on the pastoralists nested in 96 cattle herds with questions focused on pastoralists' socio-cultural activities and behavioral practices related to HAT risk. Descriptive and analytic statistics were used to describe the obtained data. A total of 384 pastoralists participated, with mean age of 49.6  ± 10.76 SD years. Male respondents constituted 86.7% of gender, while pastoralists of age group 40-49 years constituted 35.4% of respondents. About 59.4% of the pastoralists had knowledge about HAT and its symptoms and only 33.9% of them believed that cattle served as reservoir of HAT trypanosome. Knowledge/belief levels of the pastoralists about African trypanosomiasis occurrence in humans and animals were statistically significant. Males were four times more likely to be exposed to HAT (OR = 3.67; 95% CI: 1.42, 9.52); age group 60-69 was also four times more likely to be exposed (OR = 3.59; 95% CI: 1.56, 8.28); and nomadic pastoralists were two times more likely to be exposed to HAT (OR = 2.07; 95% CI: 1.37, 3.14). All cultural practices significantly influenced exposure to HAT with extensive husbandry system three times more likely to predisposed pastoralists to HAT (OR = 3.21; 95% CI: 1.65, 6.24). Socio-cultural characteristics of pastoralists influenced exposure to HAT risk and, therefore, there is a need to sensitize them to bring changes to their socio-cultural practices and perceptions to achieve effective and long term sustainable HAT control. Elimination strategies of parasites in animals and vectors should be considered to avoid reintroduction

  1. Overview of the Diagnostic Methods Used in the Field for Human African Trypanosomiasis: What Could Change in the Next Years?

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    Julien Bonnet

    2015-01-01

    Full Text Available Sleeping sickness is a parasitic infection caused by two species of trypanosomes (Trypanosoma brucei gambiense and rhodesiense, transmitted by the tsetse fly. The disease eventually affects the central nervous system, resulting in severe neurological symptoms. Without treatment, death is inevitable. During the first stage of the disease, infected patients are mildly symptomatic and early detection of infection allows safer treatment (administered on an outpatient basis which can avoid death; routine screening of the exposed population is necessary, especially in areas of high endemicity. The current therapeutic treatment of this disease, especially in stage 2, can cause complications and requires a clinical surveillance for several days. A good stage diagnosis of the disease is the cornerstone for delivering the adequate treatment. The task faced by the medical personnel is further complicated by the lack of support from local health infrastructure, which is at best weak, but often nonexistent. Therefore it is crucial to look for new more efficient technics for the diagnosis of stage which are also best suited to use in the field, in areas not possessing high-level health facilities. This review, after an overview of the disease, summarizes the current diagnosis procedures and presents the advances in the field.

  2. Cerebral trypanosomiasis and AIDS

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    Antunes Apio Claudio Martins

    2002-01-01

    Full Text Available A 36 year-old black female, complaining of headache of one month's duration presented with nausea, vomiting, somnolence, short memory problems, loss of weight, and no fever history. Smoker, intravenous drugs abuser, promiscuous lifestyle. Physical examination: left homonimous hemianopsia, left hemiparesis, no papilledema, diffuse hyperreflexia, slowness of movements. Brain CT scan: tumor-like lesion in the splenium of the corpus calosum, measuring 3.5 x 1.4 cm, with heterogeneous enhancing pattern, sugesting a primary CNS tumor. Due to the possibility of CNS infection, a lumbar puncture disclosed an opening pressure of 380 mmH(20; 11 white cells (lymphocytes; glucose 18 mg/dl (serum glucose 73 mg/dl; proteins 139 mg/dl; presence of Trypanosoma parasites. Serum Elisa-HIV tests turned out to be positive. Treatment with benznidazole dramatically improved clinical and radiographic picture, but the patient died 6 weeks later because of respiratory failure. T. cruzi infection of the CNS is a rare disease, but we have an increasing number of cases in HIV immunecompromised patients. Diagnosis by direct observation of CSF is uncommon, and most of the cases are diagnosed by pathological examination. It is a highly lethal disease, even when properly diagnosed and treated. This article intends to include cerebral trypanosomiasis in the differential diagnosis of intracranial space-occupying lesions, especially in immunecompromised patients from endemic regions.

  3. Improving the Quality of Host Country Ethical Oversight of International Research: The Use of a Collaborative 'Pre-Review' Mechanism for a Study of Fexinidazole for Human African Trypanosomiasis.

    Science.gov (United States)

    Coleman, Carl H; Ardiot, Chantal; Blesson, Séverine; Bonnin, Yves; Bompart, Francois; Colonna, Pierre; Dhai, Ames; Ecuru, Julius; Edielu, Andrew; Hervé, Christian; Hirsch, François; Kouyaté, Bocar; Mamzer-Bruneel, Marie-France; Maoundé, Dionko; Martinent, Eric; Ntsiba, Honoré; Pelé, Gérard; Quéva, Gilles; Reinmund, Marie-Christine; Sarr, Samba Cor; Sepou, Abdoulaye; Tarral, Antoine; Tetimian, Djetodjide; Valverde, Olaf; Van Nieuwenhove, Simon; Strub-Wourgaft, Nathalie

    2015-12-01

    Developing countries face numerous barriers to conducting effective and efficient ethics reviews of international collaborative research. In addition to potentially overlooking important scientific and ethical considerations, inadequate or insufficiently trained ethics committees may insist on unwarranted changes to protocols that can impair a study's scientific or ethical validity. Moreover, poorly functioning review systems can impose substantial delays on the commencement of research, which needlessly undermine the development of new interventions for urgent medical needs. In response to these concerns, the Drugs for Neglected Diseases Initiative (DNDi), an independent nonprofit organization founded by a coalition of public sector and international organizations, developed a mechanism to facilitate more effective and efficient host country ethics review for a study of the use of fexinidazole for the treatment of late stage African Trypanosomiasis (HAT). The project involved the implementation of a novel 'pre-review' process of ethical oversight, conducted by an ad hoc committee of ethics committee representatives from African and European countries, in collaboration with internationally recognized scientific experts. This article examines the process and outcomes of this collaborative process. PMID:25039421

  4. Diagnosis of human trypanosomiasis, due to Trypanosoma brucei gambiense in central Africa, by the polymerase chain reaction

    OpenAIRE

    Penchenier, Laurent; Simo, G.; Grébaut, Pascal; Nkinin, S.; Laveissière, Claude; Herder, Stéphane

    2000-01-01

    During a mass screening of sleeping sickness conducted in 1998 and 1999, and involving 27,932 persons in Cameroon and the Central African Republic, we tested the polymerase chain reaction (PCR) on whole blood for the diagnosis of human African trypanosomiasis due to #Trypanosoma brucei gambiense$. The 1858 samples obtained were from 4 groups : 155 infected patients, 1432 serological suspects detected by the card agglutination test for trypanosomiasis (CATT), 222 negative controls living in th...

  5. Clinical photography among African cleft caregivers

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    Peter Babatunde Olaitan

    2011-01-01

    Full Text Available Objective: The aim of this paper is to document the practice of photography among clinicians whose daily work depends and is influenced so much by medical photography. Materials and Methods: Questionnaires documenting the bio data, place of practice, and experience of cleft caregivers with clinical photography were distributed. Knowledge of rules guiding clinical photography and adherence to them were also asked. Types of camera used were documented and knowledge of the value of clinical photographs were also inquired. Results: Plastic surgeons constitute the highest proportion of 27 (38.6%, followed by Oral and Maxillofacial surgeons with 14 (20.0%. Twenty one (30.0% of the respondents always, 21 (30.0% often, 12 (17.1% frequently, while 9 respondents sometimes took photographs of their patients. Suggested uses of clinical photographs included training, 52 (74.3%, education, 51 (72.9%, medicolegal, 44 (62.9% and advertisement, 44 (62.9% among others. Twenty two (31.4% did not know that there were standard guidelines for taking clinical photographs. Twenty three (32.9% of them did not seek the consent of the patients before taking clinical photographs. Conclusion: While the practice of clinical photography is high among African cleft caregivers, there is a need for further education on the issues of standard rules and obtaining consent from patients.

  6. African American women's perceptions of cancer clinical trials

    OpenAIRE

    Haynes-Maslow, Lindsey; Godley, Paul; DiMartino, Lisa; White, Brandolyn; Odom, Janice; Richmond, Alan; Carpenter, William

    2014-01-01

    Cancer clinical trials are important for resolving cancer health disparities for several reasons; however, clinical trial participation among African Americans is significantly lower than Caucasians. This study engaged focus groups of 82 female African American cancer survivors or cancer caregivers, including those in better resourced, more urban areas and less resourced, more rural areas. Informed by an integrated conceptual model, the focus groups examined perceptions of cancer clinical tri...

  7. Clinical malaria in African pregnant women

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    Aponte John

    2008-01-01

    Full Text Available Abstract Background There is a widespread notion, based on limited information, that in areas of stable malaria transmission most pregnant women with Plasmodium falciparum infection are asymptomatic. This study aim to characterize the clinical presentation of malaria in African pregnant women and to evaluate the adequacy of case management based on clinical complaints. Methods A hospital-based descriptive study between August 2003 and November 2005 was conducted at the maternity clinic of a rural hospital in Mozambique. All women attending the maternity clinic were invited to participate. A total of 2,330 women made 3,437 eligible visits, 3129 were analysed, the remainder were excluded because diagnostic results were unavailable or they were repeat visits. Women gave a standardized clinical history and had a medical exam. Malaria parasitaemia and haematocrit in capillary blood was determined for all women with signs or symptoms compatible with malaria including: presence and history of fever, arthromyalgias, headache, history of convulsions and pallor. Outcome measure was association of malaria symptoms or signs with positive blood slide for malaria parasitaemia. Results In 77.4% of visits pregnant women had symptoms suggestive of malaria; 23% (708/3129 were in the first trimester. Malaria parasitaemia was confirmed in 26.9% (842/3129 of visits. Headache, arthromyalgias and history of fever were the most common symptoms (86.5%, 74.8% and 65.4% presented, but their positive predictive values for malaria parasitaemia were low [28% (27–30, 29% (28–31, and 33% (31–35, respectively]. Conclusion Symptoms suggestive of malaria were very frequent among pregnant women attending a rural maternity clinic in an area of stable malaria transmission. However, less than a third of them were parasitaemic. In the absence of microscopy or rapid diagnostic tests, a large proportion of women, including those in the first trimester of gestation, would be

  8. Animal trypanosomiasis control in Uganda

    International Nuclear Information System (INIS)

    Uganda, with a population of about 17 million people, depends largely on the Agricultural Sector both for subsistence and export. Uganda livestock stands at 4 million cattle, 2.5 million goats, 0.7 million sheep and 0.5 million pigs. The life of these animals is being threatened by various tropical diseases. Animal trypanosomiasis is endemic in all the 34 districts of Uganda except the highland areas of the country. These are correspondingly areas of high tsetse fly infestation. For effective control of this disease, therefore, an integrated approach is adopted. The country has been divided into three zones of disease incidence, namely the high, medium and low risk zones. Each zone has a slightly different treatment regime with curative and prophylactic trypanocidals as short term control measures. The long term aim is to eradicate the tsetse fly, and therefore, the disease

  9. Transverse myelitis due to trypanosomiasis in a middle aged Tanzanian man

    OpenAIRE

    Kibiki, G S; Murphy, D K

    2006-01-01

    We report the case of a middle aged Tanzanian man who developed a spinal cord syndrome over 6 weeks, along with a mild encephalopathy. Investigations ruled out the usual major causes of such a syndrome in our setting in northern Tanzania. Examination of his cerebrospinal fluid revealed trypanosomes, and he made a slow but dramatic improvement after a full course of suramine and melarsoprol. We postulate that he had a transverse myelitis due to African trypanosomiasis, a rare and barely recogn...

  10. Challenges facing the elimination of sleeping sickness in west and central Africa: sustainable control of animal trypanosomiasis as an indispensable approach to achieve the goal.

    Science.gov (United States)

    Simo, Gustave; Rayaisse, Jean Baptiste

    2015-01-01

    African trypanosomiases are infectious diseases caused by trypanosomes. African animal trypanosomiasis (AAT) remains an important threat for livestock production in some affected areas whereas human African trypanosomiasis (HAT) is targeted for elimination in 2020. In West and Central Africa, it has been shown that the parasites causing these diseases can coexist in the same tsetse fly or the same animal. In such complex settings, the control of these diseases must be put in the general context of trypanosomiasis control or "one health" concept where the coordination of control operations will be beneficial for both diseases. In this context, implementing control activities on AAT will help to sustain HAT control. It will also have a positive impact on animal health and economic development of the regions. The training of inhabitants on how to implement and sustain vector control tools will enable a long-term sustainability of control operations that will lead to the elimination of HAT and AAT. PMID:26671582

  11. Social factors affecting seasonal variation in bovine trypanosomiasis on the Jos Plateau, Nigeria

    Science.gov (United States)

    2013-01-01

    Background African Animal Trypanosomiasis (AAT) is a widespread disease of livestock in Nigeria and presents a major constraint to rural economic development. The Jos Plateau was considered free from tsetse flies and the trypanosomes they transmit due to its high altitude and this trypanosomiasis free status attracted large numbers of cattle-keeping pastoralists to the area. The Jos Plateau now plays a major role in the national cattle industry in Nigeria, accommodating approximately 7% of the national herd, supporting 300,000 pastoralists and over one million cattle. During the past two decades tsetse flies have invaded the Jos Plateau and animal trypanosomiasis has become a significant problem for livestock keepers. Here we investigate the epidemiology of trypanosomiasis as a re-emerging disease on the Plateau, examining the social factors that influence prevalence and seasonal variation of bovine trypanosomiasis. Methods In 2008 a longitudinal two-stage cluster survey was undertaken on the Jos Plateau. Cattle were sampled in the dry, early wet and late wet seasons. Parasite identification was undertaken using species-specific polymerase chain reactions to determine the prevalence and distribution of bovine trypanosomiasis. Participatory rural appraisal was also conducted to determine knowledge, attitudes and practices concerning animal husbandry and disease control. Results Significant seasonal variation between the dry season and late wet season was recorded across the Jos Plateau, consistent with expected variation in tsetse populations. However, marked seasonal variations were also observed at village level to create 3 distinct groups: Group 1 in which 50% of villages followed the general pattern of low prevalence in the dry season and high prevalence in the wet season; Group 2 in which 16.7% of villages showed no seasonal variation and Group 3 in which 33.3% of villages showed greater disease prevalence in the dry season than in the wet season. Conclusions

  12. Barriers to Clinical Trial Participation: Comparing Perceptions and Knowledge of African American and White South Carolinians.

    Science.gov (United States)

    Kim, Sei-Hill; Tanner, Andrea; Friedman, Daniela B; Foster, Caroline; Bergeron, Caroline

    2015-01-01

    Analyzing data from a survey of African American and White residents in South Carolina, this study attempts to understand how to better promote clinical trial participation specifically within the African American population. To explore why participation is lower in the African American population, the authors examined two sets of potential barriers: structural/procedural (limited accessibility, lack of awareness, doctors not discussing clinical trial options, lack of health insurance) and cognitive/psychological (lack of subjective and factual knowledge, misperceptions, distrust, fear, perceived risk). Findings revealed that African Americans were significantly less willing than Whites to participate in a clinical trial. African Americans also had lower subjective and factual knowledge about clinical trials and perceived greater risk involved in participating in a clinical trial. The authors found that lack of subjective knowledge and perceived risk were significant predictors of African Americans' willingness to participate in a clinical trial. Implications of the findings are discussed in detail. PMID:26042496

  13. Tsetse and trypanosomiasis control in Zimbabwe

    International Nuclear Information System (INIS)

    Trypanosomiasis, a disease transmitted by tsetse flies, is a major constraint on Agricultural Production in Tropical Africa. In Zimbabwe where agriculture, and particularly stock raising, is of major economic and social significance, the control of the tsetse fly leading to its eradication is a task of national importance. Zimbabwe has achieved significant progress in tsetse and trypanosomiasis control with a total of 48,000 km2 being cleared of tsetse since 1980. The cleared areas have been consolidated by planned human settlement whose agricultural production has increased following introduction of cattle which provide much needed traction power. Tsetse flies are now confined to an area of 25,000 km2 along the Zambezi Valley. Several strategies are being used to control tsetse flies with the latest technique being the use of odour-baited insecticide-impregnated targets. When used at a density of 4/km2, targets have been found to be extremely effective against the species of tsetse flies found in Zimbabwe. The work undertaken in Zimbabwe as well as prospects for the future within the EEC-funded Regional Tsetse and Trypanosomiasis Control Programme will be discussed. (author)

  14. International assistance to intervention policies and implementation of area-wide tsetse and animal trypanosomiasis programmes

    International Nuclear Information System (INIS)

    Full text: Tsetse-transmitted trypanosomiasis is a human and animal disease problem that directly and indirectly affects African livestock and agricultural output, rural socio-economic development, human health and welfare. The overall economic impact of African animal trypanosomiasis (AAT) is estimated at USD 4.75 billion per annum in benefits than could otherwise have been obtained in the agriculture and livestock sector. With regards to human African trypanosomiasis (HAT), an effective active surveillance programme would need to cover 70 percent of the people at risk, for which some USD 35 million per year would be needed, not including the cost of drugs needed for treating all detected cases. Efforts against the AAT problem require a prioritised approach as part of sustainable agriculture and rural development (SARD). As the spread of HAT over the past decades, was furthered by many socio-economic factors, such as political instability, wars and poverty, effective and sustainable intervention efforts against HAT require to be established as part of overall public health initiatives. A removal of the tsetse and trypanosomiasis (T and T) problem is expected to have a catalysing effect on rural development, on public health and on reducing poverty and food insecurity. A variety of agro-ecological settings (geo-climatic factors and trends, land-use patterns, livestock systems and crop agriculture practices) prevail in tsetse-infested sub-Saharan Africa and result in heterogeneous landscape scenarios in terms of HAT foci, AAT prevalence, farming, poverty and food security. Consequently, priority areas, where T and T intervention is most urgently needed and is expected to produce tangible and sustainable benefits, are to be selected not merely on the basis of the technical feasibility to alleviate or eliminate disease, but also and perhaps foremost on the need for emergency assistance - particularly regarding HAT - and the potential for sustainable public health and

  15. Bites, stings, and rigors: clinical considerations in African operations.

    Science.gov (United States)

    Lynch, James H; Verlo, April R; Givens, Melissa L; Munoz, Cesar E

    2014-01-01

    The natural health threats in Africa pose daunting clinical challenges for any provider, as evidenced by the current Ebola epidemic in West Africa, but the threat is multiplied for the Special Operations provider on the continent who faces these challenges with limited resources and the tyranny of distance. The majority of operationally significant health risks can be mitigated by strict adherence to a comprehensive force health protection plan. The simplest, yet most effective, technique for preventing mosquito-borne diseases is the prevention of mosquito bites with repellent, bed nets, and appropriate clothing in addition to chemoprophylaxis. Some of the more likely or lethal infectious diseases encountered on the continent include malaria, Chikungunya, dengue, human immunodeficiency virus, and Ebola. Venomous snakes pose a particular challenge since the treatment can be as deadly as the injury. Providers supporting African operations should educate themselves on the clinical characteristics of possible envenomations in their area while promoting snake avoidance as the primary mitigation measure. To succeed in Africa, the Special Operations provider must consider how to meet these challenges in an environment where there may not be reliable evacuation, hospitalization, or logistics channels. PMID:25399379

  16. Interim strategies to control animal trypanosomiasis in two selected villages along the white volta river in the onchocerciasis free zone of Northern Ghana

    International Nuclear Information System (INIS)

    The onchocerciasis eradication campaign in the west African subregion was a remarkable success which made formally deserted lands now suitable for settlement. Recent tsetse and trypanosomiasis surveys along the White Volta river indicate that livestock development would virtually be impossible in these areas without some form of intervention to contain animal trypanosomiasis. Apparent fly densities are in the order of 5-10 flies/trap/day (biconica traps) with fly infection rate being in the order of 1-8.0%. Trypanosomiasis is particularly prevalent in small ruminants (12-30%) with several reported cases of abortion. In view of the sparse human population in some of these areas, large scale control programmes would not be advisable unless there is a clear land-use plan. In the interim, however, efforts could be made to control the disease at the village level. This paper outlines some village-based strategies that could be adopted by settlers in these areas. (author)

  17. The "Bantu Clinic": a genealogy of the African patient as object and effect of South African clinical medicine, 1930-1990.

    Science.gov (United States)

    Butchart, A

    1997-12-01

    This paper is about power, medicine and the identity of the African as a patient of western medicine. From a conventional perspective and as encoded in the current "quest for wholeness" that characterises South African biomedical discourse, the African patient--like any other patient--has always existed as an authentic and subjectified being, whose true attributes and experiences have been denied by the "mechanistic," "reductionistic" and "ethnocentric" practices of clinical medicine. Against this liberal humanist perspective on the body as ontologically independent of power, this paper offers a Foucaultian reading of the African patient as-like any other patient--contingent upon the force relations immanent within and relayed through the clinical practices of biomedicine. A quintessential form of disciplinary micro-power, these fabricate the most intimate recesses of the human body as manageable objects of medical knowledge and social consciousness to make possible the great control strategies of repression, segmentation and liberation that are the usual focus of conventional investigations into the place and function of medicine in society. Since the 1930s when the African body first emerged as a discrete object of a secular clinical knowledge, these have repeatedly transformed the attributes and identity of the African patient, and the paper traces this archaeology of South African clinical perception from then until the 1990s to show how its "quest for wholeness" is not an end point of "discovery" or "liberation," but merely another ephemeral crystallization of socio-medical knowledge in a constantly changing force field of disciplinary power. PMID:9492973

  18. Treatment disparities among African American men with depression: implications for clinical practice.

    Science.gov (United States)

    Hankerson, Sidney H; Suite, Derek; Bailey, Rahn K

    2015-02-01

    A decade has passed since the National Institute of Mental Health initiated its landmark Real Men Real Depression public education campaign. Despite increased awareness, depressed African American men continue to underutilize mental health treatment and have the highest all-cause mortality rates of any racial/ethnic group in the United States. We review a complex array of socio-cultural factors, including racism and discrimination, cultural mistrust, misdiagnosis and clinician bias, and informal support networks that contribute to treatment disparities. We identify clinical and community entry points to engage African American men. We provide specific recommendations for frontline mental health workers to increase depression treatment utilization for African American men. Providers who present treatment options within a frame of holistic health promotion may enhance treatment adherence. We encourage the use of multidisciplinary, community-based participatory research approaches to test our hypotheses and engage African American men in clinical research. PMID:25702724

  19. Unequal Burden of Disease, Unequal Participation in Clinical Trials: Solutions from African American and Latino Community Members

    Science.gov (United States)

    Ford, Marvella E.; Siminoff, Laura A.; Pickelsimer, Elisabeth; Mainous, Arch G.; Smith, Daniel W.; Diaz, Vanessa A.; Soderstrom, Lea H.; Jefferson, Melanie S.; Tilley, Barbara C.

    2013-01-01

    African Americans and Latinos are underrepresented in clinical trials. The purpose of this study was to elicit solutions to participation barriers from African Americans and Latinos. Fifty-seven adults (32 African Americans, 25 Latinos) ages 50 years and older participated. The Institute of Medicine's "Unequal Treatment" conceptual framework was…

  20. Gousiekte in African buffalo (Syncerus caffer : clinical communication

    Directory of Open Access Journals (Sweden)

    J.A. Lawrence

    2010-05-01

    Full Text Available Three African buffalo (Syncerus caffer that died after capture and translocation from Mutirikwe Recreational Park in southern Zimbabwe showed macroscopic and microscopic lesions of cardiomyopathy compatible with a diagnosis of gousiekte. The buffalo had had access to Pavetta schumanniana, a plant that is known to cause gousiekte. Death was attributed to cardiac failure as a result of previous consumption of the plant, exacerbated by the stress of translocation.

  1. Report of the workshop on strategic planning of area-wide tsetse and trypanosomiasis control in West Africa

    International Nuclear Information System (INIS)

    Tsetse-transmitted trypanosomiasis is a disease unique to Africa affecting both humans and animals. This disease occurs in about 10 million km2 in 37 sub-Saharan countries corresponding approximately to one-third of Africa's total land area, and threatens an estimated 50 million people, 48 million cattle and a countless population of other domestic animal species. Trypanosomiasis has a severe impact on African agriculture; estimated annual losses in cattle production alone are in the range of 1.0-1.2 billion dollars. To this, we have to add the indirect negative effects engendered by trypanosomiasis on total crop production. The disease influences where people decide to live, how they manage their livestock and the intensity of crop agriculture. The combined effects result in changes in land use, environment and affect human welfare and increase the vulnerability of agricultural activity. FAO has identified the reinforcement of agriculture as a key element in the fight against poverty and the improvement of food security in developing countries. The need to reduce poverty is particularly felt in tsetse infested areas of sub-Saharan Africa. In this region half of the population suffers from food insecurity. Approximately 85% of the poor are located in rural areas and more than 80% of the population depends on agricultural production for their livelihood. In order to respond to the need in the fight against tsetse and trypanosomiasis (T and T) in people as well as livestock, the Programme Against African Trypanosomiasis (PAAT) was endorsed in November 1997 by the FAO Conference. The Programme seeks to combine the forces of FAO, IAEA, OAU/IBAR and WHO in order to: promote and co-ordinate international alliances and efforts assisting in harmonised interventions against T and T; effectively combat the disease in Africa; and delineate the polity framework, strategies and guiding pest management principles. This workshop was primarily concerned with the development of

  2. Tsetse and trypanosomiasis at the Ngulia Rhino sanctuary

    International Nuclear Information System (INIS)

    The conservation of black rhinoceros (Diceros bicornis) in Kenya involves the translocation of rhinoceros to protected sanctuaries, e.g. the recently enlarged 69 km2 sanctuary at Ngulia in Tsavo West National Park. As the black rhinoceros is known to be particularly susceptible to infection with Trypanosoma brucei, there is a strong possibility that the stress of translocation will induce health problems that would not normally occur in resident populations. Similarly, the movement of animals born in tsetse-free areas to tsetse-infested areas may result in trypanosomiasis problems because of loss of immune protection in the absence of challenge in early life. Finally, there is some concern over the possibility of facilitating genetic exchange in T. brucei through the artificial movement of animals over long distances into novel environments. To aid in the development of prudent management practices, we initiated baseline studies on tsetse distribution and trypanosomiasis at the Ngulia sanctuary. To date, we have completed a dry season survey of tsetse distribution over a 125 km2 area centred on the sanctuary and have characterized the nature of the trypanosomiasis challenge in different areas. Trypanosomiasis challenge at Ngulia involves a variety of Trypanosoma spp. Nevertheless, an unusual finding is the lack of diversity in Nannomonas parasites, with most belonging to the savannah group of T. congolense

  3. Using clinical signs to diagnose anaemia in African children.

    OpenAIRE

    Luby, S. P.; Kazembe, P.N.; Redd, S. C.; Ziba, C.; Nwanyanwu, O. C.; Hightower, A. W.; C. Franco; Chitsulo, L.; Wirima, J J; Olivar, M. A.

    1995-01-01

    Anaemia is a serious and common problem among young children in sub-Saharan Africa. As a first step towards developing guidelines for its recognition and treatment, we conducted a study to evaluate the ability of health workers to use clinical findings to identify children with anaemia. Health care workers examined a total of 1104 children under 5 years of age at two hospital-based outpatient clinics in rural Malawi. Blood samples were taken to determine haemoglobin concentrations. Pallor of ...

  4. Prevalence and Clinical Characteristics Associated with Pulmonary Hypertension in African-Americans

    OpenAIRE

    Choudhary, Gaurav; Jankowich, Matthew; Wu, Wen-Chih

    2013-01-01

    Background Pulmonary hypertension (PH) is associated with increased mortality and morbidity. It is frequently associated with cardiopulmonary diseases that are prevalent in African Americans (AAs). However, the prevalence or determinants of PH in the AA population is not known. Methods We conducted a cross-sectional study to estimate the prevalence of PH (defined as trans-tricuspid gradient ≥ 35 mm Hg) and associated clinical characteristics in AAs using the Jackson Heart Study cohort (n=3,28...

  5. African American Participation in Oncology Clinical Trials-Focus on Prostate Cancer: Implications, Barriers, and Potential Solutions.

    Science.gov (United States)

    Ahaghotu, Chiledum; Tyler, Robert; Sartor, Oliver

    2016-04-01

    In the United States, the incidence and mortality rates of many cancers, especially prostate cancer, are disproportionately high among African American men compared with Caucasian men. Recently, mortality rates for prostate cancer have declined more rapidly in African American versus Caucasian men, but prostate cancer is still the most common cancer and the second leading cause of cancer deaths in African American men in the United States. Compared with Caucasian men, prostate cancer occurs at younger ages, has a higher stage at diagnosis, and is more likely to progress after definitive treatments in African American men. Reasons for racial discrepancies in cancer are multifactorial and potentially include socioeconomic, cultural, nutritional, and biologic elements. In addition to improving access to novel therapies, clinical trial participation is essential to adequately establish the risks and benefits of treatments in African American populations. Considering the disproportionately high mortality rates noted in these groups, our understanding of the natural history and responses to therapies is limited. This review will explore African American underrepresentation in clinical trials with a focus on prostate cancer, and potentially effective strategies to engage African American communities in prostate cancer research. Solutions targeting physicians, investigators, the community, and health care systems are identified. Improvement of African American participation in prostate cancer clinical trials will benefit all stakeholders. PMID:26786562

  6. Suicidal ideation among attendees of a West African HIV clinic.

    Science.gov (United States)

    Ogundipe, Olasimbo A; Olagunju, Andrew T; Adeyemi, Joseph D

    2015-01-01

    The paucity of information on suicide and its related issues among people living with HIV/AIDS (PLWHA) can impair evidence guided intervention. This study was set to determine the prevalence of suicidal ideation and the associated risk factors among PLWHA. A total of 295 participants made up of HIV positive individuals were subjected to a sociodemographic/clinical profile questionnaire. This was followed by the 28-item General Health Questionnaire (GHQ-28), suicidal intention item from the Beck Depression Inventory (BDI) and World Health Organisation Quality of Life (WHOQOL)--Bref scale to assess emotional distress, suicidal ideation, and quality of life respectively. The prevalence of suicidal ideation among PLWHA was 13.6%; and being unmarried, poor medication adherence, and poorer quality of life were significantly associated (p unemployment (odds ratio [OR] = 0.200; 95% Confidence Interval [CI] = 0.084-0.476; P emotional distress (OR = 5.734; 95% CI = 2.119-15.519; P--0.001), religion (OR = 4.829; 95% CI = 1.639-14.231; P--0.004), HIV status non-disclosure (OR = 2.630; 95% CI = 1.015-6.809; P--0.046) and previous suicidal attempt (OR = 0.172, 95% CI = 0.042-0.705; P--0.014) were not only associated but predictive of suicidal ideation in PLWHA. These findings indicate a significant burden of suicidal ideation, and psychosocial with clinical factors constitute identifiable risk factors among PLWHA. The development of evidence guided preventive and treatment measures against suicide among PLWHA are implied. PMID:25058473

  7. Fate of trypanocidal drugs in cattle (chemotherapy of trypanosomiasis). Kenya

    International Nuclear Information System (INIS)

    This document is the final report of a project to determine the fate of tryponocidal drugs in cattle. Drugs are still the primary agent in the struggle against trypanosomiasis although there is little data on their pharmacokinetics, residue levels, bioavailability rates, etc. This project aimed to provide such information for the three drugs Diminazene aceturate (Berenil), Isometamidium chloride (Samorin) and Homidium bromide (Ethidium). Figs and tabs

  8. Communicating Effectively About Clinical Trials With African American Communities: A Comparison of African American and White Information Sources and Needs.

    Science.gov (United States)

    Tanner, Andrea; Bergeron, Caroline D; Zheng, Yue; Friedman, Daniela B; Kim, Sei-Hill; Foster, Caroline B

    2016-03-01

    Clinical trial (CT) participation is low among African Americans (AAs). To better communicate with AAs about the importance of CTs, the purpose of this study was to explore the communication sources and perceived effective communication channels and strategies through which the general public, AAs, and White individuals receive CT information. A quantitative telephone survey was conducted with AAs and Whites in one Southern state (N = 511). The measures assessed CT sources of information, perceived effectiveness of communication channels and strategies, CT understanding, and CT participation. Descriptive and bivariate analyses were used to compare responses overall and by race. AAs reported being exposed to more CT information than Whites. AAs received CT information most often through television, social media, and doctors compared to Whites. Perceived effectiveness of communication strategies and channels varied by race. AAs preferred simple and easy-to-understand CT information distributed through faith-based organizations. Whites preferred to receive CT information through a trustworthy source (e.g., doctor). There were no significant differences between AAs and Whites in their perceived effectiveness of media sources (e.g., Internet). Recommendations are provided to help health promotion practitioners and CT recruiters tailor information and communicate it effectively to potential AA and White CT participants. PMID:26715695

  9. Immunodiagnosis of bovine trypanosomiasis in Anambra and Imo states, Nigeria, using enzyme-linked immunosorbent assay: zoonotic implications to human health

    Directory of Open Access Journals (Sweden)

    M.C. Ezeani

    2008-11-01

    Full Text Available Background & objectives: The prevalence of trypanosomiasis was studied in cattle, being a major source of animal protein in Nigeria, thus, a very likely means of spread of Human African Trypano-somosis (HAT. Methods: Enzyme-linked immunosorbent assay (ELISA was used to diagnose bovine trypanosomiasis in 264 samples collected from adult cattle of mixed breeds, age and sex, in Anambra and Imo states, Nigeria. Results: Out of 264 samples analysed, 21 (7.96% were seropositive for Trypanosoma congolense while 20 (7.58% were seropositive for T. vivax and 8 (3.03% were seropositive for T. brucei infections in both the states. Interpretation & conclusion: The predominant species was found to be T. congolense. Mixed infection of three species, T. vivax, T. congolense and T. brucei was found to dominate other mixed infections in both the states. ELISA detected the infection of the three species of trypanosomes in the same group of animals. The usefulness of antigen capture ELISA in the diagnosis of human or animal trypanosomiasis was established, and the possibility of the spread of HAT caused by T. brucei gambiense and T.b. rhodesiense through cattle was expressed.

  10. Familial aggregation of Trypanosoma brucei gambiense trypanosomiasis in a very high incidence community in Zaire.

    Science.gov (United States)

    Khonde, N; Pépin, J; Niyonsenga, T; De Wals, P

    1997-01-01

    Familial aggregation of Trypanosoma brucei gambiense human African trypanosomiasis (HAT) was investigated in 3 adjacent villages of central Zaire where 318/1431 inhabitants had previously suffered from HAT. Neither spatial nor familial aggregation was detected when analysing the distribution of cases in the whole community using Poisson, negative binomial and pairwise odds ratio models. However, clustering of cases was observed when specific familial relationships were examined. The risk of HAT for a child was significantly increased if the mother had also had HAT, but it was not influenced by a past history of HAT in the father. Sisters and brothers of cases of HAT had a higher risk of HAT than siblings of individuals who had never had HAT, but no such association was documented for half-sisters and half-brothers. Among married couples, a past history of HAT in one spouse had no impact on the other spouse's risk of HAT. Indirect arguments suggested that familial clustering was a consequence of shared exposure, either sequential or simultaneous, rather than of genetic susceptibility. The existence of familial clustering should be kept in mind when implementing passive or active case-finding activities. PMID:9463655

  11. Burkitt's lymphoma between African and American types in Turkish children: clinical, viral (EBV), and molecular studies.

    Science.gov (United States)

    Cavdar, A O; Gözdaşoğlu, S; Yavuz, G; Babacan, E; Unal, E; Uluoğlu, O; Yücesan, S; Magrath, I T; Akar, N

    1993-01-01

    Seventy-two Turkish children with Burkitt's lymphoma (BL) observed during a period of 22 years (1968-1990) have been analysed retrospectively. The diagnosis was established histologically according to WHO criteria. BL represented 50% of NHL in this series. The patients were staged according to Ziegler's system. The median age of patients was 5.5 years with a sex (M/F) ratio of 2.1/1. The most common primary site of tumor involvement was the abdomen (69.4%), which was followed by facial tumors, in particular the jaw and orbit (49.9%). There were 21 cases with jaw (29.1%) and 15 cases with orbital involvement (20.8%) at initial presentation. The majority of the patients (84.4%) were in advanced stages (C and D) at initial diagnosis. Facial tumors observed in Turkish children with BL were more similar to African Burkitt's lymphoma than American or European cases. High titers of antibodies against VCA and EA of EBV were also seen in our recent cases of BL. Two main treatment regimens, namely, single agent chemotherapy with cyclophosphamide (CYX) (1968-1974) and three drug (COM) combination chemotherapy, were used consecutively (1974-1988). COM has been shown to produce better results than single agent therapy. The clinical presentation, mean age, and high antibodies (IgG) to EBV and preliminary molecular studies revealed that BL appears to be in between African and non-African types in Turkish children. This will be further elucidated by direct examination of tumor cells for EBV and investigation of the molecular characteristics of Turkish tumors. Such studies are presently under way. PMID:8381202

  12. The counseling african americans to control hypertension (caatch trial: baseline demographic, clinical, psychosocial, and behavioral characteristics

    Directory of Open Access Journals (Sweden)

    Diaz-Gloster Marleny

    2011-09-01

    Full Text Available Abstract Background Effectiveness of combined physician and patient-level interventions for blood pressure (BP control in low-income, hypertensive African Americans with multiple co-morbid conditions remains largely untested in community-based primary care practices. Demographic, clinical, psychosocial, and behavioral characteristics of participants in the Counseling African American to Control Hypertension (CAATCH Trial are described. CAATCH evaluates the effectiveness of a multi-level, multi-component, evidence-based intervention compared with usual care (UC in improving BP control among poorly controlled hypertensive African Americans who receive primary care in Community Health Centers (CHCs. Methods Participants included 1,039 hypertensive African Americans receiving care in 30 CHCs in the New York Metropolitan area. Baseline data on participant demographic, clinical (e.g., BP, anti-hypertensive medications, psychosocial (e.g., depression, medication adherence, self-efficacy, and behavioral (e.g., exercise, diet characteristics were gathered through direct observation, chart review, and interview. Results The sample was primarily female (71.6%, middle-aged (mean age = 56.9 ± 12.1 years, high school educated (62.4%, low-income (72.4% reporting less than $20,000/year income, and received Medicaid (35.9% or Medicare (12.6%. Mean systolic and diastolic BP were 150.7 ± 16.7 mm Hg and 91.0 ± 10.6 mm Hg, respectively. Participants were prescribed an average of 2.5 ± 1.9 antihypertensive medications; 54.8% were on a diuretic; 33.8% were on a beta blocker; 41.9% were on calcium channel blockers; 64.8% were on angiotensin converting enzyme (ACE inhibitors/angiotensin receptor blockers (ARBs. One-quarter (25.6% of the sample had resistant hypertension; one-half (55.7% reported medication non-adherence. Most (79.7% reported one or more co-morbid medical conditions. The majority of the patients had a Charlson Co-morbidity score ≥ 2. Diabetes

  13. Adaptation of a Cancer Clinical Trials Education Program for African American and Latina/o Community Members

    Science.gov (United States)

    Pelto, Debra J.; Sadler, Georgia Robins; Njoku, Ogo; Rodriguez, Maria Carina; Villagra, Cristina; Malcarne, Vanessa L.; Riley, Natasha E.; Behar, Alma I.; Jandorf, Lina

    2016-01-01

    The pilot study reported in this article culturally and linguistically adapted an educational intervention to promote cancer clinical trials (CCTs) participation among Latinas/os and African Americans. The single-session slide presentation with embedded videos, originally developed through a campus-community partnership in Southern California, was…

  14. Unequal burden of disease, unequal participation in clinical trials: solutions from African American and Latino community members.

    Science.gov (United States)

    Ford, Marvella E; Siminoff, Laura A; Pickelsimer, Elisabeth; Mainous, Arch G; Smith, Daniel W; Diaz, Vanessa A; Soderstrom, Lea H; Jefferson, Melanie S; Tilley, Barbara C

    2013-02-01

    African Americans and Latinos are underrepresented in clinical trials. The purpose of this study was to elicit solutions to participation barriers from African Americans and Latinos. Fifty-seven adults (32 African Americans, 25 Latinos) ages 50 years and older participated. The Institute of Medicine's Unequal Treatment conceptual framework was used. Six racially/ ethnically homogenous focus groups were conducted at five sites in three counties. Themes within groups and cross-cutting themes were identified. The NVIVO program was used for data classification. The data were reviewed for final coding and consensus. Shared solutions included addressing costs, recruiting in community contexts, conducting community and individualized patient education, and sharing patient safety information. Participants were unanimously in favor of clinical trials navigation recruitment interventions. Solutions specific to African Americans included diversifying research teams, recognizing past research abuses, and increasing community trust. Solutions specific to Latinos included providing low-literacy materials, providing Spanish-speaking clinicians and advocates, and clarifying that immigration status would neither be documented nor prevent participation. Solutions from African Americans and Latinos reflect their cultural backgrounds and historical experiences. The results suggest the importance of developing a tailored, barriers-focused navigation intervention to improve participation among diverse racial and ethnic populations. PMID:23539894

  15. Clinical outcome of skin yaws lesions after treatment with benzathinebenzylpenicillin in a pygmy population in Lobaye, Central African Republic

    Directory of Open Access Journals (Sweden)

    Manirakiza Alexandre

    2011-12-01

    Full Text Available Abstract Background Yaws is a bacterial skin and bone infectious disease caused by Treponema pallidum pertenue. It is endemic, particularly among pygmies in Central African Republic. To assess the clinical cure rate after treatment with benzathinepenicillin in this population, we conducted a cohort survey of 243 patients in the Lobaye region. Findings and conclusion The rate of healing of lesions after 5 months was 95.9%. This relatively satisfactory level of therapeutic response implies that yaws could be controlled in the Central African Republic. Thus, reinforcement of the management of new cases and of contacts is suggested.

  16. Seroprevalence of CANINE LEISHMANIASIS AND American trypanosomiasis in dogs from Grenada, West Indies

    Science.gov (United States)

    Canine leishmaniasis and American trypanosomiasis (AT) are caused by related hemoflagellated parasites, Leishmania spp. and Trypanosoma cruzi, which share several common host species. Dogs are reservoirs for human infections with both pathogens. We determined the prevalence of antibodies to Leishman...

  17. Validation of the antigen ELISA in comparison with parasitological techniques for the diagnosis of bovine trypanosomiasis in Zimbabwe

    International Nuclear Information System (INIS)

    The antigen ELISA (Ag-ELISA) for the detection of trypanosomal infections was used to test sera from naturally infected cattle and the results were correlated with those obtained by buffy coat technique (BCT). Sera were obtained from cattle kept in a tsetse free area to determine test sensitivity and from a second tsetse free area to obtain baseline values for a group of animals which were later to be moved to an area of high tsetse challenge. The Ag-ELISA was apparently 98.4% specific. In the area of high tsetse challenge the buffy coat technique detected 75 (26.6%) infections while the antigen ELISA detected 110 (39.0%) infections. The ELISA failed to detect antigens in some parasitologically positive animals, but the two were complementary for the diagnosis of trypanosomiasis in individual animals. An unexpectedly high proportion of antigen positive animals (25.0%) was found in the second tsetse free area but these infections could be due to non cyclical transmission indicating that although tsetse eradication may remove the vector, sub-clinical trypanosomiasis may persist in the cattle population unless measures are taken to provide adequate trypanocidal drug therapy. (author). 2 refs, 6 figs, 1 tab

  18. Neglected diseases in the news: a content analysis of recent international media coverage focussing on leishmaniasis and trypanosomiasis.

    Directory of Open Access Journals (Sweden)

    Mangai Balasegaram

    Full Text Available BACKGROUND: Although the pharmaceutical industry's "neglect" of neglected tropical diseases (NTDs has been investigated, no study evaluating media coverage of NTDs has been published. Poor media coverage exacerbates the neglect. This study aimed to investigate, describe, and analyse international media coverage of "neglected diseases" in general and three specific NTDs--African trypanosomiasis, leishmaniasis, and Chagas disease--from 1 January 2003 to 1 June 2007. METHODS: Archives of 11 leading international, English-language media were searched. A content analysis was done, coding for media organisation, date, author, type of report, slant, themes, and "frames". Semi-structured interviews with journalists and key informants were conducted for further insight. PRINCIPAL FINDINGS: Only 113 articles in a 53-month time period met the inclusion criteria, with no strong trends or increases in coverage. Overall, the BBC had the highest coverage with 20 results, followed by the Financial Times and Agence France Presse. CNN had the least coverage with one result. The term "neglected diseases" had good media currency and "sleeping sickness" was far more widely used than trypanosomiasis. The disease most covered was leishmaniasis and the least covered was Chagas. Academic researchers were most commonly quoted as a main source, while the World Health Organization (WHO and pharmaceutical industry were the least quoted. Journalists generally agreed NTDs had not been adequately covered, but said a lack of real news development and the need to cater to domestic audiences were major obstacles for NTD reporting. All journalists said health agencies, particularly WHO, were not communicating adequately about the burden of NTDs. CONCLUSIONS: Public health agencies need to raise priority for NTD advocacy. Innovative strategies, such as reporting grants or creating a network of voices, may be needed.

  19. Cryptic Diversity within the Major Trypanosomiasis Vector Glossina fuscipes Revealed by Molecular Markers

    Science.gov (United States)

    Choi, Kwang-Shik; Darby, Alistair C.; Causse, Sandrine; Kapitano, Berisha; Hall, Martin J. R.; Steen, Keith; Lutumba, Pascal; Madinga, Joules; Torr, Steve J.; Okedi, Loyce M.; Lehane, Michael J.; Donnelly, Martin J.

    2011-01-01

    Background The tsetse fly Glossina fuscipes s.l. is responsible for the transmission of approximately 90% of cases of human African trypanosomiasis (HAT) or sleeping sickness. Three G. fuscipes subspecies have been described, primarily based upon subtle differences in the morphology of their genitalia. Here we describe a study conducted across the range of this important vector to determine whether molecular evidence generated from nuclear DNA (microsatellites and gene sequence information), mitochondrial DNA and symbiont DNA support the existence of these taxa as discrete taxonomic units. Principal Findings The nuclear ribosomal Internal transcribed spacer 1 (ITS1) provided support for the three subspecies. However nuclear and mitochondrial sequence data did not support the monophyly of the morphological subspecies G. f. fuscipes or G. f. quanzensis. Instead, the most strongly supported monophyletic group was comprised of flies sampled from Ethiopia. Maternally inherited loci (mtDNA and symbiont) also suggested monophyly of a group from Lake Victoria basin and Tanzania, but this group was not supported by nuclear loci, suggesting different histories of these markers. Microsatellite data confirmed strong structuring across the range of G. fuscipes s.l., and was useful for deriving the interrelationship of closely related populations. Conclusion/Significance We propose that the morphological classification alone is not used to classify populations of G. fuscipes for control purposes. The Ethiopian population, which is scheduled to be the target of a sterile insect release (SIT) programme, was notably discrete. From a programmatic perspective this may be both positive, given that it may reflect limited migration into the area or negative if the high levels of differentiation are also reflected in reproductive isolation between this population and the flies to be used in the release programme. PMID:21858237

  20. Practical applications of geographical information systems in tsetse and trypanosomiasis control

    International Nuclear Information System (INIS)

    Three aspects of geographical information systems (GISs) in tsetse and trypanosomiasis control are addressed. First is their use in planning and managing control operations, second is the use of appropriate data management systems to capture data from the field and process them in a format that facilitates their geographical analysis, and third is the use of GISs to predict some of the data layers required for planning tsetse and trypanosomiasis control activities. In planning and managing trypanosomiasis interventions, GISs are applied at a range of levels. At the policy level, it can be used to integrate data such as tsetse and trypanosomiasis distributions, livestock densities and percentage cultivation to assist in allocating resources to tsetse and trypanosomiasis control. At the management level, it can be used to combine the same sorts of data in decision support models to help prioritize areas for control. At the operational level, it can be used to help plan, manage and monitor field operations. Much of the data required for these applications come directly from the field, particularly the distributions of livestock, vector and disease. The use of bespoke software such as the disease and vector integrated database (DAVID) greatly facilitates entry, display and analysis of field data, and their integration with other data within GISs. Collecting field data relevant to planning and managing tsetse and trypanosomiasis control operations is often very expensive and time consuming, therefore preventing exhaustive ground coverage. The use of GISs to combine environmental predictor variables, using multivariate statistical models, and to predict the distribution and abundance of tsetse, trypanosomiasis, cultivation and livestock is reviewed. Finally, opportunities are discussed for developing these applications in the future. It is recommended that stronger links be forged between the research workers and those in operational programmes. (author)

  1. Clinical outcome of skin yaws lesions after treatment with benzathinebenzylpenicillin in a pygmy population in Lobaye, Central African Republic.

    OpenAIRE

    Manirakiza Alexandre; Boas Susana; Beyam Narcisse; Zadanga Germain; Konamna François; Njuimo Siméon P; Laganier Rémi

    2011-01-01

    Abstract Background Yaws is a bacterial skin and bone infectious disease caused by Treponema pallidum pertenue. It is endemic, particularly among pygmies in Central African Republic. To assess the clinical cure rate after treatment with benzathinepenicillin in this population, we conducted a cohort survey of 243 patients in the Lobaye region. Findings and conclusion The rate of healing of lesions after 5 months was 95.9%. This relatively satisfactory level of therapeutic response implies that...

  2. Prevalence and clinical characteristics associated with pulmonary hypertension in African-Americans.

    Directory of Open Access Journals (Sweden)

    Gaurav Choudhary

    Full Text Available BACKGROUND: Pulmonary hypertension (PH is associated with increased mortality and morbidity. It is frequently associated with cardiopulmonary diseases that are prevalent in African Americans (AAs. However, the prevalence or determinants of PH in the AA population is not known. METHODS: We conducted a cross-sectional study to estimate the prevalence of PH (defined as trans-tricuspid gradient ≥ 35 mm Hg and associated clinical characteristics in AAs using the Jackson Heart Study cohort (n=3,282 who underwent echocardiography and had a measurable trans-tricuspid regurgitant jet. Echocardiography is frequently used for screening for PH despite its limitations in estimating accurate PA systolic pressures. Overall and age-adjusted gender-specific prevalence were estimated and modified Poisson regression was used to identify independent clinical, spirometric, and echocardiographic characteristics associated with PH. RESULTS: The mean age of the study population was 56.1 ± 12.6 years with 67.5% female. The prevalence of PH was 6.8%, with higher prevalence in female AAs (age-adjusted prevalence: Men 4.9%, 95% CI 3.6-6.2%; Women 7.7%, 95% CI 6.6-8.8%. Pulmonary hypertension prevalence increased with age (Prevalence Ratio: 10.0, 95%CI 4.0-25.1, >65 versus <45 years old, presence of obesity, higher pulse pressure, diabetes, obstructive or restrictive spirometry pattern, and severe left heart valvular disease. Also, PH was significantly associated with left atrial size and left ventricular ejection fraction. CONCLUSIONS: Pulmonary hypertension is prevalent in AAs, more in women than in men. The identified cardiopulmonary risk factors that increase the prevalence of PH may assist in diagnosis and management of these at-risk subjects in the AA population.

  3. Comparative Clinical Observations on Trypanosoma vivax Infected Pregnant Yankasa and West African Dwarf Ewes

    Directory of Open Access Journals (Sweden)

    S.A.S. Olorunju

    2005-01-01

    Full Text Available Three groups of pregnant Yankasa (YK and West African Dwarf (WAD ewes, made up of 6pregnant YK and 6 pregnant WAD ewes in each group, were assigned at random to first, second and third trimester of pregnancy, to study the clinical manifestation of. T. vivax infection at each trimester of pregnancy. A fourth group made up of 3 pregnant YK and 3 pregnant WAD ewes served as the non-infected controls for the study. Pre- infection mean rectal temperatures of the YK and WAD ewes were 38.6 Co and 38.7 Crespectively, while post-infection temperatures were as high as 41.5 C and 41.6 C for the YK and WAD ewes respectively. The infection was severe in the infected YK and WAD ewes in the second and third trimesters of pregnancy and most severe in YK than in the WAD ewes. The infected YK and WAD ewes exhibited pyrexia, signs of anaemia shown by pale mucus membrane, decrease in packed cell volume (PCV values, decrease in total plasma protein (TP values, weight loss, lethargy, dullness, abortions and death of ewes. The severity of the infection increased as the pregnancy advanced in the ewes. WAD ewes in the first trimester were least susceptible to the infection and self-cure was observed in one WAD ewe. The infected WAD ewes controlled the effects of the infection on abortions and mortality more than the YK ewes. It was concluded from the study that the trimester of pregnancy and breed of ewe influenced the clinical manifestation of T. vivax infection on pregnant YK and WAD ewes.

  4. Glycolysis in the African Trypanosome: Targeting Enzymes and Their Subcellular Compartments for Therapeutic Development

    OpenAIRE

    James C. Morris; Morris, Meredith T.; Dodson, Heidi C.; Coley, April F.

    2011-01-01

    Subspecies of the African trypanosome, Trypanosoma brucei, which cause human African trypanosomiasis, are transmitted by the tsetse fly, with transmission-essential lifecycle stages occurring in both the insect vector and human host. During infection of the human host, the parasite is limited to using glycolysis of host sugar for ATP production. This dependence on glucose breakdown presents a series of targets for potential therapeutic development, many of which have been explored and validat...

  5. Pre-clinical assays predict pan-African Echis viper efficacy for a species-specific antivenom.

    Directory of Open Access Journals (Sweden)

    Nicholas R Casewell

    Full Text Available BACKGROUND: Snakebite is a significant cause of death and disability in subsistent farming populations of sub-Saharan Africa. Antivenom is the most effective treatment of envenoming and is manufactured from IgG of venom-immunised horses/sheep but, because of complex fiscal reasons, there is a paucity of antivenom in sub-Saharan Africa. To address the plight of thousands of snakebite victims in savannah Nigeria, the EchiTAb Study Group organised the production, testing and delivery of antivenoms designed to treat envenoming by the most medically-important snakes in the region. The Echis saw-scaled vipers have a wide African distribution and medical importance. In an effort to maximise the clinical utility of scarce antivenom resources in Africa, we aimed to ascertain, at the pre-clinical level, to what extent the E. ocellatus-specific EchiTAbG antivenom, which was designed specifically for Nigeria, neutralised the lethal activity of venom from two other African species, E. pyramidum leakeyi and E. coloratus. METHODOLOGY/PRINCIPAL FINDINGS: Despite apparently quite distinctive venom protein profiles, we observed extensive cross-species similarity in the immuno-reactivity profiles of Echis species-specific antisera. Using WHO standard pre-clinical in vivo tests, we determined that the monospecific EchiTAbG antivenom was as effective at neutralising the venom-induced lethal effects of E. pyramidum leakeyi and E. coloratus as it was against E. ocellatus venom. Under the restricted conditions of this assay, the antivenom was ineffective against the lethal effects of venom from the non-African Echis species, E. carinatus sochureki. CONCLUSIONS/SIGNIFICANCE: Using WHO-recommended pre-clinical tests we have demonstrated that the new anti-E. ocellatus monospecific antivenom EchiTAbG, developed in response to the considerable snakebite-induced mortality and morbidity in Nigeria, neutralised the lethal effects of venoms from Echis species representing each

  6. Application of ELISA for diagnosing and investigating the epidemiology of trypanosomiasis in buffaloes in north Vietnam

    International Nuclear Information System (INIS)

    An antigen-detection enzyme immunoassay (Ag-ELISA) based on a Trypanosoma evansi specific monoclonal antibody was used for the detection of circulating antigens in experimentally infected buffaloes and in buffaloes kept in different geographical regions of Vietnam. In experimental infections, circulating antigens were detected around 7 to 14 days after infection but the levels detected were considerably lower than those in sera collected from the field, suggesting that the parasite isolate used became highly adapted to mice thorough passage. In a study of field sera the agreement between the Ag-ELISA and parasitological methods for detecting infected cases was 80% and the apparent specificity of the test was 90%. In these and other studies the Ag-ELISA consistently detected many more infected cases than did the conventional parasitological methods. In most cases animals whose sera reacted in the Ag-ELISA also had trypanosome specific antibodies in their circulation. Treatment of infected animals with a trypanocidal drug in most cases resulted in a significant drop in trypanosome antigen levels but their status with respect to trypanosomal antibodies remained unchanged. Seroepidemiological surveys using Ag-ELISA and Ab-ELISA and base on an analysis of around 1000 sera collected from different regions of Vietnam demonstrated prevalence ranging between 17% and 50% with no apparent relationship to geographical region. However, prevalence of infection was generally higher in summer (rainy season), when fly activity is highest. It is concluded that serological methods based on Ag-ELISA and Ab-ELISA are valuable adjuncts to clinical and parasitological methods for diagnosing trypanosomiasis, studying the epidemiology of the disease and monitoring the effectiveness of control programmes. (author). 12 refs, 2 figs, 3 tabs

  7. African trypanosomiasis in the rat alters melatonin secretion and melatonin receptor binding in the suprachiasmatic nucleus

    DEFF Research Database (Denmark)

    Kristensson, Krister; Claustrat, Bruno; Mhlanga, Jama D.M.;

    1998-01-01

    Neurobiology, cytokines, circadian rhythm, infection, nervous system, pineal gland, trypanosoma brucei......Neurobiology, cytokines, circadian rhythm, infection, nervous system, pineal gland, trypanosoma brucei...

  8. Diabetes in African Americans

    OpenAIRE

    Marshall, M.

    2005-01-01

    African Americans have a high risk for type 2 diabetes. Genetic traits, the prevalence of obesity, and insulin resistance all contribute to the risk of diabetes in the African American community. African Americans have a high rate of diabetic complications, because of poor glycaemic control and racial disparities in health care in the USA. African Americans with diabetes may have an atypical presentation that simulates type 1 diabetes, but then their subsequent clinical course is typical of t...

  9. Treatment Disparities among African American Men with Depression: Implications for Clinical Practice

    OpenAIRE

    Hankerson, Sidney H.; Suite, Derek; Bailey, Rahn K.

    2015-01-01

    A decade has passed since the National Institute of Mental Health initiated its landmark Real Men Real Depression public education campaign. Despite increased awareness, depressed African American men continue to underutilize mental health treatment and have the highest all-cause mortality rates of any racial/ethnic group in the United States. We review a complex array of socio-cultural factors, including racism and discrimination, cultural mistrust, misdiagnosis and clinician bias, and infor...

  10. Idiosyncratic sound systems of the South African Bantu languages: Research and clinical implications for speech-language pathologists and audiologists

    Directory of Open Access Journals (Sweden)

    Anita van der Merwe

    2014-06-01

    Full Text Available The objective of this article is to create awareness amongst speech-language pathologists and audiologists in South Africa regarding the difference between the sound systems of Germanic languages and the sound systems of South African Bantu languages. A brief overview of the sound systems of two Bantu languages, namely isiZulu and Setswana, is provided. These two languages are representative of the Nguni language group and the Sotho group respectively.Consideration is given to the notion of language-specific symptoms of speech, language and hearing disorders in addition to universal symptoms. The possible impact of speech production, language and hearing disorders on the ability to produce and perceive speech in these languages, and the challenges that this holds for research and clinical practice, are pointed out.

  11. The sterile insect technique and its role in integrated Trypanosomiasis control programmes

    International Nuclear Information System (INIS)

    In the paper an attempt is made to define the rationale for using the sterile insect technique (SIT) for tsetse fly eradication within the global concept of trypanosomiasis control. Against the background of past and present research and development, and particularly the success of integrated tsetse fly control campaigns in Burkina Faso and Nigeria, the paper identifies problems to be overcome before further major action programmes with an SIT component are undertaken. (author). 33 refs

  12. Visual Representation of Body Shape in African-American and European American Women: Clinical Considerations

    Science.gov (United States)

    Capers, Patrice L.; Kinsey, Amber W.; Miskell, Edrika L.; Affuso, Olivia

    2016-01-01

    BACKGROUND Body mass index (BMI) has been used widely among clinicians to assess obesity in their patients due to its ease and availability. However, BMI has some diagnostic limitations and other measures related to health risks; in particular, body shape may be of greater relevance to health outcomes. OBJECTIVE The objective of this study was to illustrate the importance of body shape assessments above and beyond BMI and its relationship to health risk among a sample of African-American and European American women. METHODS African-American and European American women aged 19–78 years (n = 552) in Birmingham, Alabama, were recruited and stratified by menopausal status (ie, pre- or postmenopausal). Pictorial body shapes were derived from digital photographs, while body fat distribution defined by android–gynoid ratio (AGR) and body composition were obtained from dual-energy X-ray absorptiometry. RESULTS Images of BMI and age-matched women illustrate variability in fat distribution. Among both menopausal status groups, more than 50% of women had a pear body shape (AGR < 1). An apple body shape was associated with higher odds of having diabetes (unadjusted odds ratio [OR]: 4.1, 95% confidence interval [CI]: 1.9–9.3), hypertension (unadjusted OR: 3.1, 95% CI: 2.0–4.7), and high cholesterol (unadjusted OR: 3.0, 95% CI: 1.8–5.1). CONCLUSION Use of visual cues alongside traditional methods of weight status assessment may help to facilitate weight management conversations between physicians and female patients. However, next steps should include the validation of visual assessments of body shape in women for use by physicians. PMID:27478392

  13. Adaptation of a Cancer Clinical Trials Education Program for African American and Latina/o Community Members.

    Science.gov (United States)

    Pelto, Debra J; Sadler, Georgia Robins; Njoku, Ogo; Rodriguez, Maria Carina; Villagra, Cristina; Malcarne, Vanessa L; Riley, Natasha E; Behar, Alma I; Jandorf, Lina

    2016-08-01

    The pilot study reported in this article culturally and linguistically adapted an educational intervention to promote cancer clinical trials (CCTs) participation among Latinas/os and African Americans. The single-session slide presentation with embedded videos, originally developed through a campus-community partnership in Southern California, was chosen for adaptation because it was perceived to fit the CORRECT model of innovation (credible, observable, relevant, relatively advantageous, easy to understand, compatible, and testable) and because of the potential to customize any components not identified as core, allowing them to be revised for cultural and linguistic alignment in New York City. Most of the 143 community participants (76.2%) were female; most (54.6%) were older than 59 years. More than half (78.3%) preferred to speak English or were bilingual in English and Spanish. A large proportion (41.3%) had not completed high school. Knowledge and perceived benefits and barriers regarding CCT showed small, though statistically significant, increases. There were no statistically significant group differences for changes in mean knowledge, perceived benefits, or perceived barriers when examined by ethnicity, education level, language, or other included sociodemographic variables. However, a small, but statistically significant difference in perceived barriers was observed when examined by country of origin, with the foreign born score worsening 0.08 points (SD = 0.47, p = .007) on the 5-point Likert-type scale administered posteducation compared to preeducation. Participants' open-ended comments demonstrated the acceptability of the topic and intervention. This adaptation resulted in an intervention with the potential to educate African American and Latina/o general community members in a new geographic region about the purpose, methods, and benefits of CCTs. PMID:26493870

  14. Genome Sequence of Vibrio cholerae G4222, a South African Clinical Isolate

    OpenAIRE

    le Roux, Wouter J.; Chan, Wai Yin; De Maayer, Pieter; Venter, Stephanus N.

    2013-01-01

    Vibrio cholerae, a Gram-negative pathogen autochthonous to the aquatic environment, is the causative agent of cholera. Here, we report the complete genome sequence of V. cholerae G4222, a clinical isolate from South Africa.

  15. The South African Military Nursing College Pupil Enrolled Nurses’ experiences of the clinical learning environment

    OpenAIRE

    Ernestina M. Caka; Sebi Lekalakala-Mokgele

    2013-01-01

    The study focused on the clinical learning experiences of Pupil Enrolled Nurses (PENs) within the military health service. The purpose of the research was to explore and describe the learning experiences of PENs within the Military health clinical learning environment. An explorative, descriptive, contextual design which is qualitative in nature was used to guide the study. The military as a training institution prides itself on preparing nurses both as soldiers and nurses, this could be both...

  16. Male, mobile, and moneyed: loss to follow-up vs. transfer of care in an urban African antiretroviral treatment clinic.

    Directory of Open Access Journals (Sweden)

    Kara G Marson

    Full Text Available The purpose of this study was to analyze characteristics, reasons for transferring, and reasons for discontinuing care among patients defined as lost to follow-up (LTFU from an antiretroviral therapy (ART clinic in Nairobi, Kenya.The study used a prospective cohort of patients who participated in a randomized, controlled ART adherence trial between 2006 and 2008.Participants were followed from pre-ART clinic enrollment to 18 months after ART initiation, and were defined as LTFU if they failed to return to clinic 4 weeks after their last scheduled visit. Reasons for loss were captured through phone call or home visit. Characteristics of LTFU who transferred care and LTFU who did not transfer were compared to those who remained in clinic using log-binomial regression to estimate risk ratios.Of 393 enrolled participants, total attrition was 83 (21%, of whom 75 (90% were successfully traced. Thirty-seven (49% were alive at tracing and 22 (59% of these reported having transferred their antiretroviral care. In the final model, transfers were more likely to have salaried employment [Risk Ratio (RR, 2.7; 95% confidence interval (CI, 1.2-6.1; p=0.020] and pay a higher monthly rent (RR, 5.8; 95% CI, 1.3-25.0; p=0.018 compared to those retained in clinic. LTFU who did not transfer care were three times as likely to be men (RR, 3.1; 95% CI, 1.1-8.1; p=0.028 and nearly 4 times as likely to have a primary education or less (RR, 3.8; 95% CI, 1.3-10.6; p=0.013. Overall, the most common reason for LTFU was moving residence, predominantly due to job loss or change in employment.A broad definition of LTFU may include those who have transferred their antiretroviral care and thereby overestimate negative effects on ART continuation. Interventions targeting men and considering mobility due to employment may improve retention in urban African ART clinics.The study's ClinicalTrials.gov identifier is NCT00273780.

  17. The South African Military Nursing College Pupil Enrolled Nurses’ experiences of the clinical learning environment

    Directory of Open Access Journals (Sweden)

    Ernestina M. Caka

    2013-06-01

    Full Text Available The study focused on the clinical learning experiences of Pupil Enrolled Nurses (PENs within the military health service. The purpose of the research was to explore and describe the learning experiences of PENs within the Military health clinical learning environment. An explorative, descriptive, contextual design which is qualitative in nature was used to guide the study. The military as a training institution prides itself on preparing nurses both as soldiers and nurses, this could be both challenging and exasperating for students, as the scopes are diverse. Being notably very hierarchical, the military’s rules constantly take precedence over nursing rules. For the duration of nursing training, students are allocated in the clinical learning area to acquire competencies such as problem solving, cognitive and psychomotor skills (Kuiper & Pesut 2003:383. Students learn how to merge theory and practice and apply theories in the practical sense. This is however, not done in isolation from the military codes, as they are intertwined. Attendance of military parades and drills are incorporated during this phase. This could create missed opportunities from the clinical learning as students are expected to leave the clinical setting for this purpose. Three focus group sessions were conducted and the experiences of the students, as narrated by themselves, yielded valuable insights. The researcher wrote field notes and assisted with the management of the audio tapes for easy retrieval of information. Data was analysed by the researcher, independent of the cocoder. Two themes relating to the PENs’ learning experiences emerged from the data analysed: (1 facilitators of clinical learning, (2 and barriers to clinical learning. The findings obtained depicted those factors which facilitated and obstructed student learning. These findings made it possible for the researcher to make recommendations concerning positive interventions which could be taken to

  18. Social franchising primary healthcare clinics--a model for South African National Health Insurance?

    Science.gov (United States)

    Robinson, Andrew Ken Lacey

    2015-07-01

    This article describes the first government social franchise initiative in the world to deliver a 'brand' of quality primary healthcare (PHC) clinic services. Quality and standards of care are not uniformly and reliably delivered across government PHC clinics in North West Province, South Africa, despite government support, numerous policies, guidelines and in-service training sessions provided to staff. Currently the strongest predictor of good-quality service is the skill and dedication of the facility manager. A project utilising the social franchising business model, harvesting best practices, has been implemented with the aim of developing a system to ensure reliably excellent healthcare service provision in every facility in North West. The services of social franchising consultants have been procured to develop the business model to drive this initiative. Best practices have been benchmarked, and policies, guidelines and clinic support systems have been reviewed, evaluated and assessed, and incorporated into the business plan. A pilot clinic has been selected to refine and develop a working social franchise model. This will then be replicated in one clinic to confirm proof of concept before further scale-up. The social franchise business model can provide solutions to a reliable and recognisable 'brand' of quality universal coverage of healthcare services. PMID:26428744

  19. In Vitro Activities of 15 Antimicrobial Agents against Clinical Isolates of South African Enterococci

    OpenAIRE

    Struwig, M. C.; Botha, P. L.; Chalkley, L. J.

    1998-01-01

    The activities of a panel of currently available antibiotics and the investigational agents LY 333328, linezolid, CL 331,002, CL 329,998, moxifloxacin (BAY 12-8039), trovafloxacin, and quinupristin-dalfopristin against 274 clinical isolates of enterococci were determined. No vancomycin resistance or β-lactamase production was observed. Except for 12 isolates (all non-Enterococcus faecalis) showing reduced susceptibility to quinupristin-dalfopristin (MIC, ≥4 μg/ml), the new agents exhibited pr...

  20. The validation of an Ag-ELISA for the diagnosis of trypanosomiasis in cattle in Uganda and its use in assessing the efficacy of a control programme

    International Nuclear Information System (INIS)

    An antigen detection ELISA (Ag-ELISA) for the diagnosis of trypanosomiasis was established in UTRO. The Ag-ELISA was used to assess the efficacy on an integrated tsetse and trypanosomiasis control programme which started in June 1991. Cattle were screened for trypanosomiasis using parasitologial tests and the Ag-ELISA. Cattle in Masafu where no control was implemented were screened for comparison with areas where control had been applied. Six months from the onset of control there was a reduction in the prevalence of trypanosomiasis throughout the control area. Six months from the onset of control there was a reduction in the prevalence of trypanosomiasis through the control area. Six months later, prevalence of trypanosomiasis had started rising throughout the control area with the exception of Buteba, where 1% Deltamethrin (Spot-on) had been applied to cattle. In Buteba the presence of trypanosomiasis was only detectable by Ag-ELISA. In Masafu where there was no control, prevalence of trypanosomiasis remained high. The Ag-ELISA consistently showed the presence of greater levels of infection than was revealed by microscopic methods and its usefulness was confirmed both as a means of monitoring the effectiveness of the control campaign and in identifying individual animals with non-patent active infections. 6 refs, 7 figs, 1 tab

  1. Associated syndromes and other genetic variations at a South African cleft lip and palate clinic

    Directory of Open Access Journals (Sweden)

    H.J.S. van den Berg

    2009-09-01

    Full Text Available A retrospective study was done of data on all patients registered at one of the largest cleft lip and palate clinics in South Africa (n = 3174. The associated syndromes and other genetic variations [(abbreviation: ASGV] found in the population of persons suffering from facial cleft deformities (FCD were analysed. 832 (26.2% cleft lip and/ or palate patients presented with ASGV. Fifty-seven different types of syndromes were recorded of which the Fairbaim-Robin appearance (FRA (or Pierre Robin sequence 169 (5.3%, the Demarque-van der Woude syndrome 40 (1.3%, and the holoprosencephaly sequence cases 32 (1.0% were the three most common ones. The three most common genetic variations found in the non-syndromic patients, were heart involvement 53(1.7%, club foot 42 (1.3% and various eye problems 39 (1.2%. The main facial cleft deformity, namely the cleft lip, alveolus and palate (CLAP, was found in 26.2% of the ASGV-group. This particular cleft deformity was recorded at 39.7% in the FCD clinic. On the other hand, the hard and soft palate cleft (hPsP group was found in 32.9% of patients who also had ASGV; in the total group of patients registered at the clinic, it accounted for only 16.6%. This means that ASGV occur less commonly in the CLAP group of patients, than in the hPsP group of patients.

  2. Clinical determinants of early parasitological response to ACTs in African patients with uncomplicated falciparum malaria

    DEFF Research Database (Denmark)

    Abdulla, S.; Adam, I.; Adjei, G. O.;

    2015-01-01

    early parasitological response were investigated using logistic regression with study sites fitted as a random effect. The risk of bias in included studies was evaluated based on study design, methodology and missing data. Results: In total, 29,493 patients from 84 clinical trials were included.......020, compared to dihydroartemisinin-piperaquine). Conclusions: The three ACTs assessed in this analysis continue to achieve rapid early parasitological clearance across the sites assessed in Sub-Saharan Africa. A threshold of 5 % day 3 parasite positivity from a minimum sample size of 50 patients provides...

  3. Clinical and epidemiological aspects of a hepatitis E outbreak in Bangui, Central African Republic

    Directory of Open Access Journals (Sweden)

    Komas Narcisse P

    2011-04-01

    Full Text Available Abstract Background Outbreaks of hepatitis E frequently occur in tropical developing countries during the rainy season due to overflowing drains, short-circuiting of networks of clean water and use of contaminated water from wells. Hepatitis E virus (HEV infections are usually accompanied by general symptoms of acute liver disease. This study was conducted to define the clinical and epidemiological aspects of the HEV outbreak that occurred in May 2004 in Bangui. Methods Blood samples were collected from 411 patients aged 1-87 years, most of whom presented with jaundice, asthenia or signs of uncomplicated malaria, for a transversal study from June 2004 to September 2005. Patients were recruited at 11 health care centres, including two referral hospitals, after they had given informed consent. The diagnosis of HEV was made with a commercial ELISA test to detect IgM and/or IgG antibodies. HEV RNA was amplified by RT-PCR to confirm the presence of the viral genome. Results The most frequent clinical signs found were jaundice (93.4%, vomiting (50.7%, hepatalgia (47.4%, hepatomegaly (30.9% and asthenia (26.8%, which are the general clinical signs of hepatic disease. Acute hepatitis E was found in 213 patients (51.8% who were positive for HEV IgM antibodies. The IgG anti-HEV seroprevalence during this outbreak was high (79.5%. The age group 18-34 years was more frequently infected (91.2% than those aged 1-17 (78.0% or over 34 (64.9% (p -6. RT-PCR performed on 127 sera from the 213 IgM-HEV-positive patients was amplified, and the presence of the viral genome was found in 65 samples. Conclusion Although no specific clinical signs exist for hepatitis E infection, people presenting with jaundice, vomiting, hepatalgia, asthenia, hepatomegaly or distended abdomen with no signs of uncomplicated malaria in tropical developing countries should be sent to a laboratory for testing for hepatitis E.

  4. The significance of migrant Fulani and human trypanosomiasis in Kainji Lake area of Nigeria.

    Science.gov (United States)

    Adekolu-John, E O

    1978-09-01

    The transhumance-route followed by the Fulani around Lake Kainji area of Nigeria is presented. Between January and February 1977 130 Fulanis were interviewed at different locations. Most respondents were between 20-60 years of age. In addition to cattle rearing, farming is practised among the Fulanis interviewed at Kaiama and Olli. Those interviewed at Faku practised pastoral transhumance. Less than 15% of the respondents had previous knowledge of human sleeping sickness. Although examination of blood films (thin and thick) did not reveal any blood trypanosome, the transhumance pastoral mobility will be an important factor in any outbreak of human trypanosomiasis around Kainji Lake area in future. PMID:734753

  5. Immunization against East Coast fever: Effect of chronic trypanosomiasis on the development of immunity

    International Nuclear Information System (INIS)

    Two experiments were carried out in which clean cattle, or cattle chronically infected with Trypanosoma congolense, were immunized by the infection and treatment method against East Coast fever (ECF, Theileria parva infection). Chronic trypanosomiasis did not prevent cattle from mounting and effective immunological response to ECF immunization and resisting subsequent lethal challenge. There appeared to be no difference in the level or quality of immunity between clean cattle and trypanosome infected cattle. Thus, T. congolense infection on its own does not appear to provide a constraint to ECF immunization in the field. (author). 17 refs, 2 tabs

  6. Stakeholder Narratives on Trypanosomiasis, Their Effect on Policy and the Scope for One Health

    Science.gov (United States)

    Grant, Catherine; Anderson, Neil; Machila, Noreen

    2015-01-01

    Background This paper explores the framings of trypanosomiasis, a widespread and potentially fatal zoonotic disease transmitted by tsetse flies (Glossina species) affecting both humans and livestock. This is a country case study focusing on the political economy of knowledge in Zambia. It is a pertinent time to examine this issue as human population growth and other factors have led to migration into tsetse-inhabited areas with little historical influence from livestock. Disease transmission in new human-wildlife interfaces such as these is a greater risk, and opinions on the best way to manage this are deeply divided. Methods A qualitative case study method was used to examine the narratives on trypanosomiasis in the Zambian policy context through a series of key informant interviews. Interviewees included key actors from international organisations, research organisations and local activists from a variety of perspectives acknowledging the need to explore the relationships between the human, animal and environmental sectors. Principal Findings Diverse framings are held by key actors looking from, variously, the perspectives of wildlife and environmental protection, agricultural development, poverty alleviation, and veterinary and public health. From these viewpoints, four narratives about trypanosomiasis policy were identified, focused around four different beliefs: that trypanosomiasis is protecting the environment, is causing poverty, is not a major problem, and finally, that it is a Zambian rather than international issue to contend with. Within these narratives there are also conflicting views on the best control methods to use and different reasoning behind the pathways of response. These are based on apparently incompatible priorities of people, land, animals, the economy and the environment. The extent to which a One Health approach has been embraced and the potential usefulness of this as a way of reconciling the aims of these framings and narratives is

  7. Spontaneous intracerebral hemorrhage: Clinical and computed tomography findings in predicting in-hospital mortality in Central Africans

    Directory of Open Access Journals (Sweden)

    Michel Lelo Tshikwela

    2012-01-01

    Full Text Available Background and Purpose: Intracerebral hemorrhage (ICH constitutes now 52% of all strokes. Despite of its deadly pattern, locally there is no clinical grading scale for ICH-related mortality prediction. The first objective of this study was to develop a risk stratification scale (Kinshasa ICH score by assessing the strength of independent predictors and their association with in-hospital 30-day mortality. The second objective of the study was to create a specific local and African model for ICH prognosis. Materials and Methods: Age, sex, hypertension, type 2 diabetes mellitus (T2DM, smoking, alcohol intake, and neuroimaging data from CT scan (ICH volume, Midline shift of patients admitted with primary ICH and follow-upped in 33 hospitals of Kinshasa, DR Congo, from 2005 to 2008, were analyzed using logistic regression models. Results: A total of 185 adults and known hypertensive patients (140 men and 45 women were examined. 30-day mortality rate was 35% (n=65. ICH volume>25 mL (OR=8 95% CI: 3.1-20.2; P 7 mm, a consequence of ICH volume, was also a significant predictor of mortality. The Kinshasa ICH score was the sum of individual points assigned as follows: Presence of coma coded 2 (2 × 2 = 4, absence of coma coded 1 (1 × 2 = 2, ICH volume>25 mL coded 2 (2 × 2=4, ICH volume of ≤25 mL coded 1(1 × 2=2, left hemispheric site of ICH coded 2 (2 × 1=2, and right hemispheric site of hemorrhage coded 1(1 × 1 = 1. All patients with Kinshasa ICH score ≤7 survived and the patients with a score >7 died. In considering sex influence (Model 3, points were allowed as follows: Presence of coma (2 × 3 = 6, absence of coma (1 × 3 = 3, men (2 × 2 = 4, women (1 × 2 = 2, midline shift ≤7 mm (1 × 3 = 3, and midline shift >7 mm (2 × 3 = 6. Patients who died had the Kinshasa ICH score ≥16. Conclusion: In this study, the Kinshasa ICH score seems to be an accurate method for distinguishing those ICH patients who need continuous and special management

  8. Racial differences in DSM diagnosis using a semi-structured instrument: the importance of clinical judgment in the diagnosis of African Americans.

    Science.gov (United States)

    Neighbors, Harold W; Trierweiler, Steven J; Ford, Briggett C; Muroff, Jordana R

    2003-09-01

    Schizophrenia is diagnosed more frequently among African Americans while mood disorders are identified more often among whites. Such findings have raised serious questions about the accuracy of clinical judgment. This article analyzes data on 665 African American and white psychiatric inpatients using a semi-structured diagnostic instrument. The paper explores the relationship of patient race to schizophrenia, schizoaffective disorder, major depression, and bipolar disorder. The paper also explores the extent to which patient race is related to the manner in which clinicians link individual symptoms to diagnoses. Results indicate some significant race differences in diagnosis remain even when a semi-structured instrument and DSM criteria are used, whites, were more likely than African Americans to receive a diagnosis of bipolar disorder and less likely to be diagnosed with schizophrenia. There were no race differences in major depression. Some patterns of symptom attribution differed by race. The results are consistent with previous sociological research showing that patient race is related to diagnosis even when standardized diagnostic criteria are used. These findings underscore the importance of clinical judgment within the context of cross-race and cross-ethnic diagnosis. Clinical training programs must reduce ethnocentric bias by teaching the appropriate use of the socio-cultural information necessary to employ DSM-IV's Cultural Formulation. PMID:14582306

  9. A Comparison Between Caucasians and African Americans in Willingness to Participate in Cancer Clinical Trials: The Roles of Knowledge, Distrust, Information Sources, and Religiosity.

    Science.gov (United States)

    Meng, Jingbo; McLaughlin, Margaret; Pariera, Katrina; Murphy, Sheila

    2016-06-01

    This study aims to (a) examine the roles of knowledge, distrust in medical professionals, information sources, and 2 dimensions of religiosity (i.e., religious activity and religious belief) in influencing willingness to participate (WTP) in cancer clinical trials and to (b) compare the results for Caucasians and African Americans in order to inform future recruitment. An online survey was fielded via a Knowledge Networks panel with a nationally representative sample including 478 Caucasians and 173 African Americans. The results showed that distrust in medical professionals was a strong barrier to WTP for both ethnic groups, whereas factual knowledge about trial procedures was not associated with WTP for either ethnic group. Seeking trial information from doctors was positively associated with WTP for Caucasians; seeking trial information from hospitals was positively associated with WTP for African Americans. More interestingly, levels of religious activity negatively predicted WTP for Caucasians but positively predicted WTP for African Americans. Self-reported religious belief was not associated with WTP for either ethnic group. In sum, although distrust is a common barrier to WTP, the influence of preferred information sources and religious activity on WTP varies as a function of ethnicity. PMID:27175604

  10. Baseline morbidity in 2,990 adult African volunteers recruited to characterize laboratory reference intervals for future HIV vaccine clinical trials.

    Directory of Open Access Journals (Sweden)

    Wendy Stevens

    Full Text Available BACKGROUND: An understanding of the health of potential volunteers in Africa is essential for the safe and efficient conduct of clinical trials, particularly for trials of preventive technologies such as vaccines that enroll healthy individuals. Clinical safety laboratory values used for screening, enrolment and follow-up of African clinical trial volunteers have largely been based on values derived from industrialized countries in Europe and North America. This report describes baseline morbidity during recruitment for a multi-center, African laboratory reference intervals study. METHODS: Asymptomatic persons, aged 18-60 years, were invited to participate in a cross-sectional study at seven sites (Kigali, Rwanda; Masaka and Entebbe, Uganda; Kangemi, Kenyatta National Hospital and Kilifi, Kenya; and Lusaka, Zambia. Gender equivalency was by design. Individuals who were acutely ill, pregnant, menstruating, or had significant clinical findings were not enrolled. Each volunteer provided blood for hematology, immunology, and biochemistry parameters and urine for urinalysis. Enrolled volunteers were excluded if found to be positive for HIV, syphilis or Hepatitis B and C. Laboratory assays were conducted under Good Clinical Laboratory Practices (GCLP. RESULTS AND CONCLUSIONS: Of the 2990 volunteers who were screened, 2387 (80% were enrolled, and 2107 (71% were included in the analysis (52% men, 48% women. Major reasons for screening out volunteers included abnormal findings on physical examination (228/603, 38%, significant medical history (76, 13% and inability to complete the informed consent process (73, 13%. Once enrolled, principle reasons for exclusion from analysis included detection of Hepatitis B surface antigen (106/280, 38% and antibodies against Hepatitis C (95, 34%. This is the first large scale, multi-site study conducted to the standards of GCLP to describe African laboratory reference intervals applicable to potential volunteers in

  11. A South African family with oculopharyngeal muscular dystrophy: Clinical and molecular genetic characteristics.

    Science.gov (United States)

    Schutte, Clara Maria; Dorfling, Cecelia M; van Coller, Riaan; Honey, Engela M; van Rensburg, Elizabeth Jansen

    2015-07-01

    Autosomal dominantly inherited oculopharyngeal muscular dystrophy (OPMD) is caused by a trinucleotide repeat expansion in exon 1 of the polyadenylate binding protein nuclear 1 (PABPN1) gene on chromosome 14q. A large family with OPMD was recently identified in Pretoria, South Africa (SA). Molecular studies revealed a (GCG)11(GCA)3GCG or (GCN)15 mutant allele. The (GCN)15 mutation detected in this family has been described previously in families from Uruguay and Mexico as a founder effect. To our knowledge, this is the first report of an SA Afrikaner family with molecularly confirmed OPMD. The proband, a 64-year-old woman, presented to the neurology outpatient department at Steve Biko Academic Hospital, Pretoria. A sibship of 18 individuals was identified, of whom eight had OPMD. Four patients were interviewed and examined clinically, and electromyographic studies were performed. Molecular analysis of the PABPN1 gene was performed by polymerase chain reaction amplification and direct sequencing of exon 1 in three of the patients. Patients presented with ptosis, external ophthalmoplegia, dysphagia, dysarthria and mild proximal weakness. High foot arches and absent ankle reflexes raised the possibility of peripheral neuropathy, but electromyography showed only mildly low sensory amplitudes, and myopathic units in two patients. PMID:26428746

  12. South African Guidelines Excellence (SAGE): Efficient, effective and unbiased clinical practice guideline teams.

    Science.gov (United States)

    Grimmer, Karen; Dizon, Janine Margarita; Louw, Quinette; Kredo, Tamara; Young, Taryn; Machingaidze, Shingai

    2016-01-01

    A range of different evidence-based methods for clinical practice guideline activities have been established, and there is common agreement in these that poorly conceived CPG team composition and management can jeopardise CPG integrity.  Recognised CPG initiatives therefore provide guidance on CPG team construction and management. In this editorial, we outline steps for effective, efficient and outcome-focused CPG team membership, roles and management: (i) determine responsibilities and tasks; (ii) identify 'experts' and their 'voices'; (iii) identify a CPG team leader; (iv) determine and declare conflicts of interest; (v) determine CPG team terms of reference; (vi) establish CPG timeframes and tailored capacity development; and (vii) establish consensus. Writing CPGs can be time-consuming and expensive.Efforts therefore need to be underpinned by efficient, respectful and agreed processes. Justifying CPG team membership, declaring conflicts of interest, identifying efficient ways of hearing constituent 'voices', defining and time-lining team tasks and roles, providing necessary training, and respecting individuals' efforts and time should ensure that CPG team members enjoy their experiences. This will contribute to growing CPG expertise in South Africa and beyond. PMID:27138656

  13. The Molecular Dynamics of Trypanosoma brucei UDP-Galactose 4′-Epimerase: A Drug Target for African Sleeping Sickness

    OpenAIRE

    Friedman, Aaron J; Durrant, Jacob D.; Pierce, Levi C. T.; McCorvie, Thomas J; Timson, David J; McCammon, J. Andrew

    2012-01-01

    During the past century, several epidemics of human African trypanosomiasis, a deadly disease caused by the protist Trypanosoma brucei, have afflicted sub-Saharan Africa. Over 10 000 new victims are reported each year, with hundreds of thousands more at risk. As current drug treatments are either highly toxic or ineffective, novel trypanocides are urgently needed. The T. brucei galactose synthesis pathway is one potential therapeutic target. Although galactose is essential for T. brucei survi...

  14. Observational monitoring of clinical signs during the last stage of habituation in a wild western gorilla group at Bai Hokou, Central African Republic.

    Science.gov (United States)

    Morton, F Blake; Todd, Angelique F; Lee, Phyllis; Masi, Shelly

    2013-01-01

    Anthropozoonotic disease transmission to great apes is a critical conservation concern, and has raised ethical doubts regarding ape habituation. We monitored over a 3-year period clinical signs within a group of wild western gorillas (G. gorilla) undergoing habituation at Bai Hokou, Central African Republic. The majority of observations consisted of singular coughs and sneezes among the gorillas. These were the only clinical signs that significantly and positively increased over the years. No changes in the demography of the study group were observed. While clinical signs are not necessarily indicative of 'disease' or other health-related problems, we discuss how long-term records of clinical signs provide useful information when health monitoring, and the importance of the rigid application of preventive disease transmission protocols. PMID:23736676

  15. 77 FR 37886 - Notice of Intent To Obtain Information Regarding Organizations Who Are Assisting African...

    Science.gov (United States)

    2012-06-25

    ... African Governments To Increase Healthcare Institution Capacity To Maintain Complex Medical Equipment..., which are currently helping African government hospitals, clinics, laboratories, and other African... involved in enhancing the long term ability of African government health institutions to maintain...

  16. Computer-Aided Drug Discovery Approaches against the Tropical Infectious Diseases Malaria, Tuberculosis, Trypanosomiasis, and Leishmaniasis.

    Science.gov (United States)

    Njogu, Peter M; Guantai, Eric M; Pavadai, Elumalai; Chibale, Kelly

    2016-01-01

    Despite the tremendous improvement in overall global health heralded by the adoption of the Millennium Declaration in the year 2000, tropical infections remain a major health problem in the developing world. Recent estimates indicate that the major tropical infectious diseases, namely, malaria, tuberculosis, trypanosomiasis, and leishmaniasis, account for more than 2.2 million deaths and a loss of approximately 85 million disability-adjusted life years annually. The crucial role of chemotherapy in curtailing the deleterious health and economic impacts of these infections has invigorated the search for new drugs against tropical infectious diseases. The research efforts have involved increased application of computational technologies in mainstream drug discovery programs at the hit identification, hit-to-lead, and lead optimization stages. This review highlights various computer-aided drug discovery approaches that have been utilized in efforts to identify novel antimalarial, antitubercular, antitrypanosomal, and antileishmanial agents. The focus is largely on developments over the past 5 years (2010-2014). PMID:27622945

  17. Hematology and Clinical Chemistry Measures During and After Pregnancy and Age- and Sex-Specific Reference Intervals in African Green Monkeys (Chlorocebus aethiops sabaeus).

    Science.gov (United States)

    Chichester, Lee; Gee, Melaney K; Jorgensen, Matthew J; Kaplan, Jay R

    2015-07-01

    Clinical decisions and experimental analyses often involve the assessment of hematology and clinical chemistry. Using clinical pathology to assess the health status of NHP in breeding colonies or data from studies than involve pregnancy can often be complicated by pregnancy status. This study had 2 objectives regarding the hematology and clinical chemistry of African green monkeys (AGM, Chlorocebus aethiops sabaeus): 1) to compare pregnant or recently postpartum animals with nonpregnant, nonlactating animals and 2) to create age- and sex-specific reference intervals. Subjects in this study were 491 AGM from the Vervet Research Colony of the Wake Forest University Primate Center. Results indicated that changes in BUN, serum total protein, albumin, ALP, GGT, calcium, phosphorus, sodium, potassium, cholesterol, total CO2, globulins, lipase, amylase, WBC, neutrophils, lymphocytes, platelets, RBC, Hgb, and Hct occur during pregnancy and the postpartum period. Age- and sex-specific reference intervals consistent with guidelines from the American Society for Veterinary Clinical Pathology were established and further expand the understanding of how to define health in AGM on the basis of clinical pathology. The combination of understanding the changes that occur in pregnancy and postpartum and expansive reference intervals will help guide clinical and experimental decisions. PMID:26224434

  18. The molecular dynamics of Trypanosoma brucei UDP-galactose 4'-epimerase:a drug target for African sleeping sickness

    OpenAIRE

    Friedman, Aaron J; Durrant, Jacob D.; Pierce, Levi C. T.; McCorvie, Thomas J; Timson, David J; McCammon, J. Andrew

    2012-01-01

    During the past century, several epidemics of human African trypanosomiasis, a deadly disease caused by the protist Trypanosoma brucei, have afflicted sub-Saharan Africa. Over 10 000 new victims are reported each year, with hundreds of thousands more at risk. As current drug treatments are either highly toxic or ineffective, novel trypanocides are urgently needed. The T. brucei galactose synthesis pathway is one potential therapeutic target. Although galactose is essential for T. brucei survi...

  19. Idiosyncratic sound systems of the South African Bantu languages: Research and clinical implications for speech-language pathologists and audiologists

    OpenAIRE

    Anita Van der Merwe; Mia le Roux

    2014-01-01

    The objective of this article is to create awareness amongst speech-language pathologists and audiologists in South Africa regarding the difference between the sound systems of Germanic languages and the sound systems of South African Bantu languages. A brief overview of the sound systems of two Bantu languages, namely isiZulu and Setswana, is provided. These two languages are representative of the Nguni language group and the Sotho group respectively.Consideration is given to the notion of l...

  20. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    ZHANG ZHIPING

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September.This activity was launched by Hengyuanxiang,a leading Chinese wool manufacturer.

  1. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September. This activity was launched by Hengyuanxiang,aleading Chinese wool manufacturer.

  2. Pharmacokinetic studies on 14C-labelled phenanthridine and aromatic diamidine drugs used to control African trypanosomiasis in domestic animals

    International Nuclear Information System (INIS)

    For many years ethidium (homidium) bromide (3, 8-diamino-6-phenyl-5-ethyl phenanthridinium bromide) has been used curatively and for limited prophylaxis against Trypanosoma congolense and Trypanosoma vivax infections in ruminants in Africa and aromatic diamidine berenil (diminazeneaceturate, 4, 4'-(diazoamino) benzamidine) has been used as a curative drug against these parasites, but there is little published information about the pharmacokinetics of either drug. Reviewed here is the present knowledge and report results of recent experiments using 14C-labelled drugs to measure blood and tissue fluid levels and tissue residues of ethidium in uninfected and T. congolense-infected laboratory animals and bovines and berenil in laboratory animals. In the case of 14C-ethidium levels of radioactivity in blood and tissue fluids reached a maximum within 1 h of intramuscular injection (1 mg/kg) and then fell rapidly; after 96 h 80-90% of the radioactivity injected had been excreted, approximately one-third in urine and two-thirds in faeces. It is estimated that ca 3-4% of the radioactivity injected is present in tissues of animals sacrificed 9-10 d after administration of drug, the highest residues/unit wet weight of tissue being present in liver and kidney. In similar experiments with 14C-berenil (3.5 mg/kg) radioactivity in blood reached a peak within 30 min, fell rapidly over the next 5 h, but remained at a significant level for 4-6 d. Radioactivity in tissue fluids did not rise as rapidly or to such a high peak level as in blood, but after 2 h remained at approximately twice the level detected in blood for up to 7 d. At 7 d, in marked contrast to ethidium, only 65% of the administered radioactivity had been excreted (44% in urine and 21% in faeces), and in animals sacrificed at that time it was found that the majority (95%) of the residual drug was present in the liver. (author)

  3. Challenges towards the elimination of Human African Trypanosomiasis in the sleeping sickness focus of Campo in southern Cameroon.

    Science.gov (United States)

    Simo, Gustave; Mbida Mbida, Jean Arthur; Ebo'o Eyenga, Vincent; Asonganyi, Tazoacha; Njiokou, Flobert; Grébaut, Pascal

    2014-01-01

    The sleeping sickness focus of Campo lies along the Atlantic coast and extends along the Ntem River, which constitutes the Cameroonian and Equatorial Guinean border. It is a hypo-endemic focus with the disease prevalence varying from 0.3 to 0.86% during the last few decades. Investigations on animal reservoirs revealed a prevalence of Trypanosoma brucei gambiense of 0.6% in wild animals and 4.83% in domestic animals of this focus. From 2001 to 2012, about 19 931 tsetse were collected in this focus and five tsetse species including Glossina palpalis palpalis, G. pallicera, G. nigrofusca, G. tabaniformis and G. caliginea were identified. The analysis of blood meals of these flies showed that they feed on human, pig, goat, sheep, and wild animals such as antelope, duiker, wild pig, turtle and snake. The percentage of blood meals taken on these hosts varies according to sampling periods. For instance, 6.8% of blood meals from pig were reported in 2004 and 22% in 2008. This variation is subjected to considerable evolutions because the Campo HAT focus is submitted to socio-economic mutations including the reopening of a new wood company, the construction of autonomous port at "Kribi" as well as the dam at "Memve ele". These activities will bring more that 3000 inhabitants around Campo and induce the deforestation for the implementation of farmlands as well as breeding of domestic animals. Such mutations have impacts on the transmission and the epidemiology of sleeping sickness due to the modification of the fauna composition, the nutritional behavior of tsetse, the zoophilic/anthropophilic index. To achieve the elimination goal in the sleeping sickness focus of Campo, we report in this paper the current epidemiological situation of the disease, the research findings of the last decades notably on the population genetics of trypanosomes, the modifications of nutritional behavior of tsetse, the prevalence of T. b. gambiense in humans, domestic and wild animals. An overview on the types of mutations occurring in the region has been raised and a discussion on the strategies that can be implemented to achieve the elimination of the disease has been made. PMID:25129168

  4. A practice-based trial of blood pressure control in African Americans (TLC-Clinic: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Schoenthaler Antoinette

    2011-12-01

    Full Text Available Abstract Background Poorly controlled hypertension (HTN remains one of the most significant public health problems in the United States, in terms of morbidity, mortality, and economic burden. Despite compelling evidence supporting the beneficial effects of therapeutic lifestyle changes (TLC for blood pressure (BP reduction, the effectiveness of these approaches in primary care practices remains untested, especially among African Americans, who share a disproportionately greater burden of HTN-related outcomes. Methods/Design This randomized controlled trial tests the effectiveness of a practice-based comprehensive therapeutic lifestyle intervention, delivered through group-based counseling and motivational interviewing (MINT-TLC versus Usual Care (UC in 200 low-income, African Americans with uncontrolled hypertension. MINT-TLC is designed to help patients make appropriate lifestyle changes and develop skills to maintain these changes long-term. Patients in the MINT-TLC group attend 10 weekly group classes focused on healthy lifestyle changes (intensive phase; followed by 3 monthly individual motivational interviewing (MINT sessions (maintenance phase. The intervention is delivered by trained research personnel with appropriate treatment fidelity procedures. Patients in the UC condition receive a single individual counseling session on healthy lifestyle changes and print versions of the intervention materials. The primary outcome is within-patient change in both systolic and diastolic BP from baseline to 6 months. In addition to BP control at 6 months, other secondary outcomes include changes in the following lifestyle behaviors from baseline to 6 months: a physical activity, b weight loss, c number of daily servings of fruits and vegetables and d 24-hour urinary sodium excretion. Discussion This vanguard trial will provide information on how to refine MINT-TLC and integrate it into a standard treatment protocol for hypertensive African Americans

  5. Impact of comorbidities and drug therapy on development of renal impairment in a predominantly African American and Hispanic HIV clinic population

    Directory of Open Access Journals (Sweden)

    M Keith Rawlings

    2011-01-01

    Full Text Available M Keith Rawlings1, Jennifer Klein1, Edna P Toubes Klingler1, Ejeanée Queen1, Lauren Rogers1, Linda H Yau2, Keith A Pappa2, Gary E Pakes21AIDS Arms Peabody Health Clinic, Dallas, Texas; 2GlaxoSmithKline, Research Triangle Park, North Carolina, USAPurpose: Renal impairment in human immunodeficiency virus (HIV-infected patients could potentially be caused by many factors. HIV-related renal impairment risks have been little studied in African Americans and Hispanics. We investigated the impact of HIV itself, highly active antiretroviral therapy (HAART, comorbidities, and non-HIV-related drug treatment on glomerular filtration rate in a predominantly African American/Hispanic HIV-infected population who had received HAART for at least one year. This study was a retrospective electronic medical record database evaluation of renal impairment risks in a largely African American/Hispanic HIV population obtaining medical care at an HIV clinic in Dallas, Texas.Methods: Proportional hazards models were used to investigate an association between an estimated glomerular filtration rate decrease >25% from baseline (ie, renal impairment and demographics, antiretroviral/nonantiretroviral medications, comorbidities (hypertension, diabetes mellitus, hepatitis C virus [HCV] infection, hepatitis B virus [HBV] infection, CD4+ counts, viral load, and duration patients were monitored at the clinic (time on study.Results: In total, 323 patients were evaluated: 82% males; 61% African American/12% Hispanic/19% Caucasian; mean age 37.9 years (standard deviation [SD] 8.5; 6% HBV-positive; 34% HCV-positive; 29% hypertensive; 3% diabetic; 52% tenofovir-treated; mean weight 75.4 kg (SD, 15.4; mean estimated glomerular filtration 114.5 mL/min/1.73 m2 (SD, 36.7 using the Modification of Diet in Renal Disease (MDRD calculation method; mean creatinine clearance (from which estimated glomerular filtration was extrapolated by the Cockcroft-Gault calculation method 120.6 mL/min/1

  6. Estudios sobre Trypanosomiasis americana en el Perú. Observaciones en el departamento de Ica

    Directory of Open Access Journals (Sweden)

    Víctor M Ayulo Robles

    1946-01-01

    Full Text Available Hemos comprobado la presencia de Triatomas en las ciudades de Ica y Nazca. Los Triatomas encontrados en esas localidades son de la especie del Triatoma Infestans. Las observaciones del contenido intestinal de los Triatomas capturados en ambas ciudades reveló que ellos no se encuentran infestados; lo que hace sospechar que estos insectos procedan de la Ciudad de Arequipa. Los exámenes de sangre en fresco, gota gruesa y frotis coloreados por el método de Giemsa en 174 personas y 32 animales, así como las pruebas de Desviación del Complemento (Reacción de GUERREIRO Y MACHADO e intradermo-reacción en las 174 personas, fueron negativas; lo que demuestra que actualmente no existe la Enfermedad de Chagas en el Departamento de Ica. Dada la presencia de Triatomas en Ica y Nazca y la existencia de la Enfermedad de Chagas en Vitor, Sihuas y Quishuarani del Departamento de Arequipa no se excluye la posibilidad de que posteriormente se haga presente la Trypanosomiasis americana, también, en esas zonas.

  7. Animal trypanosomiasis in South America. Current status, partnership, and information technology.

    Science.gov (United States)

    Dávila, A M; Silva, R A

    2000-01-01

    Animal trypanosome species of economical importance in South America include T. vivax and T. evansi. Both species are described in Brazil, Bolivia, Colombia, French Guyana, Peru, Suriname, and Venezuela. In Argentina and Guyana, only T. evansi and T. vivax are found, respectively. Our studies on T. vivax indicated that the parasite was spreading around 1.3 km per day in Bolivia. We found severe leukopenia in bovines from Pantanal (Brazil) and the Department of Santa Cruz (Bolivia). Because it can cause immunosuppression, the importance of trypanosomiasis control in ensuring success of vaccination campaigns against foot and mouth disease (FMD) in the Pantanal and Bolivia should be considered. The use of one needle for several animals during FMD campaigns in Brazil and Bolivia could also contribute to the spread of T. vivax. The anticipated losses due to T. vivax could exceed $160 million, assuming there are 11 million head of cattle in the Brazilian Pantanal and Bolivian lowlands. International collaboration among research institutes is needed to deal with these diseases and parasites. Previous efforts using information technologies resulted in the creation of two discussion lists (Tryplink and Trypan), the edition of the on-line version of Trypnews and Internet conferences. PMID:11193622

  8. Tsetse and trypanosomiasis control for the rural development of Buvuma island, Lake Victoria, Uganda

    International Nuclear Information System (INIS)

    Historically, the potentially highly agricultural productive areas of Uganda, bordering the shores of Lake Victoria, have been plagued by the presence of tsetse flies. While Glossina pallidipes was reported to be main vector in the area, evidence has accrued indicating that G. fuscipes fuscipes is in fact the main vector on the island. There is also evidence that the species has adopted a peridomestic behaviour in this, predominantly, farming and fishing community. Since 1987/88, intensive surveys were conducted and current monitoring work concentrates on strategic sites such as water collection points, fishing camps, ports of call and selected villages on the island (Bulopa-Walwanda, Lwenyanga, Kyanamu, Tome, Isiriba and Kachanga). Making use of 20-25 pyramidal traps impregnated with deltamethrin (400 mg/trap) for 20-22 days/month, the G. f. fuscipes population around reference villages was considerably reduced (90-95% after 7-9 months). Arrangements are underway to evaluate insecticides treatments of domestic livestock host animals and monitor trends in the transmission of trypanosomiasis. In collaboration with UTRO, Tororo, experimental rearing of G. F. fuscipes will be undertaken aiming at producing flies for mark-release-recapture studies and trials with sterile flies

  9. A Pre-clinical Animal Model of Trypanosoma brucei Infection Demonstrating Cardiac Dysfunction

    OpenAIRE

    McCarroll, Charlotte S; Rossor, Charlotte L.; Linda R Morrison; Morrison, Liam J.; Loughrey, Christopher M.

    2015-01-01

    Author Summary African trypanosomiasis (AT) is a disease caused by the single-celled protozoan parasite Trypanosoma brucei. In humans, AT causes neurological problems including sleep disturbances, which give the disease its colloquial name of “sleeping sickness”. Much of the focus of AT research has been on the neurological deficits, but other major organs are also affected, including the heart. Previous studies in humans and animals with AT have identified heart abnormalities such as contrac...

  10. Consultants' Group Meeting on Tsetse Genetics in Relation to Tsetse/Trypanosomiasis Control/Eradication

    International Nuclear Information System (INIS)

    The FAO and IAEA have long recognized the need for methods for insect and pest control based upon approaches other than simply the widespread use of insecticides. Through the past several years the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture has expended a considerable amount of effort in the development of a SIT programme applicable to tsetse. Such programmes have proved to be a highly successful component of the integrated control of tsetse flies. However, the pilot programmes undertaken to date have been applied to areas of limited size and future integrated control programmes for tsetse must cover much larger regions. The Consultants' Group was cognisant of the continued need for improvements in the cost effectiveness in the mass production of tsetse, particularly for SIT programmes. The Consultants' Goup recognized also that FAO/IAEA plays an important leadership role in the development of new technologies for the control of insect pest populations, and in the transfer of such technologies to assist in the improvement of agricultural production, particularly in developing countries. In addition to research on the development of methods for insect control (emphasizing application of the Sterile Insect Technique), the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture has established and implemented five 'Co-ordinated Research Programmes' on tsetse and has, from time to time, convened groups of consultants to discuss and make recommendations on specific subjects. At least two such meetings (in July 1975 and November 1987) focused on genetic methods of insect control. The recent, rapid developments in molecular biology have stimulated interest in the application of genetic techniques to the problem of tsetse and trypanosomiasis control in Africa.

  11. Male, Mobile, and Moneyed: Loss to Follow-Up vs. Transfer of Care in an Urban African Antiretroviral Treatment Clinic

    OpenAIRE

    Marson, Kara G.; Tapia, Kenneth; Kohler, Pamela; McGrath, Christine J.; John-Stewart, Grace C.; Richardson, Barbra A.; Njoroge, Julia W.; Kiarie, James N.; Sakr, Samah R.; Michael H Chung

    2013-01-01

    Objectives The purpose of this study was to analyze characteristics, reasons for transferring, and reasons for discontinuing care among patients defined as lost to follow-up (LTFU) from an antiretroviral therapy (ART) clinic in Nairobi, Kenya. Design The study used a prospective cohort of patients who participated in a randomized, controlled ART adherence trial between 2006 and 2008. Methods Participants were followed from pre-ART clinic enrollment to 18 months after ART initiation, and were ...

  12. Differences in Clinical Manifestations of Acute and Early HIV-1 Infection between HIV-1 Subtypes in African Women

    OpenAIRE

    Lemonovich, Tracy L.; Watkins, Richard R.; Morrison, Charles S.; Kwok, Cynthia; Chipato, Tsungai; Musoke, Robert; Arts, Eric J; Nankya, Immaculate; Salata, Robert A.

    2015-01-01

    Little is known about the differences in clinical manifestations between women with various HIV-1 subtypes during acute (AI) and early (EI) HIV infection. In a longitudinal cohort study, clinical signs and symptoms among Uganda and Zimbabwe women with AI and EI were compared with HIV-negative controls; symptoms were assessed quarterly for 15 to 24 months. Early HIV infection was defined as the first visit during which a woman tested HIV antibody positive. Women who were HIV negative serologic...

  13. Experimental exposure of African catfish Clarias Gariepinus (Burchell, 1822 to phenol: Clinical evaluation, tissue alterations and residue assessment

    Directory of Open Access Journals (Sweden)

    Mai D. Ibrahem

    2012-04-01

    Full Text Available There is lack of information regarding; the toxicological and pathological consequences of phenol stressed Clarias gariepinus; as well as; the susceptibility of the stressed fish to disease occurrence. Static renewal bioassay was experimentally conducted to evaluate the toxic effects of phenol on the African catfish C. gariepinus. Ninety-six-hour acute toxicity tests revealed that the median lethal concentration of phenol (LC50 is 35 mg/L by immersion. Four experimental fish groups were assigned for 3 weeks exposure test; three were exposed 20%, 50% and 70% LC50, the fourth control fish group received a vehicle of dechlorinated water. Abnormal signs including cessation of feeding, nervous manifestations; skin expressed perfuses mucous, black patches with skin erosion and ulcerations in the later stages. All observations were correlated to the time and dose of exposure. Post mortem examination revealed adhesion of the internal organs. For tissue alterations; Skin, gills, brain, liver and kidney showed variable degrees of degenerative changes and necrosis. Muscle residues shown in mean ± SE were 4.3 ± 0.05 and 6.65 ± 0.05 ppm in groups that received 20 and 50% LD50, respectively. Infection with Aeromonas hydrophila resulted in high percent of mortalities with a non significant difference between the challenged fish groups. The study cleared that phenol is toxic to C. gariepinus under experimental conditions.

  14. Complete Genome Sequences of Three African Foot-and-Mouth Disease Viruses from Clinical Samples Isolated in 2009 and 2010

    Science.gov (United States)

    Rosseel, Toon; Haegeman, Andy; Fana, Mpolokang Elliot; Seoke, Latoa; Hyera, Joseph; Matlho, George; Vandenbussche, Frank; De Clercq, Kris

    2016-01-01

    The complete genome sequences of three foot-and-mouth disease viruses (one virus of each serotype SAT1, SAT2 and O) were directly sequenced from RNA extracted from clinical bovine samples, demonstrating the feasibility of full-genome sequencing from strong positive samples taken from symptomatic animals. PMID:27151795

  15. Complete Genome Sequences of Three African Foot-and-Mouth Disease Viruses from Clinical Samples Isolated in 2009 and 2010

    OpenAIRE

    Van Borm, Steven; Rosseel, Toon; Haegeman, Andy; Fana, Mpolokang Elliot; Seoke, Latoa; Hyera, Joseph; Matlho, George; Vandenbussche, Frank; De Clercq, Kris

    2016-01-01

    The complete genome sequences of three foot-and-mouth disease viruses (one virus of each serotype SAT1, SAT2 and O) were directly sequenced from RNA extracted from clinical bovine samples, demonstrating the feasibility of full-genome sequencing from strong positive samples taken from symptomatic animals.

  16. Complete Genome Sequences of Three African Foot-and-Mouth Disease Viruses from Clinical Samples Isolated in 2009 and 2010.

    Science.gov (United States)

    Van Borm, Steven; Rosseel, Toon; Haegeman, Andy; Fana, Mpolokang Elliot; Seoke, Latoa; Hyera, Joseph; Matlho, George; Vandenbussche, Frank; De Clercq, Kris

    2016-01-01

    The complete genome sequences of three foot-and-mouth disease viruses (one virus of each serotype SAT1, SAT2 and O) were directly sequenced from RNA extracted from clinical bovine samples, demonstrating the feasibility of full-genome sequencing from strong positive samples taken from symptomatic animals. PMID:27151795

  17. Frequency of glucose-6-phosphate dehydrogenase deficiency in malaria patients from six African countries enrolled in two randomized anti-malarial clinical trials

    Directory of Open Access Journals (Sweden)

    Duparc Stephan

    2011-08-01

    Full Text Available Abstract Background Glucose-6-phosphate dehydrogenase (G6PD deficiency is common in populations living in malaria endemic areas. G6PD genotype and phenotype were determined for malaria patients enrolled in the chlorproguanil-dapsone-artesunate (CDA phase III clinical trial programme. Methods Study participants, aged > 1 year, with microscopically confirmed uncomplicated Plasmodium falciparum malaria, and haemoglobin ≥ 70 g/L or haematocrit ≥ 25%, were recruited into two clinical trials conducted in six African countries (Burkina Faso, Ghana, Kenya, Nigeria, Tanzania, Mali. G6PD genotype of the three most common African forms, G6PD*B, G6PD*A (A376G, and G6PD*A- (G202A, A542T, G680T and T968C, were determined and used for frequency estimation. G6PD phenotype was assessed qualitatively using the NADPH fluorescence test. Exploratory analyses investigated the effect of G6PD status on baseline haemoglobin concentration, temperature, asexual parasitaemia and anti-malarial efficacy after treatment with CDA 2/2.5/4 mg/kg or chlorproguanil-dapsone 2/2.5 mg/kg (both given once daily for three days or six-dose artemether-lumefantrine. Results Of 2264 malaria patients enrolled, 2045 had G6PD genotype available and comprised the primary analysis population (1018 males, 1027 females. G6PD deficiency prevalence was 9.0% (184/2045; 7.2% [N = 147] male hemizygous plus 1.8% [N = 37] female homozygous, 13.3% (273/2045 of patients were heterozygous females, 77.7% (1588/2045 were G6PD normal. All deficient G6PD*A- genotypes were A376G/G202A. G6PD phenotype was available for 64.5% (1319/2045 of patients: 10.2% (134/1319 were G6PD deficient, 9.6% (127/1319 intermediate, and 80.2% (1058/1319 normal. Phenotype test specificity in detecting hemizygous males was 70.7% (70/99 and 48.0% (12/25 for homozygous females. Logistic regression found no significant effect of G6PD genotype on adjusted mean baseline haemoglobin (p = 0.154, adjusted mean baseline temperature (p = 0

  18. Assessment of Common Anaesthetic and Clinical Indices of Multimodal Therapy of Propofol, Xylazine, and Ketamine in Total Intravenous Anaesthesia in West African Dwarf Goat

    Directory of Open Access Journals (Sweden)

    Ukwueze Celestine Okwudili

    2014-01-01

    Full Text Available The assessment of anaesthetic and clinical indices of multimodal therapy of propofol, xylazine, and ketamine was done in West African Dwarf (WAD goat. Sixteen healthy male WAD goats were assigned into four treatment groups, namely, control (group A (ketamine 5 mg/kg + xylazine 0.05 mg/kg, group B (propofol 5 mg/kg + xylazine 0.05 mg/kg, group C (propofol 5 mg/kg + ketamine 5 mg/kg, and group D (propofol 2.5 mg/kg + ketamine 2.5 mg/kg + xylazine 0.05 mg/kg. All drugs were administered intravenously. The multimodal therapy decreased significantly (P<0.05 the heart rate in groups A, B, and D. Also respiratory rate significantly (P<0.05 decreased in groups A, B, and D but significantly (P<0.05 increased at 20 min after induction in group C. However, temperature significantly (P<0.05 decreased in groups A, B, and C. The induction was good and smooth in groups B and D. Surgical anaesthetic time was longer in groups B and D and shorter in group C. The quality of recovery was good in groups B and D. Side effects such as salivation and apnoea were observed in all groups. In conclusion, the multimodal therapy could be used successfully. However, group D could be the best combination considering the parameters measured.

  19. Individual and Partner-Level Factors Associated with Condom Non-Use Among African American STI Clinic Attendees in the Deep South: An Event-Level Analysis.

    Science.gov (United States)

    Marshall, Brandon D L; Perez-Brumer, Amaya G; MacCarthy, Sarah; Mena, Leandro; Chan, Philip A; Towey, Caitlin; Barnett, Nancy; Parker, Sharon; Barnes, Arti; Brinkley-Rubinstein, Lauren; Rose, Jennifer S; Nunn, Amy S

    2016-06-01

    The US HIV/AIDS epidemic is concentrated in the Deep South, yet factors contributing to HIV transmission are not fully understood. We examined relationships between substance use, sexual partnership characteristics, and condom non-use in an African American sample of STI clinic attendees in Jackson, Mississippi. We assessed condom non-use at last intercourse with up to three recent sexual partners reported by participants between January and June 2011. Participant- and partner-level correlates of condom non-use were examined using generalized estimating equations. The 1295 participants reported 2880 intercourse events, of which 1490 (51.7 %) involved condom non-use. Older age, lower educational attainment, reporting financial or material dependence on a sex partner, sex with a primary partner, and higher frequency of sex were associated with increased odds of condomless sex. HIV prevention efforts in the South should address underlying socioeconomic disparities and structural determinants that result in partner dependency and sexual risk behavior. PMID:26683032

  20. Filarial-specific antibody response in East African bancroftian filariasis: effects of host infection, clinical disease, and filarial endemicity

    DEFF Research Database (Denmark)

    Jaoko, Walter G; Simonsen, Paul E; Meyrowitsch, Dan W;

    2006-01-01

    The effect of host infection, chronic clinical disease, and transmission intensity on the patterns of specific antibody responses in Bancroftian filariasis was assessed by analyzing specific IgG1, IgG2, IgG3, IgG4, and IgE profiles among adults from two communities with high and low Wuchereria...... bancrofti endemicity. In the high endemicity community, intensities of the measured antibodies were significantly associated with infection status. IgG1, IgG2, and IgE were negatively associated with microfilaria (MF) status, IgG3 was negatively associated with circulating filarial antigen (CFA) status...

  1. Plagiarism in the article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini et al. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).

    Science.gov (United States)

    2015-01-01

    This retracts article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini, Amadou Kassogue, Mohammed Fadl Tazi, Anas Zaougui, Jalal Edine Elammari, Abdelhak Khallouk, Mohammed Jamal El Fassi, My Hassan Farih. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).[This retracts the article DOI: 10.11604/pamj.2013.16.18.2505.]. PMID:26328003

  2. Challenges of Diagnosing Acute HIV-1 Subtype C Infection in African Women: Performance of a Clinical Algorithm and the Need for Point-of-Care Nucleic-Acid Based Testing

    OpenAIRE

    Mlisana, Koleka; Sobieszczyk, Magdalena; Werner, Lise; Feinstein, Addi; van Loggerenberg, Francois; NAICKER, Nivashnee; Williamson, Carolyn; Garrett, Nigel

    2013-01-01

    Background Prompt diagnosis of acute HIV infection (AHI) benefits the individual and provides opportunities for public health intervention. The aim of this study was to describe most common signs and symptoms of AHI, correlate these with early disease progression and develop a clinical algorithm to identify acute HIV cases in resource limited setting. Methods 245 South African women at high-risk of HIV-1 were assessed for AHI and received monthly HIV-1 antibody and RNA testing. Signs and symp...

  3. Clinical versus Rapid Molecular HIV Diagnosis in Hospitalized African Infants: A Randomized Controlled Trial Simulating Point-of-Care Infant Testing

    Science.gov (United States)

    McCollum, Eric D.; Preidis, Geoffrey A.; Maliwichi, Madalitso; Olson, Dan; McCrary, L. Madeline; Kazembe, Peter N.; van der Horst, Charles; Hoffman, Irving; Hosseinipour, Mina C.

    2014-01-01

    Objective Many African infants fail to receive their diagnostic HIV molecular test results and subsequently, antiretroviral therapy (ART). To determine whether a point-of-care molecular HIV test increases ART access for hospitalized Malawian infants, we simulated a point-of-care test using rapid HIV RNA polymerase chain reaction (Rapid PCR) and compared patient outcomes to an optimized standard care that included assessment with the World Health Organization (WHO) clinical algorithm for HIV infection plus a DNA PCR with a turnaround time of several weeks (standard care). Design Randomized controlled trial. Methods Hospitalized HIV-exposed Malawian infants <12 months old were randomized into Rapid PCR or standard care. Rapid PCR infants obtained molecular test results within 48 hours to facilitate immediate ART, similar to a point-of-care test. Standard care infants meeting clinical criteria were also offered inpatient ART. The primary outcome was appropriate in-hospital ART for DNA or RNA PCR-confirmed HIV-infected infants. Results 300 infants were enrolled. A greater proportion of HIV-infected infants receiving Rapid PCR, versus standard care, started inpatient ART (72.3% vs 47.8%, p=0.016). Among molecular test-negative infants, 26.9% receiving standard care unnecessarily initiated inpatient ART, versus 0.0% receiving Rapid PCR (p<0.001). Rapid PCR modestly reduced the median days to ART (3.0 vs 6.5, p=0.001) but did not influence outpatient follow-up for HIV-infected infants (78.1% vs 82.4%, P = 0.418). Conclusions Rapid PCR, versus an optimized standard care, increased the proportion of hospitalized HIV-infected infants initiating ART and reduced ART exposure in molecular test-negative infants, without meaningfully impacting time to ART initiation or follow-up rates. PMID:24326604

  4. Cancer and African Americans

    Science.gov (United States)

    ... Population Profiles > Black/African American > Cancer Cancer and African Americans African Americans have the highest mortality rate ... 65MB] At a glance – Top Cancer Sites for African Americans (2008-2012) Cancer Incidence Rates per 100, ...

  5. Clinical Characteristics and 30-Day Outcomes of Intermittent Hemodialysis for Acute Kidney Injury in an African Intensive Care Unit

    Science.gov (United States)

    Tumukunde, Janat; Ssemogerere, Lameck; Ayebale, Emmanuel; Agaba, Peter; Yakubu, Jamali; Lubikire, Aggrey; Nabukenya, Mary

    2016-01-01

    Introduction. Acute kidney injury (AKI) is a common occurrence in the intensive care unit (ICU). Studies have looked at outcomes of renal replacement therapy using intermittent haemodialysis (IHD) in ICUs with varying results. Little is known about the outcomes of using IHD in resource-limited settings where continuous renal replacement therapy (CRRT) is limited. We sought to determine outcomes of IHD among critically ill patients admitted to a low-income country ICU. Methods. A retrospective review of patient records was conducted. Patients admitted to the ICU who underwent IHD for AKI were included in the study. Patients' demographic and clinical characteristics, cause of AKI, laboratory parameters, haemodialysis characteristics, and survival were interpreted and analyzed. Primary outcome was mortality. Results. Of 62 patients, 40 had complete records. Median age of patients was 38.5 years. Etiologic diagnoses associated with AKI included sepsis, malaria, and ARDS. Mortality was 52.5%. APACHE II (OR 4.550; 95% CI 1.2–17.5, p = 0.028), mechanical ventilation (OR 13.063; 95% CI 2.3–72, p = 0.003), and need for vasopressors (OR 16.8; 95% CI 3.4–82.6, p = 0.001) had statistically significant association with mortality. Conclusion. IHD may be a feasible alternative for RRT in critically ill haemodynamically stable patients in low resource settings where CRRT may not be available. PMID:27042657

  6. “Mama just won’t accept this”: Adult Perspectives on Engaging Depressed African American Teens in Clinical Research and Treatment

    OpenAIRE

    BRELAND-NOBLE, ALFIEE M.; Bell, Carl C.; Burriss, Antoinette

    2011-01-01

    This manuscript focuses on qualitative data collected for AAKOMA Project, a 2-phase treatment engagement intervention trial for depressed African American adolescents and families. Data are presented from our phase I study of adult perspectives on African American adolescent depression, depression treatment, and research engagement. The research team conducted four focus groups (N = 24) and generated major themes from the data including ideas regarding the manifestations of depression in Afri...

  7. Impact of comorbidities and drug therapy on development of renal impairment in a predominantly African American and Hispanic HIV clinic population

    OpenAIRE

    Rawlings, M Keith; Klein, Jennifer; Klingler, Edna P Toubes; Queen, Ejeanée; Rogers, Lauren; Yau, Linda H; Pappa, Keith A; Gary E. Pakes

    2011-01-01

    Purpose Renal impairment in human immunodeficiency virus (HIV)-infected patients could potentially be caused by many factors. HIV-related renal impairment risks have been little studied in African Americans and Hispanics. We investigated the impact of HIV itself, highly active antiretroviral therapy (HAART), comorbidities, and non-HIV-related drug treatment on glomerular filtration rate in a predominantly African American/Hispanic HIV-infected population who had received HAART for at least on...

  8. Couples' voluntary counselling and testing and nevirapine use in antenatal clinics in two African capitals: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Conkling Martha

    2010-03-01

    Full Text Available Abstract Background With the accessibility of prevention of mother to child transmission (PMTCT services in sub-Saharan Africa, more women are being tested for HIV in antenatal care settings. Involving partners in the counselling and testing process could help prevent horizontal and vertical transmission of HIV. This study was conducted to assess the feasibility of couples' voluntary counseling and testing (CVCT in antenatal care and to measure compliance with PMTCT. Methods A prospective cohort study was conducted over eight months at two public antenatal clinics in Kigali, Rwanda, and Lusaka, Zambia. A convenience sample of 3625 pregnant women was enrolled. Of these, 1054 women were lost to follow up. The intervention consisted of same-day individual voluntary counselling and testing (VCT and weekend CVCT; HIV-positive participants received nevirapine tablets. In Kigali, nevirapine syrup was provided in the labour and delivery ward; in Lusaka, nevirapine syrup was supplied in pre-measured single-dose syringes. The main outcome measures were nurse midwife-recorded deliveries and reported nevirapine use. Results In eight months, 1940 women enrolled in Kigali (984 VCT, 956 CVCT and 1685 women enrolled in Lusaka (1022 VCT, 663 CVCT. HIV prevalence was 14% in Kigali, and 27% in Lusaka. Loss to follow up was more common in Kigali than Lusaka (33% vs. 24%, p = 0.000. In Lusaka, HIV-positive and HIV-negative women had significantly different loss-to-follow-up rates (30% vs. 22%, p = 0.002. CVCT was associated with reduced loss to follow up: in Kigali, 31% of couples versus 36% of women testing alone (p = 0.011; and in Lusaka, 22% of couples versus 25% of women testing alone (p = 0.137. Among HIV-positive women with follow up, CVCT had no impact on nevirapine use (86-89% in Kigali; 78-79% in Lusaka. Conclusions Weekend CVCT, though new, was feasible in both capital cities. The beneficial impact of CVCT on loss to follow up was significant, while

  9. African dance

    OpenAIRE

    Mumberson, Stephen

    2012-01-01

    The RE Open will be shown at the Mall Gallery London and the international section was judged by major practitioners and educators, print dealers and collectors, President of RE and Keeper of the Ashmolean Museum Dr Bren Unwin, John Purcell, Deborah Roslund, Colin Harrison, Dave Ferry, and Mark Hampson. Piece selected "African Dance" print.

  10. A Review of Ecological Factors Associated with the Epidemiology of Wildlife Trypanosomiasis in the Luangwa and Zambezi Valley Ecosystems of Zambia

    OpenAIRE

    King Shimumbo Nalubamba; Musso Munyeme; Hetron Mweemba Munang’andu; Victor Siamudaala

    2012-01-01

    Trypanosomiasis has been endemic in wildlife in Zambia for more than a century. The disease has been associated with neurological disorders in humans. Current conservation strategies by the Zambian government of turning all game reserves into state-protected National Parks (NPs) and game management areas (GMAs) have led to the expansion of the wildlife and tsetse population in the Luangwa and Zambezi valley ecosystem. This ecological niche lies in the common tsetse fly belt that harbors the h...

  11. Obesity and African Americans

    Science.gov (United States)

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  12. Environments and trypanosomiasis risks for early herders in the later Holocene of the Lake Victoria basin, Kenya.

    Science.gov (United States)

    Chritz, Kendra L; Marshall, Fiona B; Zagal, M Esperanza; Kirera, Francis; Cerling, Thure E

    2015-03-24

    Specialized pastoralism developed ∼3 kya among Pastoral Neolithic Elmenteitan herders in eastern Africa. During this time, a mosaic of hunters and herders using diverse economic strategies flourished in southern Kenya. It has been argued that the risk for trypanosomiasis (sleeping sickness), carried by tsetse flies in bushy environments, had a significant influence on pastoral diversification and migration out of eastern Africa toward southern Africa ∼2 kya. Elmenteitan levels at Gogo Falls (ca. 1.9-1.6 kya) preserve a unique faunal record, including wild mammalian herbivores, domestic cattle and caprines, fish, and birds. It has been suggested that a bushy/woodland habitat that harbored tsetse fly constrained production of domestic herds and resulted in subsistence diversification. Stable isotope analysis of herbivore tooth enamel (n = 86) from this site reveals, instead, extensive C4 grazing by both domesticates and the majority of wild herbivores. Integrated with other ecological proxies (pollen and leaf wax biomarkers), these data imply an abundance of C4 grasses in the Lake Victoria basin at this time, and thus little risk for tsetse-related barriers to specialized pastoralism. These data provide empirical evidence for the existence of a grassy corridor through which small groups of herders could have passed to reach southern Africa. PMID:25775535

  13. A Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial

    OpenAIRE

    Rosal, Milagros C.; Heyden, Robin; Mejilla, Roanne; Capelson, Roberta; Chalmers, Karen A; Rizzo DePaoli, Maria; Veerappa, Chetty; Wiecha, John M

    2014-01-01

    Background Virtual world environments have the potential to increase access to diabetes self-management interventions and may lower cost. Objective We tested the feasibility and comparative effectiveness of a virtual world versus a face-to-face diabetes self-management group intervention. Methods We recruited African American women with type 2 diabetes to participate in an 8-week diabetes self-management program adapted from Power to Prevent, a behavior-change in-person group program for Afri...

  14. Fertility of the Small East African goat following pre-pubertal infection with Trypanosoma congolense

    International Nuclear Information System (INIS)

    Pre-pubertal male and female Small East African goats were infected with Trypanosoma congolense at 4-5 months of age. Changes in body weight and haemogram were monitored weekly. Progesterone and testosterone measurements were made three times weekly until the goats either reached puberty or 18 months of age. Onset of puberty was determined from observation of oestrus behaviour, mating or increase in libidio; this was confirmed by elevation in plasma progesterone or testosterone levels. Trypanosomiasis affected pre-pubertal goats by reducing body weight gain and delaying onset of puberty. Histological examination of the gonads showed pronounced pathological changes. These effects were reversed by treatment with isometamidium chloride (Samorin, May and Baker). It was concluded that early treatment of infected goats before serious gonadal damage could occur allowed full restoration of reproductive function. (author). 6 refs, 4 figs, 1 tab

  15. Contribution to the Analysis Cost/Benefit of Scenarios to Control Tsetse and Trypanosomiasis in West Africa (Data Study Area in Benin)

    International Nuclear Information System (INIS)

    Trypanosomiasis and animal sleeping sickness is a major constraint for Africa south of Sahara. Nearly a century of struggle was not enough to contain tsetse infestations or reduce the impact of Trypanosomiasis in Africa. So that the socioeconomic development of third of the continent is severely compromised by the consequences of this debilitating often fatal disease that affects humans and animals. It is painful to note that the country's poorest continent through a crisis period (armed conflict, population movements) are most severely affected by the sleeping sickness making interventions of medical teams difficult and dangerous. Sixty (60) million men, women and children in 22 of 36 countries in sub-Saharan Africa live under the threat of sleeping sickness. About half a million men are affected by sleeping sickness. 45,000 new cases were recorded according to WHO in 1999. Forty four (44) million cattle besides other domestic animals are in infested areas of tsetse flies. The disease causes a loss of 3 million cattle a year, a loss of 26% milk yield, a 50% reduction in the number of herds in areas with high agricultural potential (PLTA, 1999). This report has been prepared to provide the International Atomic Energy Agency (IAEA) data on the various study area in Benin for a cost / benefit analysis of any program against tsetse flies and trypanosomiasis in Sudanian and Sudanian Sahel of West Africa. The study area located in Benin covers the departments of Alibori and Borgou. After presenting general information on Benin, this report focuses on: - The evolution of the human population in the study area, - The health situation, - The size and productivity of livestock, - The development achievements of major crops - Natural resources and soil quality. In conclusion, it was noted the positive impact of a regional program to fight against Tsetse and Trypanosomiasis based on the integrated use of different control methods non pollutant to the environment (traps and

  16. Options for Tsetse Eradication in the Moist Savannah Zone of West Africa: Technical and Economic Feasibility, Phase 1 - GIS-Based Study. Programme Against African Trypanosomiasis

    International Nuclear Information System (INIS)

    This desk study was initiated with two objectives: - To examine the economic costs and benefits of a range of different sized tsetse eradication projects in the Moist Savannah Zone of West Africa (MSZ), and; - To test the hypothesis that larger tsetse control projects are more economically efficient than smaller projects in that region. The limited nature of the study precluded detailed examination of the socio-cultural and environmental issues relating to controlling trypanosomosis although these are briefly considered; nor did it aim to compare vector control with other methods of combating trypanosomosis such as the therapeutic or prophylactic use of drugs. However, by computing benefits over just 10 years an indirect comparison is made with the strategy that maintains that eradicating tsetse flies is not justified as, sooner or later, rapidly increasing population pressure will autonomously eradicate tsetse flies and hence trypanosomosis. This analysis suggests that such a strategy is not justified economically. As the basis of the economic evaluation was a study of projects in defined areas it was first necessary to iteratively examine the technical and economic issues relating to project selection and design. In this respect, the re-invasion issue was considered to be the major influence as it threatens both the sustainability and economic performance of tsetse eradication. Consequently, it was considered that the river basin was the smallest size of project that would optimise economic performance. This particular observation relates uniquely to the MSZ and may not apply to more southerly areas where fly distribution is more ubiquitous or to other parts of Africa. By basing the economic analysis on an evaluation of projects, albeit hypothetical, it was possible to use real data as the baseline database and the projects could be designed in response to actual tsetse and trypanosomosis scenarios. The group of study areas were chosen to be representative of the whole of the MSZ and not in response to any project that is being planned by any organisation or government. Consequently the studies must be regarded as hypothetical and are termed 'shadow' projects in the report. It was considered that the level 4 river basins were the most appropriate level in the MSZ and five study areas throughout the zone ranging from 13,000 sq km to 22,000 sq km were selected as the small shadow project areas. Adjacent pairs of small project areas formed the basis of two mediumsized project areas (170,000 and 187,000 sq km) and the whole zone (669,000 sq km) formed the large project. By examining these different project sizes it was hoped to test the hypothesis that larger projects are more economically efficient than smaller projects. (author)

  17. Heart Disease and African Americans

    Science.gov (United States)

    ... Minority Population Profiles > Black/African American > Heart Disease Heart Disease and African Americans Although African American adults are ... were 30 percent more likely to die from heart disease than non-Hispanic whites. African American women are ...

  18. Infant Mortality and African Americans

    Science.gov (United States)

    ... African American > Infant Heath & Mortality Infant Mortality and African Americans African Americans have 2.2 times the infant mortality rate ... birthweight as compared to non-Hispanic white infants. African Americans had almost twice the sudden infant death syndrome ...

  19. African Americans and Glaucoma

    Science.gov (United States)

    ... Involved News About Us Donate In This Section African Americans and Glaucoma email Send this article to ... glaucoma is the leading cause of blindness in African Americans. Half of those with glaucoma don't ...

  20. African American Suicide

    Science.gov (United States)

    African American Suicide Fact Sheet Based on 2012 Data (2014) Overview • In 2012, 2,357 African Americans completed suicide in the U.S. Of these, ... 46 per 100,000. • The suicide rate for African Americans ages 10-19 was 2.98 per ...

  1. Cardiac assessment of African hedgehogs (Atelerix albiventris).

    Science.gov (United States)

    Black, Peter A; Marshall, Cecilia; Seyfried, Alice W; Bartin, Anne M

    2011-03-01

    Cardiomyopathy is a common finding in captive African hedgehogs (Atelerix albiventris) at postmortem exam. To date, treatment attempts have been mostly empirical and unrewarding. The objective of this study was to determine reference cardiac values for captive African hedgehogs based on echocardiogram, electrocardiogram (ECG), and radiographs. Adult African hedgehogs with no clinical signs of cardiac disease (n = 13) were selected. Each animal was anesthetized with isoflurane via facemask and an echocardiogram, ECG, and radiographs were performed. Standard measurements were taken and the descriptive statistics performed. Values were comparable to limited data available in other hedgehog species and other similar-sized exotic species. Two animals were removed from consideration of reference values due to valvular defects that were considered significant. These data are the first establishing cardiac parameters in normal African hedgehogs using radiographic cardiac measurement, echocardiogram, and ECG. Evaluating animals with possible cardiomyopathy may allow for earlier diagnosis and more successful treatment. PMID:22946370

  2. Frequency of glucose-6-phosphate dehydrogenase deficiency in malaria patients from six African countries enrolled in two randomized anti-malarial clinical trials

    OpenAIRE

    Duparc Stephan; Pamba Allan; Carter Nick; Waitumbi John N

    2011-01-01

    Abstract Background Glucose-6-phosphate dehydrogenase (G6PD) deficiency is common in populations living in malaria endemic areas. G6PD genotype and phenotype were determined for malaria patients enrolled in the chlorproguanil-dapsone-artesunate (CDA) phase III clinical trial programme. Methods Study participants, aged > 1 year, with microscopically confirmed uncomplicated Plasmodium falciparum malaria, and haemoglobin ≥ 70 g/L or haematocrit ≥ 25%, were recruited into two clinical trials cond...

  3. Random blood glucose may be used to assess long-term glycaemic control among patients with type 2 diabetes mellitus in a rural African clinical setting

    DEFF Research Database (Denmark)

    Rasmussen, Jon B; Nordin, Lovisa S; Rasmussen, Niclas S;

    2014-01-01

    OBJECTIVES: To investigate the diagnostic accuracy of random blood glucose (RBG) on good glycaemic control among patients with diabetes mellitus (DM) in a rural African setting. METHODS: Cross-sectional study at St. Francis' Hospital in eastern Zambia. RBG and HbA1c were measured during one.......7%; specificity = 70.8%; positive predictive value = 62.2%; negative predictive value = 82.9%). CONCLUSIONS: Random blood glucose could possibly be used to assess glycaemic control among patients with type 2 DM in rural settings of sub-Saharan Africa........24-0.32, P < 0.001) was significantly associated with HbA1c among the patients with type 2 DM. Based on ROC analysis (AUC = 0.80, SE = 0.05), RBG ≤7.5 mmol/l was determined as the optimal cut-off value for good glycaemic control (HbA1c <7.0% [53 mmol/mol]) among patients with type 2 DM (sensitivity = 76...

  4. Inhibition of adaptive immune responses leads to a fatal clinical outcome in SIV-infected pigtailed macaques but not vervet African green monkeys.

    Directory of Open Access Journals (Sweden)

    Jörn E Schmitz

    2009-12-01

    Full Text Available African green monkeys (AGM and other natural hosts for simian immunodeficiency virus (SIV do not develop an AIDS-like disease following SIV infection. To evaluate differences in the role of SIV-specific adaptive immune responses between natural and nonnatural hosts, we used SIV(agmVer90 to infect vervet AGM and pigtailed macaques (PTM. This infection results in robust viral replication in both vervet AGM and pigtailed macaques (PTM but only induces AIDS in the latter species. We delayed the development of adaptive immune responses through combined administration of anti-CD8 and anti-CD20 lymphocyte-depleting antibodies during primary infection of PTM (n = 4 and AGM (n = 4, and compared these animals to historical controls infected with the same virus. Lymphocyte depletion resulted in a 1-log increase in primary viremia and a 4-log increase in post-acute viremia in PTM. Three of the four PTM had to be euthanized within 6 weeks of inoculation due to massive CMV reactivation and disease. In contrast, all four lymphocyte-depleted AGM remained healthy. The lymphocyte-depleted AGM showed only a trend toward a prolongation in peak viremia but the groups were indistinguishable during chronic infection. These data show that adaptive immune responses are critical for controlling disease progression in pathogenic SIV infection in PTM. However, the maintenance of a disease-free course of SIV infection in AGM likely depends on a number of mechanisms including non-adaptive immune mechanisms.

  5. 'They can't report abuse, they can't move out. They are at the mercy of these men': exploring connections between intimate partner violence, gender and HIV in South African clinical settings.

    Science.gov (United States)

    Sprague, Courtenay; Hatcher, Abigail M; Woollett, Nataly; Sommers, Theresa; Black, Vivian

    2016-05-01

    This qualitative study captured South African female health provider perspectives of intimate partner violence in female patients, gender norms and consequences for patients' health. Findings indicated female patients' health behaviours were predicated on sociocultural norms of submission to men's authority and economic dependence on their partners. Respondents described how men's preferences and health decision-making in clinics affected their patients' health. Adverse gender norms and gender inequalities affected women's opportunities to be healthy, contributing to HIV risk and undermining effective HIV management in this context. Some providers, seeking to deliver a standard of quality healthcare to their female patients, demonstrated a willingness to challenge patriarchal gender relations. Findings enhance understanding of how socially-sanctioned gender norms, intimate partner violence and HIV are synergistic, also reaffirming the need for integrated HIV-intimate partner violence responses in multi-sector national strategic plans. Health providers' intimate knowledge of the lived experiences of female patients with intimate partner violence and/or HIV deepens understanding of how adverse gender norms generate health risks for women in ways that may inform policy and clinical practice in South Africa and other high-HIV prevalence settings. PMID:26505136

  6. Language Learning and Use by African American Children.

    Science.gov (United States)

    Battle, Dolores E.

    1996-01-01

    This article reviews recent investigations of the development of phonology, morphology, semantics, and pragmatics in the development of speech and language by African American children. Clinical implications are offered to aid the distinction between normal language development using features of African American English and language disorders.…

  7. Low prevalence of liver disease but regional differences in HBV treatment characteristics mark HIV/HBV co-infection in a South African HIV clinical trial.

    Directory of Open Access Journals (Sweden)

    Prudence Ive

    Full Text Available BACKGROUND: Hepatitis B virus (HBV infection is endemic in South Africa however, there is limited data on the degree of liver disease and geographic variation in HIV/HBV coinfected individuals. In this study, we analysed data from the CIPRA-SA 'Safeguard the household study' in order to assess baseline HBV characteristics in HIV/HBV co-infection participants prior to antiretroviral therapy (ART initiation. METHODS: 812 participants from two South African townships Soweto and Masiphumelele were enrolled in a randomized trial of ART (CIPRA-SA. Participants were tested for hepatitis B surface antigen (HBsAg, hepatitis B e antigen (HBeAg, and HBV DNA. FIB-4 scores were calculated at baseline. RESULTS: Forty-eight (5.9% were HBsAg positive, of whom 28 (58.3% were HBeAg positive. Of those with HBV, 29.8% had an HBV DNA<2000 IU/ml and ALT<40 IU/ml ; 83.0% had a FIB-4 score <1.45, consistent with absent or minimal liver disease. HBV prevalence was 8.5% in Masiphumelele compared to 3.8% in Soweto (relative risk 2.3; 95% CI: 1.3-4.0. More participants in Masiphumelele had HBeAg-negative disease (58% vs. 12%, p = 0.002 and HBV DNA levels ≤2000 IU/ml, (43% vs. 6% p<0.007. CONCLUSION: One third of HIV/HBV co-infected subjects had low HBV DNA levels and ALT while the majority had indicators of only mild liver disease. There were substantial regional differences in HBsAg and HbeAg prevalence in HIV/HBV co-infection between two regions in South Africa. This study highlights the absence of severe liver disease and the marked regional differences in HIV/HBV co-infection in South Africa and will inform treatment decisions in these populations.

  8. Three-year changes of prothrombotic factors in a cohort of South Africans with a high clinical suspicion of obstructive sleep apnea.

    Science.gov (United States)

    von Känel, Roland; Malan, Nico T; Hamer, Mark; Lambert, Gavin W; Schlaich, Markus; Reimann, Manja; Malan, Leoné

    2016-01-01

    A hypercoagulable state might be one important mechanism linking obstructive sleep apnea (OSA) with incident myocardial infarction and stroke. However, previous studies on prothrombotic factors in OSA are not uniform and cross-sectional. We longitudinally studied prothrombotic factors in relation to OSA risk, adjusting for baseline levels of prothrombotic factors, demographics, metabolic parameters, aspirin use, and life style factors. The Berlin Questionnaire and/or neck circumference were used to define high OSA risk in 329 South African teachers (48.0% male, 44.6% black) at baseline and at three-year follow-up. Von Willebrand factor (VWF), fibrinogen, D-dimer, plasminogen activator inhibitor-1, clot lysis time (CLT), and soluble urokinase-type plasminogen activator receptor (suPAR) were measured in plasma. At baseline 35.7% of participants had a high risk of OSA. At follow-up, persistently high OSA risk, persistently low OSA risk, OSA risk remission, and new-onset OSA risk were present in 26.1%, 53.2%, 9.4%, and 11.3% of participants, respectively. New-onset OSA risk was associated with a significant and longitudinal increase in VWF, fibrinogen, CLT, and suPAR relative to persistently low OSA risk; in VWF, fibrinogen, and suPAR relative to remitted OSA risk; and in VWF relative to persistently high OSA risk. Persistently high OSA risk was associated with an increase in CLT and suPAR relative to persistently low OSA risk and in D-dimer relative to remitted OSA risk. Remitted OSA risk was associated with D-dimer decrease relative to persistently low OSA risk. In OSA, hypercoagulability is a dynamic process with a most prominent three-year increase in individuals with new-onset OSA risk. PMID:26335891

  9. MRI determination of the vertebral termination of the dural sac tip in a South African population: clinical significance during spinal irradiation and caudal anaesthesia

    Directory of Open Access Journals (Sweden)

    A Cilliers

    2010-08-01

    Full Text Available Abstract Knowing where the dural sac (DS ends is important, especially when placing the portal fields during craniospinal irradiation (CSI and performing caudal anesthesia. The purpose of this investigation was to determine the level of termination of the DS in relation to the spine in a group of South African patients using magnetic resonance imaging (MRI. We retrospectively reviewed the lumbosacral MR Imaging of 309 patients in each case identifying the tip of the DS. This level was recorded in relation to the adjacent vertebral body i.e. upper-, middle- and lower third and adjacent intervertebral disc. The overall mean of the DS position was at the middle third of S2. A notable percentage (13.9% of patients had a DS level lower than the lower third of S2 and (15.2% patients had a DS level higher than the S1-S2 intervertebral disc. This study failed to demonstrate a difference in the DS termination level, compared to the levels reported in various international studies; nor is there a statistical difference between gender, race and age. Our study shows that routine placement of the portal field at the lower border of S2 adequately treats the majority of CSI patients. However some patients (13.9% will be undertreated and some patients (15.2% will be overradiated. Using spinal MRI to establish the lower border of the CSI portal field will however benefit patients by ensuring adequate coverage of the entire neuroaxis as well as minimizing late gonadal toxicity due to overradiation.

  10. Young African American Men Having Sex with Multiple Partners Are More Likely to Use Condoms Incorrectly: A Clinic-Based Study

    OpenAIRE

    Crosby, Richard; DiClemente, Ralph J.; Yarber, William L.; Snow, Gregory; Troutman, Adewale

    2008-01-01

    This study tested the research hypothesis that men’s errors using condoms would be associated with having multiple sex partners. Specifically, men engaging in sex with three or more women were compared to those having sex with two or fewer women. Recruitment (N=271) occurred in a publicly-funded STD clinic located in a metropolitan area of the Southern U.S. All men were clinically diagnosed with a STD. Men completed a self-reported questionnaire (using a three-month recall period). Those repo...

  11. Comprehensive Characterization of Reference Standard Lots of HIV-1 Subtype C Gp120 Proteins for Clinical Trials in Southern African Regions.

    Science.gov (United States)

    Wang, Zihao; Lorin, Clarisse; Koutsoukos, Marguerite; Franco, David; Bayat, Babak; Zhang, Ying; Carfi, Andrea; Barnett, Susan W; Porter, Frederick

    2016-01-01

    Two HIV-1 subtype C gp120 protein candidates were the selected antigens for several experimental vaccine regimens now under evaluation in HVTN 100 Phase I/II clinical trial aiming to support the start of the HVTN 702 Phase IIb/III trial in southern Africa, which is designed to confirm and extend the partial protection seen against HIV-1 infection in the RV144 Thai trial. Here, we report the comprehensive physicochemical characterization of the gp120 reference materials that are representative of the clinical trial materials. Gp120 proteins were stably expressed in Chinese Hamster Ovary (CHO) cells and subsequently purified and formulated. A panel of analytical techniques was used to characterize the physicochemical properties of the two protein molecules. When formulated in the AS01 Adjuvant System, the bivalent subtype C gp120 antigens elicited 1086.C- and TV1.C-specific binding antibody and CD4+ T cell responses in mice. All the characteristics were highly representative of the Clinical Trial Materials (CTM). Data from this report demonstrate the immunogenicity of the gp120 antigens, provide comprehensive characterization of the molecules, set the benchmark for assessment of current and future CTM lots, and lay the physicochemical groundwork for interpretation of future clinical trial data. PMID:27187483

  12. Comprehensive Characterization of Reference Standard Lots of HIV-1 Subtype C Gp120 Proteins for Clinical Trials in Southern African Regions

    Directory of Open Access Journals (Sweden)

    Zihao Wang

    2016-05-01

    Full Text Available Two HIV-1 subtype C gp120 protein candidates were the selected antigens for several experimental vaccine regimens now under evaluation in HVTN 100 Phase I/II clinical trial aiming to support the start of the HVTN 702 Phase IIb/III trial in southern Africa, which is designed to confirm and extend the partial protection seen against HIV-1 infection in the RV144 Thai trial. Here, we report the comprehensive physicochemical characterization of the gp120 reference materials that are representative of the clinical trial materials. Gp120 proteins were stably expressed in Chinese Hamster Ovary (CHO cells and subsequently purified and formulated. A panel of analytical techniques was used to characterize the physicochemical properties of the two protein molecules. When formulated in the AS01 Adjuvant System, the bivalent subtype C gp120 antigens elicited 1086.C- and TV1.C-specific binding antibody and CD4+ T cell responses in mice. All the characteristics were highly representative of the Clinical Trial Materials (CTM. Data from this report demonstrate the immunogenicity of the gp120 antigens, provide comprehensive characterization of the molecules, set the benchmark for assessment of current and future CTM lots, and lay the physicochemical groundwork for interpretation of future clinical trial data.

  13. Clinical epidemiology of bocavirus, rhinovirus, two polyomaviruses and four coronaviruses in HIV-infected and HIV-uninfected South African children

    NARCIS (Netherlands)

    Nunes, Marta C.; Kuschner, Zachary; Rabede, Zelda; Madimabe, Richard; Van Niekerk, Nadia; Moloi, Jackie; Kuwanda, Locadiah; Rossen, John W.; Klugman, Keith P.; Adrian, Peter V.; Madhi, Shabir A.

    2014-01-01

    Background: Advances in molecular diagnostics have implicated newly-discovered respiratory viruses in the pathogenesis of pneumonia. We aimed to determine the prevalence and clinical characteristics of human bocavirus (hBoV), human rhinovirus (hRV), polyomavirus-WU (WUPyV) and -KI (KIPyV) and human

  14. Clinical, legal and ethical implications of the intra-ocular (off-label) use of bevacizumab (avastin)--a South African perspective.

    Science.gov (United States)

    Jansen, Rita-Marié; Gouws, Chris

    2009-06-01

    therefore cannot be considered careless, imprudent or unprofessional. We submit that an ophthalmologist who omits to inform a patient of the availability of Avastin for this form of treatment may be found to be negligent. Protocols developed by the South African Vitreoretinal Society and endorsed by the Ophthalmological Society of South Africa for administering Avastin and other intra-ocular medication intravitreally should be strictly adhered to. PMID:19736847

  15. Design of a trial to evaluate the impact of clinical pharmacists and community health promoters working with African-Americans and Latinos with Diabetes

    Directory of Open Access Journals (Sweden)

    Gerber Ben S

    2012-10-01

    Full Text Available Abstract Background Given the increasing prevalence of diabetes and the lack of patients reaching recommended therapeutic goals, novel models of team-based care are emerging. These teams typically include a combination of physicians, nurses, case managers, pharmacists, and community-based peer health promoters (HPs. Recent evidence supports the role of pharmacists in diabetes management to improve glycemic control, as they offer expertise in medication management with the ability to collaboratively intensify therapy. However, few studies of pharmacy-based models of care have focused on low income, minority populations that are most in need of intervention. Alternatively, HP interventions have focused largely upon low income minority groups, addressing their unique psychosocial and environmental challenges in diabetes self-care. This study will evaluate the impact of HPs as a complement to pharmacist management in a randomized controlled trial. Methods/Design The primary aim of this randomized trial is to evaluate the effectiveness of clinical pharmacists and HPs on diabetes behaviors (including healthy eating, physical activity, and medication adherence, hemoglobin A1c, blood pressure, and LDL-cholesterol levels. A total of 300 minority patients with uncontrolled diabetes from the University of Illinois Medical Center ambulatory network in Chicago will be randomized to either pharmacist management alone, or pharmacist management plus HP support. After one year, the pharmacist-only group will be intensified by the addition of HP support and maintenance will be assessed by phasing out HP support from the pharmacist plus HP group (crossover design. Outcomes will be evaluated at baseline, 6, 12, and 24 months. In addition, program and healthcare utilization data will be incorporated into cost and cost-effectiveness evaluations of pharmacist management with and without HP support. Discussion The study will evaluate an innovative, integrated

  16. Implementation and Operational Research: What Happens After a Negative Test for Tuberculosis? Evaluating Adherence to TB Diagnostic Algorithms in South African Primary Health Clinics

    OpenAIRE

    McCarthy, K. M.; Grant, A. D.; Chihota, V.; Ginindza, S; Mvusi, L.; Churchyard, G.J.; Fielding, K.L.

    2016-01-01

    Introduction and Background: Diagnostic tests for tuberculosis (TB) using sputum have suboptimal sensitivity among HIV-positive persons. We assessed health care worker adherence to TB diagnostic algorithms after negative sputum test results. Methods: The XTEND (Xpert for TB—Evaluating a New Diagnostic) trial compared outcomes among people tested for TB in primary care clinics using Xpert MTB/RIF vs. smear microscopy as the initial test. We analyzed data from XTEND participants who were HIV po...

  17. African Americans,hypertension and the renin angiotensin system

    Institute of Scientific and Technical Information of China (English)

    Sandra; F; Williams; Susanne; B; Nicholas; Nosratola; D; Vaziri; Keith; C; Norris

    2014-01-01

    African Americans have exceptionally high rates of hypertension and hypertension related complications. It is commonly reported that the blood pressure lowering efficacy of renin angiotensin system(RAS) inhibitors is attenuated in African Americans due to a greater likelihood of having a low renin profile. Therefore these agents are often not recommended as initial therapy in African Americans with hypertension. However, the high prevalence of comorbid conditions, such as diabetes, cardiovascular and chronic kidney disease makes treatment with RAS inhibitors more compelling. Despite lower circulating renin levels and a less significant fall in blood pressure in response to RAS inhibitors in African Americans, numerous clinical trials support the efficacy of RAS inhibitors to improve clinical outcomes in this population, especially in those with hypertension and risk factors for cardiovascular and related diseases. Here, we discuss the rationale of RAS blockade as part of a comprehensive approach to attenuate the high rates of premature morbidity and mortality associated with hypertension among African Americans.

  18. African Otter Workshop

    OpenAIRE

    Jan Reed-Smith; Hughes Akpona; Grace Yoxon

    2016-01-01

    All concerned thought this was an excellent workshop with important progress made towards creating a viable beginning of an African Otter Network. There is a long road ahead but the 2015 African Otter Workshop is a start on developing range country partners, activists and researchers as well as collaborating on issue identification and resolution which will assist in preserving at least some refugia for Africa’s otters. A list of actions was agreed on, including the creation of an African Ott...

  19. African and non-African admixture components in African Americans and an African Caribbean population.

    Science.gov (United States)

    Murray, Tanda; Beaty, Terri H; Mathias, Rasika A; Rafaels, Nicholas; Grant, Audrey Virginia; Faruque, Mezbah U; Watson, Harold R; Ruczinski, Ingo; Dunston, Georgia M; Barnes, Kathleen C

    2010-09-01

    Admixture is a potential source of confounding in genetic association studies, so it becomes important to detect and estimate admixture in a sample of unrelated individuals. Populations of African descent in the US and the Caribbean share similar historical backgrounds but the distributions of African admixture may differ. We selected 416 ancestry informative markers (AIMs) to estimate and compare admixture proportions using STRUCTURE in 906 unrelated African Americans (AAs) and 294 Barbadians (ACs) from a study of asthma. This analysis showed AAs on average were 72.5% African, 19.6% European and 8% Asian, while ACs were 77.4% African, 15.9% European, and 6.7% Asian which were significantly different. A principal components analysis based on these AIMs yielded one primary eigenvector that explained 54.04% of the variation and captured a gradient from West African to European admixture. This principal component was highly correlated with African vs. European ancestry as estimated by STRUCTURE (r(2)=0.992, r(2)=0.912, respectively). To investigate other African contributions to African American and Barbadian admixture, we performed PCA on approximately 14,000 (14k) genome-wide SNPs in AAs, ACs, Yorubans, Luhya and Maasai African groups, and estimated genetic distances (F(ST)). We found AAs and ACs were closest genetically (F(ST)=0.008), and both were closer to the Yorubans than the other East African populations. In our sample of individuals of African descent, approximately 400 well-defined AIMs were just as good for detecting substructure as approximately 14,000 random SNPs drawn from a genome-wide panel of markers. PMID:20717976

  20. Proteomic-coupled-network analysis of T877A-androgen receptor interactomes can predict clinical prostate cancer outcomes between White (non-Hispanic and African-American groups.

    Directory of Open Access Journals (Sweden)

    Naif Zaman

    Full Text Available The androgen receptor (AR remains an important contributor to the neoplastic evolution of prostate cancer (CaP. CaP progression is linked to several somatic AR mutational changes that endow upon the AR dramatic gain-of-function properties. One of the most common somatic mutations identified is Thr877-to-Ala (T877A, located in the ligand-binding domain, that results in a receptor capable of promiscuous binding and activation by a variety of steroid hormones and ligands including estrogens, progestins, glucocorticoids, and several anti-androgens. In an attempt to further define somatic mutated AR gain-of-function properties, as a consequence of its promiscuous ligand binding, we undertook a proteomic/network analysis approach to characterize the protein interactome of the mutant T877A-AR in LNCaP cells under eight different ligand-specific treatments (dihydrotestosterone, mibolerone, R1881, testosterone, estradiol, progesterone, dexamethasone, and cyproterone acetate. In extending the analysis of our multi-ligand complexes of the mutant T877A-AR we observed significant enrichment of specific complexes between normal and primary prostatic tumors, which were furthermore correlated with known clinical outcomes. Further analysis of certain mutant T877A-AR complexes showed specific population preferences distinguishing primary prostatic disease between white (non-Hispanic vs. African-American males. Moreover, these cancer-related AR-protein complexes demonstrated predictive survival outcomes specific to CaP, and not for breast, lung, lymphoma or medulloblastoma cancers. Our study, by coupling data generated by our proteomics to network analysis of clinical samples, has helped to define real and novel biological pathways in complicated gain-of-function AR complex systems.

  1. Identification of trans-sialidases as a common mediator of endothelial cell activation by African trypanosomes.

    Directory of Open Access Journals (Sweden)

    Zeinab Ammar

    Full Text Available Understanding African Trypanosomiasis (AT host-pathogen interaction is the key to an "anti-disease vaccine", a novel strategy to control AT. Here we provide a better insight into this poorly described interaction by characterizing the activation of a panel of endothelial cells by bloodstream forms of four African trypanosome species, known to interact with host endothelium. T. congolense, T. vivax, and T. b. gambiense activated the endothelial NF-κB pathway, but interestingly, not T. b. brucei. The parasitic TS (trans-sialidases mediated this NF-κB activation, remarkably via their lectin-like domain and induced production of pro-inflammatory molecules not only in vitro but also in vivo, suggesting a considerable impact on pathogenesis. For the first time, TS activity was identified in T. b. gambiense BSF which distinguishes it from the subspecies T. b. brucei. The corresponding TS were characterized and shown to activate endothelial cells, suggesting that TS represent a common mediator of endothelium activation among trypanosome species with divergent physiopathologies.

  2. Keeping African Masks Real

    Science.gov (United States)

    Waddington, Susan

    2012-01-01

    Art is a good place to learn about our multicultural planet, and African masks are prized throughout the world as powerfully expressive artistic images. Unfortunately, multicultural education, especially for young children, can perpetuate stereotypes. Masks taken out of context lose their meaning and the term "African masks" suggests that there is…

  3. Empowering African States

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    China helps bring lasting peace and stability to Africa African think tanks expressed a high opinion of China’s role in helping build African peace and security at the first meeting of the China-Africa Think Tanks Forum. The

  4. African Literature as Celebration.

    Science.gov (United States)

    Achebe, Chinua

    1989-01-01

    Describes the Igbo tradition of "Mbari," a communal creative enterprise that celebrates the world and the life lived in it through art. Contrasts the cooperative, social dimension of pre-colonial African culture with the exclusion and denial of European colonialism, and sees new African literature again celebrating human presence and dignity. (AF)

  5. Laboratory-based clinical audit as a tool for continual improvement: an example from CSF chemistry turnaround time audit in a South-African teaching hospital

    Science.gov (United States)

    Imoh, Lucius C; Mutale, Mubanga; Parker, Christopher T; Erasmus, Rajiv T; Zemlin, Annalise E

    2016-01-01

    Introduction Timeliness of laboratory results is crucial to patient care and outcome. Monitoring turnaround times (TAT), especially for emergency tests, is important to measure the effectiveness and efficiency of laboratory services. Laboratory-based clinical audits reveal opportunities for improving quality. Our aim was to identify the most critical steps causing a high TAT for cerebrospinal fluid (CSF) chemistry analysis in our laboratory. Materials and methods A 6-month retrospective audit was performed. The duration of each operational phase across the laboratory work flow was examined. A process-mapping audit trail of 60 randomly selected requests with a high TAT was conducted and reasons for high TAT were tested for significance. Results A total of 1505 CSF chemistry requests were analysed. Transport of samples to the laboratory was primarily responsible for the high average TAT (median TAT = 170 minutes). Labelling accounted for most delays within the laboratory (median TAT = 71 minutes) with most delays occurring after regular work hours (P < 0.05). CSF chemistry requests without the appropriate number of CSF sample tubes were significantly associated with delays in movement of samples from the labelling area to the technologist’s work station (caused by a preference for microbiological testing prior to CSF chemistry). Conclusion A laboratory-based clinical audit identified sample transportation, work shift periods and use of inappropriate CSF sample tubes as drivers of high TAT for CSF chemistry in our laboratory. The results of this audit will be used to change pre-analytical practices in our laboratory with the aim of improving TAT and customer satisfaction. PMID:27346964

  6. Clinical epidemiology of bocavirus, rhinovirus, two polyomaviruses and four coronaviruses in HIV-infected and HIV-uninfected South African children.

    Directory of Open Access Journals (Sweden)

    Marta C Nunes

    Full Text Available BACKGROUND: Advances in molecular diagnostics have implicated newly-discovered respiratory viruses in the pathogenesis of pneumonia. We aimed to determine the prevalence and clinical characteristics of human bocavirus (hBoV, human rhinovirus (hRV, polyomavirus-WU (WUPyV and -KI (KIPyV and human coronaviruses (CoV-OC43, -NL63, -HKU1 and -229E among children hospitalized with lower respiratory tract infections (LRTI. METHODS: Multiplex real-time reverse-transcriptase polymerase chain reaction was undertaken on archived nasopharyngeal aspirates from HIV-infected and -uninfected children (<2 years age hospitalized for LRTI, who had been previously investigated for respiratory syncytial virus, human metapneumovirus, parainfluenza I-III, adenovirus and influenza A/B. RESULTS: At least one of these viruses were identified in 274 (53.0% of 517 and in 509 (54.0% of 943 LRTI-episodes in HIV-infected and -uninfected children, respectively. Human rhinovirus was the most prevalent in HIV-infected (31.7% and -uninfected children (32.0%, followed by CoV-OC43 (12.2% and hBoV (9.5% in HIV-infected; and by hBoV (13.3% and WUPyV (11.9% in HIV-uninfected children. Polyomavirus-KI (8.9% vs. 4.8%; p = 0.002 and CoV-OC43 (12.2% vs. 3.6%; p<0.001 were more prevalent in HIV-infected than -uninfected children. Combined with previously-tested viruses, respiratory viruses were identified in 60.9% of HIV-infected and 78.3% of HIV-uninfected children. The newly tested viruses were detected at high frequency in association with other respiratory viruses, including previously-investigated viruses (22.8% in HIV-infected and 28.5% in HIV-uninfected children. CONCLUSIONS: We established that combined with previously-investigated viruses, at least one respiratory virus was identified in the majority of HIV-infected and HIV-uninfected children hospitalized for LRTI. The high frequency of viral co-infections illustrates the complexities in attributing causality to specific viruses

  7. African Peacekeepers in Africa

    DEFF Research Database (Denmark)

    Emmanuel, Nikolas G.

    2015-01-01

    peacekeeping operations in the region. It is important to add that the international community has frequently tried to facilitate the deployment of African armed forces with aid and training. From this reality, the following study goes beyond the current literature by focusing on the international factors...... behind African participation in United Nations (UN) peacekeeping operations in Africa. In doing so, this research focuses on US military aid and foreign troop training from 2002 to 2012, and its impact on African deployments into UN peacekeeping missions in Africa. As can be expected, such third...

  8. Reading the African context

    OpenAIRE

    Musonda Bwalya

    2012-01-01

    There is so much alienation, pain and suffering in our today�s world. In this vein, African Christianity, a voice amongst many voices, should seek to be a transformational religion for the whole of life, affecting all facets of human life towards a fuller life of all in Africa. This article sought to highlight and point to some of the major societal challenges in the African context which African Christianity, as a life-affirming religion, should continue to embrace, re-embrace and engag...

  9. Capitalism and African business cultures

    OpenAIRE

    Taylor, Scott D.

    2014-01-01

    Scholars and practitioners once commonly linked 'African culture' to a distinctive 'African capitalism', at odds with genuine capitalism and the demands of modern business. Yet contemporary African business cultures reveal that a capitalist ethos has taken hold within both state and society. The success and visibility of an emergent, and celebrated, class of African big business reveals that business and profit are culturally acceptable. Existing theories of African capitalism are ill-equippe...

  10. Knowledge of causes, clinical features and diagnosis of common zoonoses among medical practitioners in Tanzania

    Directory of Open Access Journals (Sweden)

    Mfinanga Godfrey S

    2008-12-01

    Full Text Available Abstract Background Many factors have been mentioned as contributing to under-diagnosis and under-reporting of zoonotic diseases particularly in the sub-Sahara African region. These include poor disease surveillance coverage, poor diagnostic capacity, the geographical distribution of those most affected and lack of clear strategies to address the plight of zoonotic diseases. The current study investigates the knowledge of medical practitioners of zoonotic diseases as a potential contributing factor to their under-diagnosis and hence under-reporting. Methods The study was designed as a cross-sectional survey. Semi-structured open-ended questionnaire was administered to medical practitioners to establish the knowledge of anthrax, rabies, brucellosis, trypanosomiasis, echinococcosis and bovine tuberculosis in selected health facilities within urban and rural settings in Tanzania between April and May 2005. Frequency data were analyzed using likelihood ratio chi-square in Minitab version 14 to compare practitioners' knowledge of transmission, clinical features and diagnosis of the zoonoses in the two settings. For each analysis, likelihood ratio chi-square p-value of less than 0.05 was considered to be significant. Fisher's exact test was used where expected results were less than five. Results Medical practitioners in rural health facilities had poor knowledge of transmission of sleeping sickness and clinical features of anthrax and rabies in humans compared to their urban counterparts. In both areas the practitioners had poor knowledge of how echinococcosis is transmitted to humans, clinical features of echinococcosis in humans, and diagnosis of bovine tuberculosis in humans. Conclusion Knowledge of medical practitioners of zoonotic diseases could be a contributing factor to their under-diagnosis and under-reporting in Tanzania. Refresher courses on zoonotic diseases should be conducted particularly to practitioners in rural areas. More emphasis

  11. Challenges of diagnosing acute HIV-1 subtype C infection in African women: performance of a clinical algorithm and the need for point-of-care nucleic-acid based testing.

    Directory of Open Access Journals (Sweden)

    Koleka Mlisana

    Full Text Available BACKGROUND: Prompt diagnosis of acute HIV infection (AHI benefits the individual and provides opportunities for public health intervention. The aim of this study was to describe most common signs and symptoms of AHI, correlate these with early disease progression and develop a clinical algorithm to identify acute HIV cases in resource limited setting. METHODS: 245 South African women at high-risk of HIV-1 were assessed for AHI and received monthly HIV-1 antibody and RNA testing. Signs and symptoms at first HIV-positive visit were compared to HIV-negative visits. Logistic regression identified clinical predictors of AHI. A model-based score was assigned to each predictor to create a risk score for every woman. RESULTS: Twenty-eight women seroconverted after a total of 390 person-years of follow-up with an HIV incidence of 7.2/100 person-years (95%CI 4.5-9.8. Fifty-seven percent reported ≥1 sign or symptom at the AHI visit. Factors predictive of AHI included age <25 years (OR = 3.2; 1.4-7.1, rash (OR = 6.1; 2.4-15.4, sore throat (OR = 2.7; 1.0-7.6, weight loss (OR = 4.4; 1.5-13.4, genital ulcers (OR = 8.0; 1.6-39.5 and vaginal discharge (OR = 5.4; 1.6-18.4. A risk score of 2 correctly predicted AHI in 50.0% of cases. The number of signs and symptoms correlated with higher HIV-1 RNA at diagnosis (r = 0.63; p<0.001. CONCLUSIONS: Accurate recognition of signs and symptoms of AHI is critical for early diagnosis of HIV infection. Our algorithm may assist in risk-stratifying individuals for AHI, especially in resource-limited settings where there is no routine testing for AHI. Independent validation of the algorithm on another cohort is needed to assess its utility further. Point-of-care antigen or viral load technology is required, however, to detect asymptomatic, antibody negative cases enabling early interventions and prevention of transmission.

  12. Clinical Legal Education Models: Recommended Assessment Regimes

    OpenAIRE

    Riette (MA) du Plessis

    2015-01-01

    Clinical legal education (CLE) forms part of the LLB curriculum at most South African Universities. There are many similarities in the approach to CLE, but often also many differences. The clinical models of four South African university law clinics are reviewed in an effort to find suitable models. It is indicated that formulating a mission for the law clinic will have a direct impact on the clinical model chosen. The integration of CLE courses into the core curriculum of the law school will...

  13. Disease: H00357 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available H00357 African trypanosomiasis; Sleeping sickness African trypanosomiasis is a parasitic conditi ... rucei [GN:tbr] Vector: Glossina pallidipes (tsetse fly ) ICD-10: B56 MeSH: D014353 MedlinePlus: 001362 ...

  14. An iron-superoxide dismutase antigen-based serological screening of dogs indicates their potential role in the transmission of cutaneous leishmaniasis and trypanosomiasis in Yucatan, Mexico.

    Science.gov (United States)

    Longoni, Silvia S; Marín, Clotilde; Sauri-Arceo, Carlos H; López-Cespedes, Angeles; Rodríguez-Vivas, Roger I; Villegas, Noelia; Escobedo-Ortegón, Javier; Barrera-Pérez, Mario A; Bolio-Gonzalez, Manuel E; Sánchez-Moreno, Manuel

    2011-07-01

    An increasing number of studies have reported high infection rates for American cutaneous leishmaniasis in dogs, which have thus been proposed as the reservoir host. Canine leishmaniasis is widespread in different states in Mexico, where a number of Leishmania species have been isolated from dogs. In the present study, the detection of different Leishmania species is described in stray dogs from two localities, namely Tulum and Celestún on the Yucatan Peninsula (Mexico). The use of iron-superoxide dismutase excreted by the parasites as the antigen fraction and enzyme-linked immunosorbent assay and western blot tests allowed us to confirm the presence of at least three species of Leishmania (Le. mexicana, Le. braziliensis, and Le. panamensis), some of which are reported for the first time in this species. In addition to a high prevalence of Le. mexicana and Le. braziliensis, and to a lesser degree, Le. panamensis, there is a significant prevalence of Trypanosoma cruzi, suggesting that the dog may be a source of transmission of trypanosomiasis. However, a more thorough epidemiological study on the dog population, both wild as well as urban, of the Yucatan Peninsula will be required to design a control strategy for these diseases, paying particular attention to the population affected and even broadening the study to other Mexican states as well as neighboring countries. These results again confirm that iron-superoxide dismutase excreted by the different trypanosomatid species constitutes a good source of antigen for serodiagnosis in epidemiological studies. PMID:21323424

  15. South African AIDS plan criticised.

    Science.gov (United States)

    Sidley, P

    1998-10-17

    In a television broadcast, Deputy President Mbeki of South Africa announced a campaign against HIV/AIDS that would involve coordination between various government departments and nongovernmental organizations. Mbeki, who is associated with Virodene (a drug treatment for AIDS that is considered a scam), replaced President Mandela at the last minute in the broadcast. Two days after the broadcast, the government refused to support treatment of pregnant women infected with HIV with zidovudine to prevent transmission of the virus to the baby. The treatment is considered cost-effective by AIDS workers and public health officials. According to Mark Heywood of the AIDS law project at Witwatersrand University, 16% of pregnant women attending antenatal clinics were HIV-positive in 1997; this means that about 3 million South Africans (8% of the population) were living with HIV. Heywood said that the government believes there are 1500 new cases daily. By the end of 1998, 3.5 million South Africans will be living with HIV. Although the government is asking other sectors to join in the campaign, what the government is doing is unclear. Mother-to-child transmission of HIV is second only to transmission of the virus through heterosexual sex in South Africa. PMID:9841037

  16. An African-American family with dystonia.

    Science.gov (United States)

    Puschmann, Andreas; Xiao, Jianfeng; Bastian, Robert W; Searcy, Jill A; LeDoux, Mark S; Wszolek, Zbigniew K

    2011-08-01

    The genetic cause of late-onset focal and segmental dystonia remains unknown in most individuals. Recently, mutations in Thanatos-associated protein domain containing, apoptosis associated protein 1 (THAP1) have been described in DYT6 dystonia and associated with some cases of familial and sporadic late-onset dystonia in Caucasians. We are not aware of any previous descriptions of familial dystonia in African-Americans or reports of THAP1 mutations in African-Americans. Herein, we characterize an African-American (AA) kindred with late-onset primary dystonia, clinically and genetically. The clinical phenotype included cervical, laryngeal and hand-forearm dystonia. Symptoms were severe and disabling for several family members, whereas others only displayed mild signs. There were no accompanying motor or cognitive signs. In this kindred, age of onset ranged from 45 to 50 years and onset was frequently sudden, with symptoms developing within weeks or months. DYT1 was excluded as the cause of dystonia in this kindred. The entire genomic region of THAP1, including non-coding regions, was sequenced. We identified 13 sequence variants in THAP1, although none co-segregated with dystonia. A novel THAP1 variant (c.-237-3G>T/A) was found in 3/84 AA dystonia patient alleles and 3/212 AA control alleles, but not in 5870 Caucasian alleles. In summary, although previously unreported, familial primary dystonia does occur in African-Americans. Genetic analysis of the entire genomic region of THAP1 revealed a novel variant that was specific for African-Americans. Therefore, genetic testing for dystonia and future studies of candidate genes must take genetic background into consideration. PMID:21601506

  17. Characterizing the admixed African ancestry of African Americans

    OpenAIRE

    Zakharia, Fouad; Basu, Analabha; Absher, Devin; Assimes, Themistocles L.; Go, Alan S.; Hlatky, Mark A.; Iribarren, Carlos; Knowles, Joshua W.; Li, Jun; Narasimhan, Balasubramanian; Sidney, Steven; Southwick, Audrey; Myers, Richard M.; Quertermous, Thomas; Risch, Neil

    2009-01-01

    Abstract Background Accurate, high-throughput genotyping allows the fine characterization of genetic ancestry. Here we applied recently developed statistical and computational techniques to the question of African ancestry in African Americans by using data on more than 450,000 single-nucleotide polymorphisms (SNPs) genotyped in 94 Africans of diverse geographic origins included in the...

  18. African-Americans and Alzheimer's

    Science.gov (United States)

    ... Share Plus on Google Plus African-Americans and Alzheimer's alz.org | IHaveAlz Introduction 10 Warning Signs Brain ... African-Americans are at a higher risk for Alzheimer's disease. Many Americans dismiss the warning signs of ...

  19. African Cultural Astronomy

    CERN Document Server

    Holbrook, Jarita C; Medupe, R. Thebe; Current Archaeoastronomy and Ethnoastronomy research in Africa

    2008-01-01

    Astronomy is the science of studying the sky using telescopes and light collectors such as photographic plates or CCD detectors. However, people have always studied the sky and continue to study the sky without the aid of instruments this is the realm of cultural astronomy. This is the first scholarly collection of articles focused on the cultural astronomy of Africans. It weaves together astronomy, anthropology, and Africa. The volume includes African myths and legends about the sky, alignments to celestial bodies found at archaeological sites and at places of worship, rock art with celestial imagery, and scientific thinking revealed in local astronomy traditions including ethnomathematics and the creation of calendars. Authors include astronomers Kim Malville, Johnson Urama, and Thebe Medupe; archaeologist Felix Chami, and geographer Michael Bonine, and many new authors. As an emerging subfield of cultural astronomy, African cultural astronomy researchers are focused on training students specifically for do...

  20. Stakeholder Perspectives on Barriers for Healthy Living for Low-Income African American Families

    OpenAIRE

    Jones, Veronnie Faye; Rowland, Michael L.; Young, Linda; Atwood, Katherine; Thompson, Kirsten; Sterrett, Emma; Honaker, Sarah Morsbach; Joel E. Williams; Johnson, Knowlton; Davis, Deborah Winders

    2014-01-01

    Background: Childhood obesity is a growing problem for children in the United States, especially for children from low-income, African American families. Objective: The purpose of this qualitative study was to understand facilitators and barriers to engaging in healthy lifestyles faced by low-income African American children and their families. Methods: This qualitative study used semi-structured focus group interviews with eight African American children clinically identified as overwe...

  1. Isolation and identification of African horsesickness virus from naturally infected dogs in Upper Egypt.

    OpenAIRE

    Salama, S.A.; Dardiri, A. H.; Awad, F. I.; A. M. Soliman; M.M Amin

    1981-01-01

    African horsesickness virus was isolated from blood samples of street dogs in Aswan Province in Arab Republic of Egypt. Of six isolated "dog strain" African horsesickness viruses, three viruses designated D2, D6 and D10 have been identified as type 9 African horsesickness virus. Methods of isolation, tissue culture adaptation, serological indentification and typing are described. Horses experimentally infected with dog viruses showed febrile reaction and characteristic clinical and pathologic...

  2. Enhancing the African bioethics initiative

    Directory of Open Access Journals (Sweden)

    Ogundiran Temidayo O

    2004-10-01

    Full Text Available Abstract Background Medical ethics has existed since the time of Hippocrates. However, formal training in bioethics did not become established until a few decades ago. Bioethics has gained a strong foothold in health sciences in the developed world, especially in Europe and North America. The situation is quite different in many developing countries. In most African countries, bioethics – as established and practiced today in the west- is either non-existent or is rudimentary. Discussion Though bioethics has come of age in the developed and some developing countries, it is still largely "foreign" to most African countries. In some parts of Africa, some bioethics conferences have been held in the past decade to create research ethics awareness and ensure conformity to international guidelines for research with human participants. This idea has arisen in recognition of the genuine need to develop capacity for reviewing the ethics of research in Africa. It is also a condition required by external sponsors of collaborative research in Africa. The awareness and interest that these conferences have aroused need to be further strengthened and extended beyond research ethics to clinical practice. By and large, bioethics education in schools that train doctors and other health care providers is the hook that anchors both research ethics and clinical ethics. Summary This communication reviews the current situation of bioethics in Africa as it applies to research ethics workshops and proposes that in spite of the present efforts to integrate ethics into biomedical research in Africa, much still needs to be done to accomplish this. A more comprehensive approach to bioethics with an all-inclusive benefit is to incorporate formal ethics education into health training institutions in Africa.

  3. African names for American plants

    NARCIS (Netherlands)

    Andel, van T.R.

    2015-01-01

    African slaves brought plant knowledge to the New World, sometimes applying it to related plants they found there and sometimes bringing Old World plants with them. By tracing the linguistic parallels between names for plants in African languages and in communities descended from African slaves, pie

  4. The Struggles over African Languages

    Science.gov (United States)

    Maseko, Pam; Vale, Peter

    2016-01-01

    In this interview, African Language expert Pam Maseko speaks of her own background and her first encounter with culture outside of her mother tongue, isiXhosa. A statistical breakdown of South African languages is provided as background. She discusses Western (originally missionary) codification of African languages and suggests that this approach…

  5. African agricultural trade

    DEFF Research Database (Denmark)

    Jensen, Hans Grinsted; Sandrey, Ron

    2015-01-01

    This article starts with a profile of African agricultural trade. Using the pre-release version 9.2 of the GTAP database, we then show that the results for tariff elimination on intra-African trade are promising, but these tariff barriers are not as significant as the various trade-related barriers...... elimination, non-tariff barrier reductions and time in transit cost reductions are likely to be cumulative and would generate very large gains to Africa. The policy implications are clear: while cooperation will enhance the gains, much of the benefits will result from unilateral actions and regional...

  6. Gene fusion analysis in the battle against the African endemic sleeping sickness.

    Directory of Open Access Journals (Sweden)

    Philip Trimpalis

    Full Text Available The protozoan Trypanosoma brucei causes African Trypanosomiasis or sleeping sickness in humans, which can be lethal if untreated. Most available pharmacological treatments for the disease have severe side-effects. The purpose of this analysis was to detect novel protein-protein interactions (PPIs, vital for the parasite, which could lead to the development of drugs against this disease to block the specific interactions. In this work, the Domain Fusion Analysis (Rosetta Stone method was used to identify novel PPIs, by comparing T. brucei to 19 organisms covering all major lineages of the tree of life. Overall, 49 possible protein-protein interactions were detected, and classified based on (a statistical significance (BLAST e-value, domain length etc., (b their involvement in crucial metabolic pathways, and (c their evolutionary history, particularly focusing on whether a protein pair is split in T. brucei and fused in the human host. We also evaluated fusion events including hypothetical proteins, and suggest a possible molecular function or involvement in a certain biological process. This work has produced valuable results which could be further studied through structural biology or other experimental approaches so as to validate the protein-protein interactions proposed here. The evolutionary analysis of the proteins involved showed that, gene fusion or gene fission events can happen in all organisms, while some protein domains are more prone to fusion and fission events and present complex evolutionary patterns.

  7. Deepening African Ties

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Chinese President Hu Jintao has just embarked on his state visits to eight African countries that will take him to both the northern and southern tips of the continent. This is his first trip abroad this year, and also his third visit to Africa

  8. East African institutions

    DEFF Research Database (Denmark)

    Nordby, Johannes Riber; Jacobsen, Katja

    For the past decade security in East Africa has gained focus internationally. However there is a growing ambition among African states to handle such issues by themselves, sometimes through regional institutions. This has been supported by many Western states but potential risks are often forgotten....

  9. African Women Writing Resistance

    Institute of Scientific and Technical Information of China (English)

    Jennifer Browdy de Hernandez; Pauline Dongala; Omotayo; Jolaosho; Anne Serafin

    2011-01-01

    AFRICAN Women Writing Resistance is the first transnational anthology to focus on women's strategies of resistance to the challenges they face in Africa today.The anthology brings together personal narratives,testimony,interviews,short stories,poetry,performance scripts,folktales and lyrics.

  10. African Women Writing Resistance

    Institute of Scientific and Technical Information of China (English)

    Jennifer; Browdy; de; Hernandez; Pauline; Dongala; Omotayo; Jolaosho; Anne; Serafin

    2011-01-01

    An Anthology of Contemporary Voices AFRICAN Women Writing Resistance is the first transnational anthology to focus on women’s strategies of resistance to the challenges they face in Africa today.The anthology brings together personal narratives,testimony,interviews, short stories,po-

  11. West African Antislavery Movements

    DEFF Research Database (Denmark)

    Hahonou, Eric Komlavi; Pelckmans, Lotte

    2011-01-01

    In the context of liberalization of West African political regimes, the upsurge of audacious political entrepreneurs who want to end chattel slavery in their nation-state, resulted in the legal criminalisation of slavery in both Mauritania (2007) and Niger (2003) and in a proposal to revise the...... cultures (or ‘mentalities’) go hand in hand....

  12. Immunizations and African Americans

    Science.gov (United States)

    ... Program Grants Other Grants Planning and Evaluation Grantee Best Practices Black/African American Asthma Cancer Chronic Liver Disease ... 13 to 17 years who ever received the human papillomavirus (HPV) vaccination, 2014 - Males # doses ... 240-453-2882 Office of Minority Health Resource Center Toll Free: 1-800-444-6472 / Fax: ...

  13. The African Union

    DEFF Research Database (Denmark)

    Mandrup, Thomas; Mandrup, Bjørn

    2009-01-01

    . Moreover, the ‘African Security Architecture’, of which it is the central component, also includes sub-regional organisations to which responsibility is to be devolved for dealing with armed confl ict and other matters. These so-called Regional Economic Communities (RECs) are, likewise, constantly changing...

  14. African tick bite fever

    DEFF Research Database (Denmark)

    Johansen, Jakob Aaquist; Thybo, Søren

    2011-01-01

    The incident of spotted fever imported to Denmark is unknown. We present a classic case of African Tick Bite Fever (ATBF) to highlight a disease, which frequently infects wildlife enthusiasts and hunters on vacation in South Africa. ATBF has a good prognosis and is easily treated with doxycyclin...

  15. Female genital mutilation in African and African American women's literature

    Directory of Open Access Journals (Sweden)

    Darja Marinšek

    2007-12-01

    Full Text Available The article builds on the existing dispute between African and African American women writers on the competence of writing about female genital mutilation (FGM, and tries to determine the existence and nature of the differences between the writings of these two groups. The author uses comparative analysis of two popular African and African American novels, comparing their ways of describing FGM, its causes and consequences, the level ob objectivity and the style of the narrations.This is followed by a discussion on the reasons for such differences, incorporating a larger circle of both African and African American women authors, at the same time analysing the deviance within the two groups. While the differences between African American writers are not that great, as they mostly fail to present the issue from different points of view, which is often the result of their lack of direct knowledge of the topic, African authors' writing is in itself discovered to be ambivalent and not at all invariable. The reasons for such ambivalence are then discussed in greater context, focusing on the effect of the authors' personal contact with circumcision as well as their knowledge and acceptance of Western values. The author concludes by establishing the African ambivalent attitude towards FGM, which includes different aspects of the issue, as the most significant difference between their and African American writers' description of this practice.

  16. Experiences of undergraduate African health sciences students: A hermeneutic inquiry.

    Science.gov (United States)

    Inyama, Davis; Williams, Allison; McCauley, Kay

    2015-06-01

    While efforts have been made to understand the experiences of African students in predominantly white environments, the experiences of African students in clinical placement areas have rarely been explored. This paper is a report on a study designed to address the gap in educational research on the experiences of African health sciences students in clinical placements in predominantly white environments. Interviews adopting an open approach to conversations were conducted with nine African students from three health disciplines at one metropolitan university in Australia between 2012 and 2013. Interview transcripts were analyzed using philosophical hermeneutics, where shared meanings were arrived at by employing key Gadamerian hermeneutic components. Findings revealed a number of factors that had a direct effect on the meaning students derived from their clinical placement experiences. These, as revealed in the interlinked domains of body, space, relationships, and time included difference, acceptance, resilience, and cultural sensitivity. Insights from this study may lead to the adoption of strategies designed to improve the experiences of African students studying health sciences in predominantly white environments. PMID:24942056

  17. One Health: past successes and future challenges in three African contexts.

    Directory of Open Access Journals (Sweden)

    Anna L Okello

    2014-05-01

    Full Text Available The recent emergence of zoonotic diseases such as Highly Pathogenic Avian Influenza (HPAI and Severe Acute Respiratory Syndrome (SARS have contributed to dominant Global Health narratives around health securitisation and pandemic preparedness, calling for greater co-operation between the health, veterinary and environmental sectors in the ever-evolving One Health movement. A decade later, One Health advocates face increasing pressure to translate the approach from theory into action.A qualitative case study methodology was used to examine the emerging relationships between international One Health dialogue and its practical implementation in the African health policy context. A series of Key Informant Interviews (n = 32 with policy makers, government officials and academics in Nigeria, Tanzania and Uganda are presented as three separate case studies. Each case examines a significant aspect of One Health operationalisation, framed around the control of both emerging and Neglected Zoonotic Diseases including HPAI, Human African Trypanosomiasis and rabies. The research found that while there is general enthusiasm and a strong affirmative argument for adoption of One Health approaches in Africa, identifying alternative contexts away from a narrow focus on pandemics will help broaden its appeal, particularly for national or regionally significant endemic and neglected diseases not usually addressed under a "global" remit.There is no 'one size fits all' approach to achieving the intersectoral collaboration, significant resource mobilisation and political co-operation required to realise a One Health approach. Individual country requirements cannot be underestimated, dismissed or prescribed in a top down manner. This article contributes to the growing discussion regarding not whether One Health should be operationalised, but how this may be achieved.

  18. Leadership in the African context

    Directory of Open Access Journals (Sweden)

    M. Masango

    2002-08-01

    Full Text Available The Western world has always viewed the African continent as plagued by corruption; dictatorship; military coups; rebellious leaders; greediness; misuse of power; and incompetent, politically unstable leaders - in effect, suspicious leaders who undermine their own democracies. This paper analyzes African leadership and its impact by concentrating on three historical eras, namely; the African Religious era; the Christian era, and the era of Globalization. These affected African leadership. In addition, many brilliant minds left the continent in search of greener pastures. A review of these three eras will help us understand how leadership shifted from African values into Western concepts. The role of missionaries lead African people to live with both an African and a Western concept of life. In spite of the above problems, our past leaders did their best in addressing the difficulties they faced during the three eras. African concepts of leadership were often regarded as barbaric and uncultured. Structures were evaluated by Western standards. Due to globalisation, African leaders, through programmes like NEPAD, are going back to basics, drawing on African concepts of unity among its leadership. Effectiveness or life-giving leadership is emerging and empowering villagers/communities in the continent. This type of leadership is innovative and has brought new hope for the continent.

  19. The genetic structure and history of Africans and African Americans

    OpenAIRE

    Tishkoff, Sarah A; Reed, Floyd A; Friedlaender, Françoise R; Ehret, Christopher; Ranciaro, Alessia; Froment, Alain; Hirbo, Jibril B.; Awomoyi, Agnes A; Bodo, Jean-Marie; Doumbo, Ogobara; Ibrahim, Muntaser; Juma, Abdalla T; Kotze, Maritha J.; Lema, Godfrey; Moore, Jason H.

    2009-01-01

    Africa is the source of all modern humans, but characterization of genetic variation and of relationships among populations across the continent has been enigmatic. We studied 121 African populations, four African American populations, and 60 non-African populations for patterns of variation at 1327 nuclear microsatellite and insertion/deletion markers. We identified 14 ancestral population clusters in Africa that correlate with self-described ethnicity and shared cultural and/or linguistic p...

  20. Steps to African Development

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    The development of Africa is vital to the world’s sustainable development.However,African countries still face key challenges in achieving the meaningful expansion of their economies.At the High-Level Symposium on China-Africa Investment Cooperation in Xiamen,southeast China’s Fujian Province,held from September 8 to 10,Chen Deming,Minister of Commerce of China,elaborates on these challenges and sees

  1. Biofuels: The African experience

    Energy Technology Data Exchange (ETDEWEB)

    Carrillo, L.A.; Nkolo, M. [German Agency for Technical Cooperation GTZ, Delegation Regionale des Eaux et Forets, Bertoua (Cameroon)

    2009-07-01

    In July 2006, the African Non-Petroleum Producers Association was formed in Senegal, Africa to develop alternative energy sources. It involved 13 of Africa's poorest nations, who joined forces to become global suppliers of biofuels, and some have set mandatory mixing of ethanol into gasoline. Although several biofuel production projects have been launched in western Africa, many of the new projects and plantations have not yet reached maturity due to the time lag between plantation and full-scale production, which is about 6 years. Major projects that could be producing significant quantities of biofuels in the next few years are not yet reflected in production statistics. Although ethanol is not yet being produced in large quantities in Africa, short-term opportunities exist. Countries in the South African Development Community are using molasses from the sugar can industry to produce ethanol. Biodiesel is also not currently produced on a significant scale in western Africa, but several other countries are gaining experience with cotton and palm oil resources, and Jatropha. Biomass residue also represents a large potential for all African countries involved in timber production. Unlike biodiesel production, land use conflicts are not an issue with biomass residue production.

  2. Diversity among African pygmies.

    Directory of Open Access Journals (Sweden)

    Fernando V Ramírez Rozzi

    Full Text Available Although dissimilarities in cranial and post-cranial morphology among African pygmies groups have been recognized, comparative studies on skull morphology usually pull all pygmies together assuming that morphological characters are similar among them and different with respect to other populations. The main aim of this study is to compare cranial morphology between African pygmies and non-pygmies populations from Equatorial Africa derived from both the Eastern and the Western regions in order to test if the greatest morphological difference is obtained in the comparison between pygmies and non-pygmies. Thirty three-dimensional (3D landmarks registered with Microscribe in four cranial samples (Western and Eastern pygmies and non-pygmies were obtained. Multivariate analysis (generalized Procrustes analysis, Mahalanobis distances, multivariate regression and complementary dimensions of size were evaluated with ANOVA and post hoc LSD. Results suggest that important cranial shape differentiation does occur between pygmies and non-pygmies but also between Eastern and Western populations and that size changes and allometries do not affect similarly Eastern and Western pygmies. Therefore, our findings raise serious doubt about the fact to consider African pygmies as a homogenous group in studies on skull morphology. Differences in cranial morphology among pygmies would suggest differentiation after divergence. Although not directly related to skull differentiation, the diversity among pygmies would probably suggest that the process responsible for reduced stature occurred after the split of the ancestors of modern Eastern and Western pygmies.

  3. Institution Building for African Regionalism

    OpenAIRE

    Khadiagala, Gilbert M.

    2011-01-01

    Since the 1960s, African states have embraced regional integration as a vital mechanism for political cooperation and for pooling resources to overcome problems of small and fragmented economies. In building meaningful institutions for regionalism, however, Africans have faced the challenges of reconciling the diversities of culture, geography, and politics. As a result, African regional institutions are characterized by multiple and competing mandates and weak institutionalization. This stud...

  4. African-Americans and Heart Disease, Stroke

    Science.gov (United States)

    ... Pressure High Blood Pressure Tools & Resources Stroke More African-Americans and Heart Disease, Stroke Updated:Apr 18, ... of getting those diseases are even higher for African-Americans. The good news is, African-Americans can ...

  5. Chronic Liver Disease and African Americans

    Science.gov (United States)

    ... American > Chronic Liver Disease Chronic Liver Disease and African Americans Among African Americans, chronic liver disease is a ... white women. At a glance – Cancer Rates for African Americans (2008-2012) Cancer Incidence Rates per 100,000 – ...

  6. The Diabetic Health of African American Grandmothers Raising their Grandchildren

    Science.gov (United States)

    Carthron, Dana L.; Busam, Maria Rivera

    2016-01-01

    PURPOSE The purpose of this study is to compare the health of primary caregiving African American grandmothers with diabetes with African American women with diabetes who were not primary caregivers. DESIGN Using a comparative, descriptive, cross-sectional design, 34 African American primary caregiving grandmothers were compared with 34 non-caregiving women with diabetes mellitus; women aged 55–75 years were recruited for this study throughout the central Arkansas. METHODS To measure the overall health, data on blood pressure, body mass index measurements, HbA1c levels, total cholesterol, and urine protein and creatinine levels were collected from all the participants. RESULTS Statistically significant differences between the caregivers and non-caregivers groups in systolic pressure (t = −3.42, P = 0.001) and diastolic pressure (t = −3.790, P = 0.000) and urine protein (W = 294.00, P = 0.000) were noted. Additionally, a clinically significant difference in HbA1c was noted between groups. CONCLUSION Differences in systolic and diastolic pressures, urine protein, and clinically significant differences in HbA1c suggest that African American primary caregiving grandmothers with diabetes mellitus may have more difficulty in maintaining their diabetic health than non-caregiving African American women. PMID:27398044

  7. Cystic fibrosis on the African continent.

    Science.gov (United States)

    Stewart, Cheryl; Pepper, Michael S

    2016-07-01

    Cystic fibrosis (CF; OMIM 219700) is a life-shortening and costly autosomal recessive disease that has been most extensively studied in individuals of Caucasian descent. There is ample evidence, however, that it also affects other ethnicities. In Africa there have been several reports of CF, but there has been no concerted effort toward establishing the molecular epidemiology of this disease on the continent, which is the first step toward outlining a public health strategy to effectively address the needs of these patients. A literature search revealed reports from only 12 of the 54 African states on the molecular analysis of the mutations present in suspected CF patients, resulting in the identification of 79 mutations. Based on previous functional investigations, 39 of these cause CF, 10 are of varying clinical consequence, 4 have no associated evidence regarding whether they cause CF, 4 are synonymous, 5 are novel, and 21 are unique to Africa. We propose that CF be more thoroughly investigated on the continent to ensure that the public health needs of African CF patients-both those in Africa and those of African descent living elsewhere-are met.Genet Med 18 7, 653-662. PMID:26656651

  8. The African Diaspora, Civil Society and African Integration

    DEFF Research Database (Denmark)

    Opoku-Mensah, Paul Yaw

    This paper, a work-in-progress, makes a contribution to the discussions on the appropriate modalities for incorporating the African diaspora in the African integration project.  It argues that the most appropriate entry points for incorporating the African diaspora into the integration project...... might not, necessarily, be in the formal political structures, although this is important. To the contrary, the most effective and sustainable might be within civil society---that is the links between the peoples and organizations of Africa and the diaspora. Using the case of the African academy-- as an...... institution of civil society--- the paper outlines a conceptual framework for incorporating the diaspora into the African integration project....

  9. Pseudoachondroplasia: Report on a South African family

    Directory of Open Access Journals (Sweden)

    Shahida Moosa

    2013-06-01

    Full Text Available Pseudoachondroplasia is an autosomal dominant skeletal dysplasia that results in disproportionately short stature, severe brachydactyly with strikingly lax small joints, malalignments of the lower limbs, and characteristic radiological features. Although named ‘false achondroplasia’, the entity is a distinct condition, in which affected individuals are born with normal length and have a normal facies, but is often only recognised after the age of 2 years, when the disproportion and waddling gait become evident. We report on an affected South African father and daughter, and highlight their clinical and radiographic features.

  10. Phytogeography of African Commelinaceae

    Directory of Open Access Journals (Sweden)

    R. B. Faden

    1983-12-01

    Full Text Available Africa (including Madagascar has nearly twice as many species of Commelinaceae as any other continent (approximately 270 species, or about 40% of the total in the family. Of the 17 genera which are native, seven (Anthericopsis, Coleotrype, Palisota, Polyspatha, Pseudoparis, Stanfieldiella and  Triceratella are endemic, the highest percentage generic endemism of any continent. Within Africa gcneric diversity is slightly higher in western than in eastern tropical floras. Species richness, however, is greatest in eastern Africa, mainly due to a high diversity of species of Commelina and Aneilema. Africa shares more genera with Asia (nine than with any other continent. Only one African genus, Buforrestia, is neither endemic nor shared with Asia. Its western African/northeastern South American distribution is unique in the family. Besides Buforrestia, only five other genera of Commelinaceae (out of a total of 50 in the family, occur in both the Old and New Worlds. These genera.  Aneilema, Commelina, Floscopa, Murdannia and  Pollia are all very widespread in the Old World, occurring in Australia and Asia in addition to Africa (both continental and Madagascar. Madagascar is relatively poor in species (31. but these include the endemic Madagascan genus Pseudoparis, the sole African species of Rhopalephora, and the largest number of species of the Afro-Malagasy endemic genus Coleotrype. The high rate of generic endemism of Commelinaceae in Africa probably indicates that Africa was one of the ancient centres of diversity for the family. The high species diversity is more likely due to relatively recent radiations by genera pre-adapted to survival in non-forest habitats. The occurrence of only a small number of genera on both sides of the Atlantic suggests that the Commelinaceae have been evolving independently in the eastern and western hemispheres for a long period.

  11. Booster for African Economy

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    China’s investment is fueling African growth SINCE 2000,driven by the Forum on China-Africa Cooperation,China’s foreign direct investment(FDI) in Africa has been growing rapidly.In the face of the global financial crisis,which led to global FDI flows falling,China’s investment in Africa has been on a steady, upbeat rise without any interruption.In 2009,China’s direct investment in Africa reached $1.44 billion,of which nonfinancial direct investment soared by 55.4 percent from the previous year.Africa

  12. African Conservation Tillage Network Website

    OpenAIRE

    African Conservation Tillage Network (ACT)

    2009-01-01

    Metadata only record Maintained by the African Conservation Tillage Network (ACT), this website provides information on Conservation Agriculture in an African context and gathered by stakeholders (NGOs) native to the continent. Resources on projects, practices, reports, and training courses are provided.

  13. A Call to African Unity

    DEFF Research Database (Denmark)

    Muchie, Mammo

    This month's paper, written by Professor Mammo Muchie, examines the necessity for a pan-African monetary union.  Professor Muchie argues for the "the creation of a unified African strategy and unified approach to dealing with the outside donor world by neutralising the poison of money as honey th...

  14. African Diaspora Associations in Denmark

    DEFF Research Database (Denmark)

    Vammen, Ida Marie; Trans, Lars Ove

    2011-01-01

    Since the early 1990s, an increasing number of African migrants have come to Denmark, where they have formed a large number of migrant associations. This chapter presents selected findings from a comprehensive survey of African diaspora associations in Denmark and focuses specifically on their...

  15. Establishment of baseline haematology and biochemistry parameters in wild adult African penguins (Spheniscus demersus)

    OpenAIRE

    Parsons, Nola J.; Schaefer, Adam M.; Stephen D. van der Spuy; Gous, Tertius A

    2015-01-01

    There are few publications on the clinical haematology and biochemistry of African penguins (Spheniscus demersus) and these are based on captive populations. Baseline haematology and serum biochemistry parameters were analysed from 108 blood samples from wild, adult African penguins. Samples were collected from the breeding range of the African penguin in South Africa and the results were compared between breeding region and sex. The haematological parameters that were measured were: haematoc...

  16. Bioenergy and African transformation.

    Science.gov (United States)

    Lynd, Lee R; Sow, Mariam; Chimphango, Annie Fa; Cortez, Luis Ab; Brito Cruz, Carlos H; Elmissiry, Mosad; Laser, Mark; Mayaki, Ibrahim A; Moraes, Marcia Afd; Nogueira, Luiz Ah; Wolfaardt, Gideon M; Woods, Jeremy; van Zyl, Willem H

    2015-01-01

    Among the world's continents, Africa has the highest incidence of food insecurity and poverty and the highest rates of population growth. Yet Africa also has the most arable land, the lowest crop yields, and by far the most plentiful land resources relative to energy demand. It is thus of interest to examine the potential of expanded modern bioenergy production in Africa. Here we consider bioenergy as an enabler for development, and provide an overview of modern bioenergy technologies with a comment on application in an Africa context. Experience with bioenergy in Africa offers evidence of social benefits and also some important lessons. In Brazil, social development, agricultural development and food security, and bioenergy development have been synergistic rather than antagonistic. Realizing similar success in African countries will require clear vision, good governance, and adaptation of technologies, knowledge, and business models to myriad local circumstances. Strategies for integrated production of food crops, livestock, and bioenergy are potentially attractive and offer an alternative to an agricultural model featuring specialized land use. If done thoughtfully, there is considerable evidence that food security and economic development in Africa can be addressed more effectively with modern bioenergy than without it. Modern bioenergy can be an agent of African transformation, with potential social benefits accruing to multiple sectors and extending well beyond energy supply per se. Potential negative impacts also cut across sectors. Thus, institutionally inclusive multi-sector legislative structures will be more effective at maximizing the social benefits of bioenergy compared to institutionally exclusive, single-sector structures. PMID:25709714

  17. Nota sobre caso autóctone de tripanossomíase americana no litoral sul do Estado de São Paulo, Brasil A case of American Trypanosomiasis in the southern coastal region of S. Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    Oswaldo Paulo Forattini

    1980-03-01

    Full Text Available Descreve-se em caso autóctone de tripanossomíase americana no litoral sul do Estado de São Paulo, Brasil. As evidências sugerem a hipótese de a transmissão ter ocorrido graças à contaminação durante o manuseio de carcaças de animais silvestres utilizados na alimentação.An indigenous case of American Trypanosomiasis in the southern coastal region of the State of S. Paulo is reported on. There are no synanthropic triatominae vectors in the area; therefore the transmission mechanism may have been the handling of wild mammal carcasses while they were being prepared for consumption.

  18. Court stories in selected African short narratives

    OpenAIRE

    E. Yewah

    1994-01-01

    This article attempts to cross-examine African Literature and African costumary, Islamic and inherited colonial laws. It opens a new topic in the study of African literature by showing how legal discourses are inscribed in certain African narratives and how these discourses link the narratives to the overall context of their production.

  19. 2002 Sino-African SHP Training Workshop

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The 2002 Sino-African SHP Training Workshop was held from 10 May to 18 June 2002 at Hangzhou Regional Center for Small Hydro Power(HRC). Attended altogether 9 participants from 5 African countries, i.e. Burundi, Nigeria, South African, Tanzania and Tunisia. This is the second training workshop on SHP that HRC conducted for African countries.

  20. Assimilation Differences among Africans in America.

    Science.gov (United States)

    Dodoo, F. Nii-Amoo

    1997-01-01

    Census data (1990) indicate that male African immigrants earn more than their Caribbean-born counterparts or native-born African Americans, but controlling for relevant earnings-related endowments erases the African advantage and elevates Caribbean earnings above those of the other groups. Also, African (but not Caribbean) university degree…

  1. Facteurs socioculturels et contrôle de la Trypanosomiase Humaine Africaine en République Démocratique du Congo / Sociocultural factors and control of human African trypanosomiasis in the Democratic Republic of Congo

    OpenAIRE

    Mpanya Kabeya, Alain

    2015-01-01

    RESUMELa Trypanosomiase Humaine Africaine (THA) appelée également « maladie du sommeil» est une maladie parasitaire provoquée par un protozoaire du genre Trypanosoma dont deux sous-espèces (T. brucei gambiense et T. brucei rhodesiense) sont pathogènes à l’homme. La stratégie de lutte contre cette maladie est essentiellement basée sur le dépistage précoce et le traitement des malades, complété avec le contrôle du vecteur. Cependant, l’utilisation du service de dépistage de la THA par les commu...

  2. Cardiomyopathy in captive African hedgehogs (Atelerix albiventris).

    Science.gov (United States)

    Raymond, J T; Garner, M M

    2000-09-01

    From 1994 to 1999, 16 captive African hedgehogs (Atelerix albiventris), from among 42 necropsy cases, were diagnosed with cardiomyopathy. The incidence of cardiomyopathy in this study population was 38%. Fourteen of 16 hedgehogs with cardiomyopathy were males and all hedgehogs were adult (>1 year old). Nine hedgehogs exhibited 1 or more of the following clinical signs before death: heart murmur, lethargy, icterus, moist rales, anorexia, dyspnea, dehydration, and weight loss. The remaining 7 hedgehogs died without premonitory clinical signs. Gross findings were cardiomegaly (6 cases), hepatomegaly (5 cases), pulmonary edema (5 cases), pulmonary congestion (4 cases), hydrothorax (3 cases), pulmonary infarct (1 case), renal infarcts (1 case), ascites (1 case), and 5 cases showed no changes. Histologic lesions were found mainly within the left ventricular myocardium and consisted primarily of myodegeneration, myonecrosis, atrophy, hypertrophy, and disarray of myofibers. All hedgehogs with cardiomyopathy had myocardial fibrosis, myocardial edema, or both. Other common histopathologic findings were acute and chronic passive congestion of the lungs, acute passive congestion of the liver, renal tubular necrosis, vascular thrombosis, splenic extramedullary hematopoiesis, and hepatic lipidosis. This is the first report of cardiomyopathy in African hedgehogs. PMID:11021439

  3. Infant-feeding practices among African American women: social-ecological analysis and implications for practice.

    Science.gov (United States)

    Reeves, Elizabeth A; Woods-Giscombé, Cheryl L

    2015-05-01

    Despite extensive evidence supporting the health benefits of breastfeeding, significant disparities exist between rates of breastfeeding among African American women and women of other races. Increasing rates of breastfeeding among African American women can contribute to the improved health of the African American population by decreasing rates of infant mortality and disease and by enhancing cognitive development. Additionally, higher rates of breastfeeding among African American women could foster maternal-child bonding and could contribute to stronger families, healthier relationships, and emotionally healthier adults. The purpose of this article is twofold: (a) to use the social-ecological model to explore the personal, socioeconomic, psychosocial, and cultural factors that affect the infant feeding decision-making processes of African American women and (b) to discuss the implications of these findings for clinical practice and research to eliminate current disparities in rates of breastfeeding. PMID:24810518

  4. Investigating the influence of African American and African Caribbean race on primary care doctors' decision making about depression.

    Science.gov (United States)

    Adams, A; Vail, L; Buckingham, C D; Kidd, J; Weich, S; Roter, D

    2014-09-01

    This paper explores differences in how primary care doctors process the clinical presentation of depression by African American and African-Caribbean patients compared with white patients in the US and the UK. The aim is to gain a better understanding of possible pathways by which racial disparities arise in depression care. One hundred and eight doctors described their thought processes after viewing video recorded simulated patients presenting with identical symptoms strongly suggestive of depression. These descriptions were analysed using the CliniClass system, which captures information about micro-components of clinical decision making and permits a systematic, structured and detailed analysis of how doctors arrive at diagnostic, intervention and management decisions. Video recordings of actors portraying black (both African American and African-Caribbean) and white (both White American and White British) male and female patients (aged 55 years and 75 years) were presented to doctors randomly selected from the Massachusetts Medical Society list and from Surrey/South West London and West Midlands National Health Service lists, stratified by country (US v.UK), gender, and years of clinical experience (less v. very experienced). Findings demonstrated little evidence of bias affecting doctors' decision making processes, with the exception of less attention being paid to the potential outcomes associated with different treatment options for African American compared with White American patients in the US. Instead, findings suggest greater clinical uncertainty in diagnosing depression amongst black compared with white patients, particularly in the UK. This was evident in more potential diagnoses. There was also a tendency for doctors in both countries to focus more on black patients' physical rather than psychological symptoms and to identify endocrine problems, most often diabetes, as a presenting complaint for them. This suggests that doctors in both countries

  5. How student teachers understand African philosophy

    OpenAIRE

    Matsephe M. Letseka; Elza Venter

    2012-01-01

    The question ‘What constitutes African philosophy?’ was first raised with the publication of Placide Tempels’s seminal work Bantu philosophy in 1959. Tempels’s book inevitably elicited considerable critical response from African philosophers, which culminated in a wide range of publications such as Wiredu’s (1980) Philosophy and an African culture, Hountondji’s (1983) African philosophy: Myth and reality, Oruka’s (1990) Sage philosophy: Indigenous thinkers and modern debate on African philoso...

  6. Junctophilin 3 (JPH3) expansion mutations causing Huntington disease like 2 (HDL2) are common in South African patients with African ancestry and a Huntington disease phenotype.

    Science.gov (United States)

    Krause, Amanda; Mitchell, Claire; Essop, Fahmida; Tager, Susan; Temlett, James; Stevanin, Giovanni; Ross, Christopher; Rudnicki, Dobrila; Margolis, Russell

    2015-10-01

    Huntington disease (HD) is a progressive autosomal dominant neurodegenerative disorder, characterized by abnormal movements, cognitive decline, and psychiatric symptoms, caused by a CAG repeat expansion in the huntingtin (HTT) gene on chromosome 4p. A CAG/CTG repeat expansion in the junctophilin-3 (JPH3) gene on chromosome 16q24.2 causes a Huntington disease-like phenotype (HDL2). All patients to date with HDL2 have some African ancestry. The present study aimed to characterize the genetic basis of the Huntington disease phenotype in South Africans and to investigate the possible origin of the JPH3 mutation. In a sample of unrelated South African individuals referred for diagnostic HD testing, 62% (106/171) of white patients compared to only 36% (47/130) of black patients had an expansion in HTT. However, 15% (20/130) of black South African patients and no white patients (0/171) had an expansion in JPH3, confirming the diagnosis of Huntington disease like 2 (HDL2). Individuals with HDL2 share many clinical features with individuals with HD and are clinically indistinguishable in many cases, although the average age of onset and diagnosis in HDL2 is 5 years later than HD and individual clinical features may be more prominent. HDL2 mutations contribute significantly to the HD phenotype in South Africans with African ancestry. JPH3 haplotype studies in 31 families, mainly from South Africa and North America, provide evidence for a founder mutation and support a common African origin for all HDL2 patients. Molecular testing in individuals with an HD phenotype and African ancestry should include testing routinely for JPH3 mutations. PMID:26079385

  7. African Ethnobotany in the Americas

    OpenAIRE

    Zent, Egleé L

    2013-01-01

    Review of African Ethnobotany in the Americas. Edited by Robert Voeks and John Rashford. 2013. Springer. Pp. 429, 105 illustrations, 69 color illustrations. $49.95 (paperback). ISBN 978‐1461408352.

  8. Mental Health and African Americans

    Science.gov (United States)

    ... Program Grants Other Grants Planning and Evaluation Grantee Best Practices Black/African American Asthma Cancer Chronic Liver Disease Diabetes Heart Disease Hepatitis HIV/AIDS Immunizations Infant Heath & Mortality Mental Health Obesity Organ and Tissue Donation Stroke Stay Connected ...

  9. African Ethnobotany in the Americas

    Directory of Open Access Journals (Sweden)

    Egleé L. Zent

    2013-10-01

    Full Text Available Review of African Ethnobotany in the Americas. Edited by Robert Voeks and John Rashford. 2013. Springer. Pp. 429, 105 illustrations, 69 color illustrations. $49.95 (paperback. ISBN 978‐1461408352.

  10. Bromodomain Proteins Contribute to Maintenance of Bloodstream Form Stage Identity in the African Trypanosome.

    Science.gov (United States)

    Schulz, Danae; Mugnier, Monica R; Paulsen, Eda-Margaret; Kim, Hee-Sook; Chung, Chun-wa W; Tough, David F; Rioja, Inmaculada; Prinjha, Rab K; Papavasiliou, F Nina; Debler, Erik W

    2015-12-01

    Trypanosoma brucei, the causative agent of African sleeping sickness, is transmitted to its mammalian host by the tsetse. In the fly, the parasite's surface is covered with invariant procyclin, while in the mammal it resides extracellularly in its bloodstream form (BF) and is densely covered with highly immunogenic Variant Surface Glycoprotein (VSG). In the BF, the parasite varies this highly immunogenic surface VSG using a repertoire of ~2500 distinct VSG genes. Recent reports in mammalian systems point to a role for histone acetyl-lysine recognizing bromodomain proteins in the maintenance of stem cell fate, leading us to hypothesize that bromodomain proteins may maintain the BF cell fate in trypanosomes. Using small-molecule inhibitors and genetic mutants for individual bromodomain proteins, we performed RNA-seq experiments that revealed changes in the transcriptome similar to those seen in cells differentiating from the BF to the insect stage. This was recapitulated at the protein level by the appearance of insect-stage proteins on the cell surface. Furthermore, bromodomain inhibition disrupts two major BF-specific immune evasion mechanisms that trypanosomes harness to evade mammalian host antibody responses. First, monoallelic expression of the antigenically varied VSG is disrupted. Second, rapid internalization of antibodies bound to VSG on the surface of the trypanosome is blocked. Thus, our studies reveal a role for trypanosome bromodomain proteins in maintaining bloodstream stage identity and immune evasion. Importantly, bromodomain inhibition leads to a decrease in virulence in a mouse model of infection, establishing these proteins as potential therapeutic drug targets for trypanosomiasis. Our 1.25Å resolution crystal structure of a trypanosome bromodomain in complex with I-BET151 reveals a novel binding mode of the inhibitor, which serves as a promising starting point for rational drug design. PMID:26646171

  11. Deforestation does not affect the prevalence of a common trypanosome in African birds.

    Science.gov (United States)

    Valkiūnas, Gediminas; Iezhova, Tatjana A; Sehgal, Ravinder N M

    2016-10-01

    In spite of numerous reports of avian Trypanosoma spp. in birds throughout the world, patterns of the distribution and prevalence of these blood parasites remains insufficiently understood. It is clear that spatial heterogeneity influences parameters of parasite distributions in natural populations, but data regarding avian trypanosomes are scarce. Using microscopy and molecular diagnostic methods, we analysed the variation of prevalence of avian Trypanosoma parasites in two widespread African bird species, the yellow-whiskered greenbul Andropadus latirostris and the olive sunbird Cyanomitra olivacea. In all, 353 birds were captured in pristine forests and agroforest sites in Cameroon and Ghana. Overall, the prevalence of avian trypanosomes was 51.3%. Five morphospecies were reported (Trypanosoma everetti, T. anguiformis, T. avium, T. naviformis, T. ontarioensis). Trypanosoma everetti predominated, representing 98% of all Trypanosoma spp. reports, and it was present in both avian hosts. The prevalence of T. everetti was significantly less in the yellow-whiskered greenbul (19%) than olive sunbird (83%), and the same pattern of prevalence was reported in these avian hosts at different study sites. We found no interaction between sites and the prevalence of T. everetti. For both avian hosts, the prevalence did not differ significantly between pristine forests and agroforests. This indicates the same pattern of transmission at sites with different levels of deforestation and suggests that spatial heterogeneity related to deforestation does not affect the prevalence of avian Trypanosoma infections. It is likely that host-related factors, but not environmental conditions favour or reduce these parasite infections in forests of sub-Saharan Africa. Microscopic and PCR-based diagnostics showed the same sensitivity in diagnostics of T. everetti. We discuss the implications of these findings for the epidemiology of avian trypanosomiasis in natural populations. PMID:27421797

  12. Twin Sessions Through African Eyes

    Institute of Scientific and Technical Information of China (English)

    Ni Yanshuo

    2012-01-01

    Every year journalists from around China and the world flock to Beijing in March to cover the sessions of the National People's Congress (NPC) and the Chinese People's Political Consultative Conference (CPPCC), known as the lianghui, or twin sessions. With the deepening of Sino-African relations in the past decades, an increasing number of African journalists are involved in reporting China's lianghui to their audiences in Africa.

  13. The Good African Society Index

    OpenAIRE

    Ferdi Botha

    2014-01-01

    This paper constructs a Good Society Index for 45 African countries, termed the Good African Society Index (GASI). The GASI consists of nine main indexes: (i) economic sustainability, (ii) democracy and freedom, (iii) child well-being, (iv) environment and infrastructure, (v) safety and security, (vi) health and health systems, (vii) integrity and justice, (viii) education, and (xi) social sustainability and social cohesion. Each component is split into four sub-components for a total of 36 i...

  14. Training in African aquaculture development

    OpenAIRE

    Brummett, R. E.

    1994-01-01

    The article focuses on the types of training needed in African aquaculture development. The author suggested that rather than needing less training, extension agents and others who operate in the idiosyncratic world of the poor African farmer, need a far deeper understanding of fish culture (particularly the basics of pond dynamics and ecology) than do those who can take advantage of industrialized-country infrastructure.

  15. Depression and African Americans

    Science.gov (United States)

    ... is a common, yet serious, medical illness. Clinical depression is a “whole-body” illness that affects your mood, thoughts, body and behavior. Without treatment, symptoms can last for weeks, months or years. Appropriate ... Clinical depression can affect anyone: Anyone can experience ...

  16. Patterns of injury in children and adolescents presenting to a South African township health centre.

    OpenAIRE

    Zwi, K. J.; Zwi, A. B.; Smettanikov, E.; Söderlund, N; Logan, S.

    1995-01-01

    OBJECTIVES: To describe the patterns and causes of childhood injury presenting to a South African township health centre in 1991. DESIGN: Retrospective review of clinic held case notes. SETTING: Typical South-African urban township within Greater Johannesburg. SUBJECTS: 695 subjects aged 0-19 years presenting as a direct result of injury. RESULTS: Overall rates of presentation for injury were 6297/100,000/year (95% confidence interval 5463 to 7131); 35% of injuries were caused by violence, 14...

  17. Differentiating Central Centrifugal Cicatricial Alopecia and Androgenetic Alopecia in African American Men: Report of Three Cases

    OpenAIRE

    Davis, Erica C.; Reid, Sophia D.; Callender, Valerie D.; Sperling, Leonard C.

    2012-01-01

    Central centrifugal cicatricial alopecia is a scarring alopecia that is predominantly seen in African American women, but occurs less frequently in men. The authors present three cases of African American men with biopsy-proven central centrifugal cicatricial alopecia and detail the clinical presentation, histological findings, and treatment regimens. Central centrifugal cicatricial alopecia should be considered in the differential diagnosis when evaluating male patients with vertex hair loss...

  18. Social Work Research on African Americans and Suicidal Behavior: A Systematic 25-year Review

    OpenAIRE

    Joe, Sean; Niedermeier, Danielle M.

    2008-01-01

    Suicide among African Americans is a neglected topic. Social workers practice in both clinical and nonclinical settings, and as the largest occupational group of mental health professionals, they have a unique opportunity to reach this underserved group. However, little is known about social work’s empirical knowledge base for recognition and treatment of suicidal behavior among African Americans. The authors performed a systematic critical review of published articles by social workers on Af...

  19. The New African Civil-Military Relations

    DEFF Research Database (Denmark)

    the lead author accorded the responsibility of organizing a Session on ACMR. From amongst some of the exciting Abstracts presented, authors submitted these as full chapters for this book which captures International African Studies Perspectives, managed by the African Public Policy & Research...... on the African continent to embark upon the New African Civil Military Relations (ACMR). In the last decade and half, the implosion of African states exposed to forces of democratization has escalated, manifest in Algeria, Egypt, Mali, Madagascar, Somalia, South Sudan, Central African Republic and...

  20. Disarmament: the African perspective

    International Nuclear Information System (INIS)

    Disarmament is now generally accepted as the process of reduction in the size of, and expenditures on, armed forces, the destruction or dismantling of weapons, whether deployed or stockpiled, the progressive elimination of the capacity to produce new weapons and the release and integration into civilian life of military personnel. To realize this objective, the nations of the world have been advocating such measures as the establishment of nuclear weapon-free zones, non-proliferation, limitation of the arms trade, reduction of military budgets, and confidence-building measures. To ensure general and complete elimination of arms, there has been widespread recognition of the need to link the disarmament process with other political as well as socio-economic problems of the world such as the need for security, good relations between states and development of a system of peaceful settlement of disputes. Other measures that have been considered to be relevant in boosting the disarmament process include the role of the general public in putting pressure on their respective governments with a view to accelerating and realizing disarmament objectives. Africans have presented to the world a strong case for global disarmament

  1. East African Rift

    Science.gov (United States)

    2008-01-01

    Places where the earth's crust has formed deep fissures and the plates have begun to move apart develop rift structures in which elongate blocks have subsided relative to the blocks on either side. The East African Rift is a world-famous example of such rifting. It is characterized by 1) topographic deep valleys in the rift zone, 2) sheer escarpments along the faulted walls of the rift zone, 3) a chain of lakes within the rift, most of the lakes highly saline due to evaporation in the hot temperatures characteristic of climates near the equator, 4) voluminous amounts of volcanic rocks that have flowed from faults along the sides of the rift, and 5) volcanic cones where magma flow was most intense. This example in Kenya displays most of these features near Lake Begoria. The image was acquired December 18, 2002, covers an area of 40.5 x 32 km, and is located at 0.1 degrees north latitude, 36.1 degrees east longitude. The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

  2. Pheochromocytoma in an African warthog (Phacochoerus aethiopicus).

    Science.gov (United States)

    Cole, Gretchen; Suedmeyer, W Kirk; Johnson, Gayle

    2008-12-01

    A 14-yr-old male African warthog (Phacochoerus aethiopicus) with a chronic history of intermittent unilateral epistaxis, degenerative osteoarthritis, and intermittent weakness in the distal lumbar trunk was evaluated to determine the source of epistaxis. No obvious cause was determined, and in light of severe osteoarthritis and a holosystolic cardiac murmur, the animal was euthanized. A tumor of the right adrenal gland involving the medulla was found at gross necropsy. Immunohistochemical staining of the tumor was positive for chromogranin and negative for neurofilament protein, which was diagnostic for pheochromocytoma. No lesions were observed in either nasal cavity. Systolic, diastolic, and mean arterial pressures measured at the time of immobilization were elevated when compared with another African warthog immobilized with a similar anesthetic regimen. Additionally, the warthog had pronounced serum norepinephrine dominance with a norepinephrine:epinephrine ratio of 10.0, compared with 0.36 from clinically normal warthogs. Practitioners should consider pheochromocytoma when evaluating warthogs or swine for epistaxis. PMID:19110715

  3. A Phylogeographic Investigation of African Monkeypox

    Directory of Open Access Journals (Sweden)

    Yoshinori Nakazawa

    2015-04-01

    Full Text Available Monkeypox is a zoonotic disease caused by a virus member of the genus Orthopoxvirus and is endemic to Central and Western African countries. Previous work has identified two geographically disjuct clades of monkeypox virus based on the analysis of a few genomes coupled with epidemiological and clinical analyses; however, environmental and geographic causes of this differentiation have not been explored. Here, we expand previous phylogenetic studies by analyzing a larger set of monkeypox virus genomes originating throughout Sub-Saharan Africa to identify possible biogeographic barriers associated with genetic differentiation; and projected ecological niche models onto environmental conditions at three periods in the past to explore the potential role of climate oscillations in the evolution of the two primary clades. Analyses supported the separation of the Congo Basin and West Africa clades; the Congo Basin clade shows much shorter branches, which likely indicate a more recent diversification of isolates within this clade. The area between the Sanaga and Cross Rivers divides the two clades and the Dahomey Gap seems to have also served as a barrier within the West African clade. Contraction of areas with suitable environments for monkeypox virus during the Last Glacial Maximum, suggests that the Congo Basin clade of monkeypox virus experienced a severe bottleneck and has since expanded its geographic range.

  4. HIV Prevention Counseling Intervention Delivered During Routine Clinical Care Reduces HIV Risk Behavior in HIV-Infected South Africans Receiving Antiretroviral Therapy: The Izindlela Zokuphila/Options for Health Randomized Trial

    Science.gov (United States)

    Fisher, Jeffrey D.; Cornman, Deborah H.; Shuper, Paul A.; Christie, Sarah; Pillay, Sandy; Macdonald, Susan; Ngcobo, Ntombenhle; Amico, K. Rivet; Lalloo, Umesh; Friedland, Gerald; Fisher, William A.

    2014-01-01

    Context Sustainable interventions are needed to minimize HIV risk behavior among people living with HIV (PLWH) in South Africa on antiretroviral therapy (ART), a significant proportion of whom do not achieve viral suppression. Objective To determine whether a brief lay counselor delivered intervention implemented during routine care can reduce risky sex among PLWH on ART. Design Cluster randomized 16 HIV clinical care sites in KwaZulu Natal, South Africa, to intervention or standard-of-care. Setting Publicly funded HIV clinical care sites. Patients 1891 PLWH on ART received the HIV prevention counseling intervention (n = 967) or standard-of-care counseling (n = 924). Intervention Lay counselors delivered a brief intervention using motivational interviewing strategies based on the Information—Motivation—Behavioral Skills (IMB) model during routine clinical care. Main Outcome Measures Number of sexual events without a condom in the past four weeks with partners of any HIV status, and with partners perceived to be HIV-negative or HIV-status unknown, assessed at baseline, 6, 12, and 18 months. Results Intervention participants reported significantly greater reductions in HIV risk behavior on both primary outcomes, compared to standard-of-care participants. Differences in STI incidence between arms were not observed. Conclusion Effective behavioral interventions, delivered by lay counselors within the clinical care setting, are consistent with the strategy of linking HIV care and HIV prevention and integrating biomedical and behavioral approaches to stemming the HIV epidemic. PMID:25230288

  5. Developing programs for african families, by african families

    DEFF Research Database (Denmark)

    Halliday, Jennifer A; Green, Julie; Mellor, David;

    2013-01-01

    Obesity is an emerging problem for African migrants in Australia, but few prevention programs incorporate their cultural beliefs and values. This study reports on the application of community capacity-building and empowerment principles in 4 workshops with Sudanese families in Australia. Workshop...... effects of physical activity and nutrition to improve health within communities while reducing intergenerational and gender role family conflicts.......Obesity is an emerging problem for African migrants in Australia, but few prevention programs incorporate their cultural beliefs and values. This study reports on the application of community capacity-building and empowerment principles in 4 workshops with Sudanese families in Australia. Workshop...

  6. Understanding the Rise of African Business

    DEFF Research Database (Denmark)

    Jorem, Kaja Tvedten; Jeppesen, Søren; Hansen, Michael W.

    latter suggests that profound improvements in African business performance are indeed under way: with the private sector playing a more important role as an engine of growth, with the rise of a capable African entrepreneurial class, and with the emergence of dynamic and competitive African enterprises......In light of recent enthusiasm over the African private sector, this paper reviews the existing empirical literature on successful African enterprises and proposes an analytical framework for understanding African firm success. Overall, it is argued that we need to develop an understanding of....... The paper proceeds to review the limited research on factors shaping the performance of African enterprises. It is observed that particularly the strategic component is often overlooked as is the role of internal capabilities and resources of African enterprises. Based on this identification of voids...

  7. African N Assessment

    Science.gov (United States)

    Bekunda, M.; Galford, G. L.; Hickman, J. E.; Palm, C.

    2011-12-01

    Africa's smallholder agricultural systems face unique challenges in planning for reducing poverty, concurrent with adaptation and mitigation to climate change. At continental level, policy seeks to promote a uniquely African Green Revolution to increase crop yields and food production, and improve local livelihoods. However, the consequences on the environment and climate are not clear; these pro-economic development measures should be linked to climate change adaptation and mitigation measures, and research is required to help achieve these policy proposals by identifying options, and testing impacts. In particular, increased nitrogen (N) inputs are essential for increasing food production in Africa, but are accompanied by inevitable increases in losses to the environment. These losses appear to be low at input levels promoted in agricultural development programs, while the increased N inputs both increase current food production and appear to reduce the vulnerability of food production to changes in climate. We present field and remote sensing evidence from Malawi that subsidizing improved seed and fertilizers increases resilience to drought without adding excess N to the environment. In Kenya, field research identified thresholds in N2O losses, where emissions are very low at fertilization rates of less than 200 kg ha-1. Village-scale models have identified potential inefficiencies in the food production process where the largest losses of reactive N occur, and which could be targeted to reduce the amount of N released to the environment. We further review some on-going research activities and progress in Africa that compare different methods of managing resources that target resilience in food production and adaptation to climate change, using nutrient N as an indicator, while evaluating the effects of these resource management practices on ecosystems and the environment.

  8. The transmission of African culture to children

    OpenAIRE

    Michele Tanon Lora

    2014-01-01

    African ancient traditions suffered a major historical change as a result of colonization. Several decades after decolonization and access to independence, what is the situation and place of the African culture in Africa and outside Africa? Does African culture perpetuate effectively today? What are the obstacles to the transmission of African culture to our children? What are the beliefs or elements that have influenced the transmission of our culture after the period of independence? Roughl...

  9. Translating Culture: Contemporary African American Poetry

    OpenAIRE

    Kristina Kočan Šalamon

    2015-01-01

    The paper interrogates cultural specifics of contemporary African American poetry and exhibits translation problems when translating this poetic work. African American writers have always included much of their cultural heritage in their writing and this is immediately noticed by a translator. The cultural elements, such as African American cuisine, attire and style in general, as well as spiritual and religious practices, often play a significant role for African American poets who are procl...

  10. Urbanism beyond Architecture : African cities as Infrastructure

    OpenAIRE

    Rao, Vyjayanthi; De Boeck, Filip; Simone, Abdou Maliq

    2009-01-01

    About African Cities Reader(A creation of the African Centre for Cities & Chimurenga Magazine ) In many senses African cities are amongst the most generative and vibrant places on the planet. Yet, we know next to nothing about what goes on in the places. Not that there is any shortage of caricature, hyperbole or opinion about what makes African cities such quintessential spaces of dystopia and atrophy. We believe that a range of interventions that seek to engage the shape-shifting essenc...

  11. South African food allergy consensus document 2014.

    Science.gov (United States)

    Levin, M E; Gray, C L; Goddard, E; Karabus, S; Kriel, M; Lang, A C; Manjra, A I; Risenga, S M; Terblanche, A J; van der Spuy, D A

    2015-01-01

    The prevalence of food allergy is increasing worldwide and is an important cause of anaphylaxis. There are no local South African food allergy guidelines. This document was devised by the Allergy Society of South Africa (ALLSA), the South African Gastroenterology Society (SAGES) and the Association for Dietetics in South Africa (ADSA). Subjects may have reactions to more than one food, and different types and severity of reactions to different foods may coexist in one individual. A detailed history directed at identifying the type and severity of possible reactions is essential for every food allergen under consideration. Skin-prick tests and specific immunoglobulin E (IgE) (ImmunoCAP) tests prove IgE sensitisation rather than clinical reactivity. The magnitude of sensitisation combined with the history may be sufficient to ascribe causality, but where this is not possible an incremental oral food challenge may be required to assess tolerance or clinical allergy. For milder non-IgE-mediated conditions a diagnostic elimination diet may be followed with food re-introduction at home to assess causality. The primary therapy for food allergy is strict avoidance of the offending food/s, taking into account nutritional status and provision of alternative sources of nutrients. Acute management of severe reactions requires prompt intramuscular administration of adrenaline 0.01 mg/kg and basic resuscitation. Adjunctive therapy includes antihistamines, bronchodilators and corticosteroids. Subjects with food allergy require risk assessment and those at increased risk for future severe reactions require the implementation of risk-reduction strategies, including education of the patient, families and all caregivers (including teachers), the provision of a written emergency action plan, a MedicAlert necklace or bracelet and injectable adrenaline (preferably via auto-injector) where necessary. PMID:26046164

  12. MORE CHINESE CARS ON AFRICAN ROADS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    China drives into the African vehicle market and meets the challenges head on with some advantages of its own High-quality but inexpensive Chinese automobiles have gradually won the confidence of the African market and are becoming a bright new link in Sino-African economic ties. On September 4, a total of 400 Polarsun minibuses, made in Shenyang, capital of northeast

  13. Engaging African Americans in Smoking Cessation Programs

    Science.gov (United States)

    Wallen, Jacqueline; Randolph, Suzanne; Carter-Pokras, Olivia; Feldman, Robert; Kanamori-Nishimura, Mariano

    2014-01-01

    Background: African Americans are disproportionately exposed to and targeted by prosmoking advertisements, particularly menthol cigarette ads. Though African Americans begin smoking later than whites, they are less likely to quit smoking than whites. Purpose: This study was designed to explore African American smoking cessation attitudes,…

  14. How student teachers understand African philosophy

    Directory of Open Access Journals (Sweden)

    Matsephe M. Letseka

    2012-10-01

    Full Text Available The question ‘What constitutes African philosophy?’ was first raised with the publication of Placide Tempels’s seminal work Bantu philosophy in 1959. Tempels’s book inevitably elicited considerable critical response from African philosophers, which culminated in a wide range of publications such as Wiredu’s (1980 Philosophy and an African culture, Hountondji’s (1983 African philosophy: Myth and reality, Oruka’s (1990 Sage philosophy: Indigenous thinkers and modern debate on African philosophy, Shutte’s (1993 Philosophy for Africa, Masolo’s (1994 African philosophy in search of identity and Gyekye’s (1995 An essay of African philosophical thought: The Akan conceptual scheme. It has been over 60 years since the publication of Temples’s book and there continues to be serious debate about African philosophy. This article sought to contribute to the debate on the various conceptions of African philosophy, but with a focus on the challenges of teaching African philosophy to Philosophy of Education students at an open distance learning institution in South Africa. This article discussed the tendency amongst undergraduate Philosophy of Education students to conflate and reduce African philosophy to African cultures and traditions, and to the notion of ubuntu, and sought to understand the reasons for students’ inclination to treat African philosophy in this way. It examined students’ background knowledge of African philosophy, their critical thinking skills and whether their official study materials are selected and packaged in a manner that, in fact, adds to the challenges they face. Finally, the article explored the ways in which Philosophy of Education lecturers can adapt their pedagogy to provide students with a better understanding of African philosophy.

  15. African women, literature, language and culture

    OpenAIRE

    Rosamond S. King

    2014-01-01

    This essay will link African women’s writing to culture, including literary culture and the politics of literature. It describes how African women’s literature can act as a mirror, reflecting African cultures to Africans, and how it can serve as a window and a door, revealing African cultures to those outside of them in whole or in part. It ends with a description of “communal agency,” an example of how scholarly writing can act as a door for both those who are and are not a part of a literat...

  16. East African odontopygid millipedes 1

    DEFF Research Database (Denmark)

    Frederiksen, Sara B.; Enghoff, Henrik

    2012-01-01

    Five new species of the endemic East African genus Xystopyge are described: X. pelecys, X. frontieri, X. proplicatus, X. biacanthus, and X. zanzibarensis. Three are from the Eastern Arc Mountains, Tanzania, two are from the Usambara Mtns. and one is from the Uluguru Mtns. One further species is...

  17. Wellness among African American Counselors

    Science.gov (United States)

    Day-Vines, Norma L.; Holcomb-McCoy, Cheryl

    2007-01-01

    Although there are various definitions of wellness, few conceptual definitions have addressed the contextual dimensions of wellness relative to African American counselors. The authors present an overview of generic models of wellness, discuss factors that both inhibit and promote wellness, offer some culture-specific models of wellness, and…

  18. Quo vadis South African universities?

    OpenAIRE

    Johann RE lutjeharms

    2007-01-01

    The Economist has recently identified some specific factors that explain why European universities are not competing adequately with their American counterparts. These factors are used here to evaluate South African government policy for universities. It is demonstrated that this current policy is directly contrary to what is now internationally considered best for universities in a knowledge economy.

  19. Vitamin D and African Americans

    Science.gov (United States)

    Vitamin D insufficiency is more prevalent among African Americans than other Americans and, in North America, most young, healthy blacks do not achieve optimal 25-hydroxyvitamin D [25(OH)D] concentrations at any time of the year. This is primarily due to the fact that pigmentation reduces vitamin D...

  20. Significance of the Amyloidogenic Transthyretin Val 122 Ile allele in African-Americans in the Arteriosclerosis Risk in Communities (ARIC) and Cardiovascular Health (CHS) Studies

    OpenAIRE

    Buxbaum, Joel; Alexander, Alice; Koziol, James; Tagoe, Clement; Fox, Ervin; Kitzman, Dalane

    2010-01-01

    Many African-Americans carry an amyloidogenic transthyretin mutation (TTR V122I), with a high risk for cardiac TTR amyloid deposition after age 65. We wished to determine the allele frequency and its clinical penetrance in community-dwelling African-Americans.

  1. African Ancestry Analysis and Admixture Genetic Mapping for Proliferative Diabetic Retinopathy in African Americans

    Science.gov (United States)

    Tandon, Arti; Chen, Ching J.; Penman, Alan; Hancock, Heather; James, Maurice; Husain, Deeba; Andreoli, Christopher; Li, Xiaohui; Kuo, Jane Z.; Idowu, Omolola; Riche, Daniel; Papavasilieou, Evangelia; Brauner, Stacey; Smith, Sataria O.; Hoadley, Suzanne; Richardson, Cole; Kieser, Troy; Vazquez, Vanessa; Chi, Cheryl; Fernandez, Marlene; Harden, Maegan; Cotch, Mary Frances; Siscovick, David; Taylor, Herman A.; Wilson, James G.; Reich, David; Wong, Tien Y.; Klein, Ronald; Klein, Barbara E. K.; Rotter, Jerome I.; Patterson, Nick; Sobrin, Lucia

    2015-01-01

    Purpose. To examine the relationship between proportion of African ancestry (PAA) and proliferative diabetic retinopathy (PDR) and to identify genetic loci associated with PDR using admixture mapping in African Americans with type 2 diabetes (T2D). Methods. Between 1993 and 2013, 1440 participants enrolled in four different studies had fundus photographs graded using the Early Treatment Diabetic Retinopathy Study scale. Cases (n = 305) had PDR while controls (n = 1135) had nonproliferative diabetic retinopathy (DR) or no DR. Covariates included diabetes duration, hemoglobin A1C, systolic blood pressure, income, and education. Genotyping was performed on the Affymetrix platform. The association between PAA and PDR was evaluated using logistic regression. Genome-wide admixture scanning was performed using ANCESTRYMAP software. Results. In the univariate analysis, PDR was associated with increased PAA (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.16–1.59, P = 0.0002). In multivariate regression adjusting for traditional DR risk factors, income and education, the association between PAA and PDR was attenuated and no longer significant (OR = 1.21, 95% CI = 0.59–2.47, P = 0.61). For the admixture analyses, the maximum genome-wide score was 1.44 on chromosome 1. Conclusions. In this largest study of PDR in African Americans with T2D to date, an association between PAA and PDR is not present after adjustment for clinical, demographic, and socioeconomic factors. No genome-wide significant locus (defined as having a locus-genome statistic > 5) was identified with admixture analysis. Further analyses with even larger sample sizes are needed to definitively assess if any admixture signal for DR is present. PMID:26098467

  2. Analysis of pharmacogenetic traits in two distinct South African populations

    Directory of Open Access Journals (Sweden)

    Ikediobi Ogechi

    2011-05-01

    Full Text Available Abstract Our knowledge of pharmacogenetic variability in diverse populations is scarce, especially in sub-Saharan Africa. To bridge this gap in knowledge, we characterised population frequencies of clinically relevant pharmacogenetic traits in two distinct South African population groups. We genotyped 211 tagging single nucleotide polymorphisms (tagSNPs in 12 genes that influence antiretroviral drug disposition, in 176 South African individuals belonging to two distinct population groups residing in the Western Cape: the Xhosa (n = 109 and Cape Mixed Ancestry (CMA (n = 67 groups. The minor allele frequencies (MAFs of eight tagSNPs in six genes (those encoding the ATP binding cassette sub-family B, member 1 [ABCB1], four members of the cytochrome P450 family [CYP2A7P1, CYP2C18, CYP3A4, CYP3A5] and UDP-glucuronosyltransferase 1 [UGT1A1] were significantly different between the Xhosa and CMA populations (Bonferroni p CYP2C18, CYP3A4, the gene encoding solute carrier family 22 member 6 [SLC22A6] and UGT1A1 between the two South African populations. Characterising the Xhosa and CMA population frequencies of variant alleles important for drug transport and metabolism can help to establish the clinical relevance of pharmacogenetic testing in these populations.

  3. Recruiting intergenerational African American males for biomedical research Studies: a major research challenge.

    Science.gov (United States)

    Byrd, Goldie S; Edwards, Christopher L; Kelkar, Vinaya A; Phillips, Ruth G; Byrd, Jennifer R; Pim-Pong, Dora Som; Starks, Takiyah D; Taylor, Ashleigh L; Mckinley, Raechel E; Li, Yi-Ju; Pericak-Vance, Margaret

    2011-06-01

    The health and well-being of all individuals, independent of race, ethnicity, or gender, is a significant public health concern. Despite many improvements in the status of minority health, African American males continue to have the highest age-adjusted mortality rate of any race-sex group in the United States. Such disparities are accounted for by deaths from a number of diseases such as diabetes, human immunodeficiency virus (HIV), cancer, and cardiovascular disease, as well as by many historical and present social and cultural constructs that present as obstacles to better health outcomes. Distrust of the medical community, inadequate education, low socioeconomic status, social deprivation, and underutilized primary health care services all contribute to disproportionate health and health care outcomes among African Americans compared to their Caucasian counterparts. Results of clinical research on diseases that disproportionately affect African American males are often limited in their reliability due to common sampling errors existing in the majority of biomedical research studies and clinical trials. There are many reasons for underrepresentation of African American males in clinical trials, including their common recollection and interpretation of relevant historical of biomedical events where minorities were abused or exposed to racial discrimination or racist provocation. In addition, African American males continue to be less educated and more disenfranchised from the majority in society than Caucasian males and females and their African American female counterparts. As such, understanding their perceptions, even in early developmental years, about health and obstacles to involvement in research is important. In an effort to understand perspectives about their level of participation, motivation for participation, impact of education, and engagement in research, this study was designed to explore factors that impact their willingness to participate. Our

  4. Clinical spectrum of onchodermatitis

    International Nuclear Information System (INIS)

    To describe the frequency and to see various dermatological presentations of onchocerciasis in black Africans of Sierra Leone. Local black patients of all age groups, attending dermatology outpatient department of Pak Field Hospital (established as a part of UN peacekeeping mission in Sierra Leone) with clinical diagnosis of onchodermatitis, based on symptomatology and morphological features of the disease, were included. UN troops were excluded. Laboratory investigations including blood complete picture and skin snips were carried out in all patients. Skin biopsy and nodule biopsy was performed in selected cases. Skin manifestations were recorded and categorized into various clinical patterns, i.e. acute, chronic, lichenified, onchocercoma, etc. Data was analyzed by using descriptive statistics in Instat. A total of 3011 patients, belonging to different local tribes, having a variety of skin disorders, were seen during the study period. One hundred and eighty-seven (6.2%) patients were found to have onchodermatitis. Patients were of all ages and both sexes, their ages ranging from 1 month to 73 years. Gender ratio was almost equal. A whole clinical spectrum of onchodermatitis was observed, chronic papular onchodermatitis being the most common pattern. Onchodermatitis with a large spectrum of clinical manifestations was seen in black Africans of the eastern part of Sierra Leone. (author)

  5. The UCAR Africa Initiative: Enabling African Solutions to African Needs

    Science.gov (United States)

    Pandya, R.; Bruintjes, R.; Foote, B.; Heck, S.; Hermann, S.; Hoswell, L.; Konate, M.; Kucera, P.; Laing, A.; Lamptey, B.; Moncrieff, M.; Ramamurthy, M.; Roberts, R.; Spangler, T.; Traoré, A.; Yoksas, T.; Warner, T.

    2007-12-01

    The University Corporation for Atmospheric Research (UCAR) Africa Initiative (AI) is a coordinated effort aimed at building sustainable partnerships between UCAR and African institutions in order to pursue research and applications for the benefit of the African people. The initiative is based on four fundamental operating principles, concisely summarized by the overall philosophy of enabling African solutions to African needs. The four principles are: • Collaborate with African institutions • Focus on institutional capacity building and research support • Explore science research themes critical to Africa and important for the world • Leverage the research infrastructure in UCAR to add value These principles are realized in a set of pilot activities, chosen for their high probability of short-term results and ability to set the stage for longer-term collaboration. The three pilot activities are listed below. 1. A modest radar network and data-distribution system in Mali and Burkina Faso, including a data-sharing MOU between the Mail and Burkina Faso Weather Services. 2. A partnership among UCAR, the Ghana Meteorological Agency, and the Ghana university community to develop an operational Weather Research and Forecasting (WRF) model for West Africa. The output is used by researchers and operational forecasters in Africa. Model output is also part of a demonstration project that aims to allow humanitarian agencies to share geo-referenced information in Africa via a web portal. 3. A workshop in Ouagadougou, Burkina Faso from April 2-6, 2007, with the theme Improving Lives by Understanding Weather. The workshop, co-organized with Programme SAAGA and the Commité Permanent Inter-Etats de Lutte Contre la Sécheresse dans le Sahel (CILSS), included over 80 participants from 18 countries, and produced a set of recommendations for continued collaboration. Our presentation will provide an update of these pilot activities and point to future directions. Recognizing

  6. The African Financial Development Gap

    OpenAIRE

    Allen, Franklin; Carletti, Elena; Cull, Robert; Qian, Jun; Senbet, Lemma

    2010-01-01

    Economic growth in Africa has long been disappointing. We document that the financial sectors of most sub-Saharan African countries remain significantly underdeveloped by the standards of other developing countries. We examine the factors that are associated with financial development in Africa and compare them with those in other developing countries. Population density appears to be considerably more important for banking sector development in Africa than elsewhere. Given the high costs of ...

  7. Recent growth in African cassava

    OpenAIRE

    Nweke, Felix; Haggblade, Steven; Zulu, Ballard

    2004-01-01

    According to the authors, "Cassava serves as a staple food for 200 million Africans, second only to maize in its calorie contribution. In response to a series of devastating attacks by cassava diseases and pests over the past several decades, the International Institute of Tropical Agriculture (IITA) and several national agricultural research services have launched successful cassava research programs... " This brief describes some of the programs, their impact and the drivers of change. It c...

  8. Financial Liberalization: The African Experience

    OpenAIRE

    Reinhart, Carmen; Tokatlidis, Ioannis

    2000-01-01

    Almost a decade after their initiation, financial reforms appear to have had little effect on the economies of Sub-Sahara Africa. Whether the blame is to fall on their initial design itself, or on the partial nature of their implementation, liberalization policies have not mobilized savings, deepened intermediation or raised investment. Yet, Africa needs properly functioning financial markets for a more efficient allocation of resources for growth and risk diversification. How can African go...

  9. Understanding the Rise of African Business

    DEFF Research Database (Denmark)

    Jorem, Kaja Tvedten; Hansen, Michael Wendelboe; Jeppesen, Søren

    2014-01-01

    enterprises, observing that while much research is focusing on the role of the African business environments for enterprise development, much less attention has been devoted to the role of firm-specific capabilities, strategies and management. The paper concludes by advocating a contingency approach to...... research on African enterprise development that emphasizes the interplay between firm-specific factors and the specificities of the African business environment. Originality/value: The paper provides a comprehensive literature review on African enterprise development and presents a novel framework for......Purpose: In light of recent enthusiasm over African private sector development, the purpose of this paper is to review the business literature on African enterprise development with a view of identifying lacunas in the literature and of developing an analytical framework that may guide future...

  10. Establishment of baseline haematology and biochemistry parameters in wild adult African penguins (Spheniscus demersus

    Directory of Open Access Journals (Sweden)

    Nola J. Parsons

    2015-03-01

    Full Text Available There are few publications on the clinical haematology and biochemistry of African penguins (Spheniscus demersus and these are based on captive populations. Baseline haematology and serum biochemistry parameters were analysed from 108 blood samples from wild, adult African penguins. Samples were collected from the breeding range of the African penguin in South Africa and the results were compared between breeding region and sex. The haematological parameters that were measured were: haematocrit, haemoglobin, red cell count and white cell count. The biochemical parameters that were measured were: sodium, potassium, chloride, calcium, inorganic phosphate, creatinine, cholesterol, serum glucose, uric acid, bile acid, total serum protein, albumin, aspartate transaminase and creatine kinase. All samples were serologically negative for selected avian diseases and no blood parasites were detected. No haemolysis was present in any of the analysed samples. Male African penguins were larger and heavier than females, with higher haematocrit, haemoglobin and red cell count values, but lower calcium and phosphate values. African penguins in the Eastern Cape were heavier than those in the Western Cape, with lower white cell count and globulin values and a higher albumin/globulin ratio, possibly indicating that birds are in a poorer condition in the Western Cape. Results were also compared between multiple penguin species and with African penguins in captivity. These values for healthy, wild, adult penguins can be used for future health and disease assessments.

  11. Establishment of baseline haematology and biochemistry parameters in wild adult African penguins (Spheniscus demersus).

    Science.gov (United States)

    Parsons, Nola J; Schaefer, Adam M; van der Spuy, Stephen D; Gous, Tertius A

    2015-01-01

    There are few publications on the clinical haematology and biochemistry of African penguins (Spheniscus demersus) and these are based on captive populations. Baseline haematology and serum biochemistry parameters were analysed from 108 blood samples from wild, adult African penguins. Samples were collected from the breeding range of the African penguin in South Africa and the results were compared between breeding region and sex. The haematological parameters that were measured were: haematocrit, haemoglobin, red cell count and white cell count. The biochemical parameters that were measured were: sodium, potassium, chloride, calcium, inorganic phosphate, creatinine, cholesterol, serum glucose, uric acid, bile acid, total serum protein, albumin, aspartate transaminase and creatine kinase. All samples were serologically negative for selected avian diseases and no blood parasites were detected. No haemolysis was present in any of the analysed samples. Male African penguins were larger and heavier than females, with higher haematocrit, haemoglobin and red cell count values, but lower calcium and phosphate values. African penguins in the Eastern Cape were heavier than those in the Western Cape, with lower white cell count and globulin values and a higher albumin/globulin ratio, possibly indicating that birds are in a poorer condition in the Western Cape. Results were also compared between multiple penguin species and with African penguins in captivity. These values for healthy, wild, adult penguins can be used for future health and disease assessments. PMID:26016391

  12. Ideology and the possibility of African political theory: African socialism and “ubuntu” compared

    OpenAIRE

    Gil, Manuel

    2011-01-01

    This article explores the lack of investigation into African political theory in the postcolonial period. After discussing the epistemological problems in the study of African political thought, the paper then adopts Michael Freeden’s methodology for the analysis of political ideologies. Through this approach a comparison is made between African Socialism and ubuntu. African Socialism – as developed by Cabral, Nkrumah, Nyerere and Senghor – is defined by its core commitment to freedom from co...

  13. Successful snakebite treatment in three juvenile African wild dogs (Lycaon pictus) with polyvalent antivenom: A Namibian case report

    OpenAIRE

    Marlice van Vuuren; Matthew P. Cleverley; Katherine E. Echement; van Vuuren, Rudie J.; Florian J. Weise

    2013-01-01

    This article reports the first documented treatment of venomous snakebite with a polyvalent snake antivenom from the South African Institute for Medical Research in endangered African wild dogs (Lycaon pictus). Three juvenile male animals (6.5 months of age) showed clinical signs after being bitten by an unidentified venomous snake. The signs included loss of appetite, disorientation, impaired locomotion, excessive facial swelling, profuse salivation, reduced respiratory effort and an apparen...

  14. Ectomycorrhizal symbiosis of tropical African trees

    OpenAIRE

    Bâ, Amadou; Duponnois, Robin; Moyersoen, B.; Diédhiou, A.G.

    2012-01-01

    The diversity, ecology and function of ectomycorrhizal (EM) fungi and ectomycorrhizas (ECMs) on tropical African tree species are reviewed here. While ECMs are the most frequent mycorrhizal type in temperate and boreal forests, they concern an economically and ecologically important minority of plants in African tropical forests. In these African tropical forests, ECMs are found mainly on caesalpionioid legumes, Sarcolaenaceae, Dipterocarpaceae, Asterpeiaceae, Phyllantaceae, Sapotaceae, Papil...

  15. 21st Century South African Science Fiction

    OpenAIRE

    CARAIVAN LUIZA

    2014-01-01

    The paper analyses some aspects of South African science fiction, starting with its beginnings in the 1920s and focusing on some 21st century writings. Thus Lauren Beukes’ novels Moxyland (2008) and Zoo City (2010) are taken into consideration in order to present new trends in South African literature and the way science fiction has been marked by Apartheid. The second South African science fiction writer whose writings are examined is Henrietta Rose-Innes (with her novel Nineveh, published i...

  16. African Music: Source of the Blues

    OpenAIRE

    Bayer, Konrad Sidney

    2010-01-01

    [Abstract] African music is the primary source for the blues. Scholars have supplied ample evidence to support this assertion. However, the African retentions still present in the blues are not immediately apparent. African music and the blues share many similarities, including the predominance of rhythm, the uses of music as social commentary and critique, types of instruments, and musical structure. Slaves brought their culture with them to the New World when they were forcibly taken from t...

  17. Representation of African Heritage in Trinidad Carnival

    OpenAIRE

    三吉, 美加

    2016-01-01

    This paper focuses on the cultural representation of African Trinidadian or African creole in Trinidad Carnival. The Republic of Trinidad and Tobago is the most ethnically and culturally diverse society in the East Caribbean. This diversity comprises of 40 percent of East Indians, 40 percent of Africans, and 20 percent of mixed race such as Chinese, Syrians, Lebanese, and Europeans. In the course of making tourism a national agenda, Carnival has gained commercial values, diversifying particip...

  18. 75 FR 45600 - African Development Foundation, Board of Directors Meeting

    Science.gov (United States)

    2010-08-03

    ...; ] AFRICAN DEVELOPMENT FOUNDATION African Development Foundation, Board of Directors Meeting Time: Tuesday, August 17, 2010, 8:30 a.m. to 1 p.m. Place: African Development Foundation, Conference Room, 1400...

  19. 75 FR 2844 - African Development Foundation, Board of Directors Meeting

    Science.gov (United States)

    2010-01-19

    ...; ] AFRICAN DEVELOPMENT FOUNDATION African Development Foundation, Board of Directors Meeting Time: Tuesday, January 26, 2010, 8:30 a.m. to 1 p.m. Place: African Development Foundation, Conference Room, 1400...

  20. 75 FR 14418 - African Development Foundation, Board of Directors Meeting

    Science.gov (United States)

    2010-03-25

    ...; ] AFRICAN DEVELOPMENT FOUNDATION African Development Foundation, Board of Directors Meeting Time: Tuesday, April 13, 2010, 9:30 a.m. to 1 p.m. Place: African Development Foundation, Conference Room, 1400...

  1. The State of African Stock Markets

    OpenAIRE

    Mahama, Adnan

    2013-01-01

    The paper looks at the state of African stock markets during and after the global economic crisis of 2008. The research focuses on the market performance of 15 African stock exchanges from 2007-2012. The size and liquidity of stock markets in the African region is discussed in this thesis. In addition, it compares the performances of a few indexes in the emerging and developed markets to that of African indexes. Data is gathered from individual stock markets as well as notable institutions su...

  2. Race, health, and the African Diaspora.

    Science.gov (United States)

    Spigner, Clarence

    Health inequalities exist throughout the African Diaspora and are viewed in this article as largely color-coded. In developed, developing, and undeveloped nations today, "racial" stratification is consistently reflected in an inability to provide adequate health regardless of national policy or ideology. For instance, African Americans experience less than adequate health care very similar to Blacks in Britain, in spite of each nations differing health systems. Latin America's Africana Negra communities experience poorer health similar to Blacks throughout the Caribbean. The African continent itself is arguably the poorest on earth. A common history of racism correlates with health disparities across the African Diaspora. PMID:18364304

  3. Bibliometric Assessment of European and Sub-Saharan African Research Output on Poverty-Related and Neglected Infectious Diseases from 2003 to 2011

    OpenAIRE

    Breugelmans, J. Gabrielle; Makanga, Michael M.; Cardoso, Ana Lúcia V.; Mathewson, Sophie B.; Sheridan-Jones, Bethan R.; Gurney, Karen A.; Mgone, Charles S

    2015-01-01

    Background The European & Developing Countries Clinical Trials Partnership (EDCTP) is a partnership of European and sub-Saharan African countries that aims to accelerate the development of medical interventions against poverty-related diseases (PRDs). A bibliometric analysis was conducted to 1) measure research output from European and African researchers on PRDs, 2) describe collaboration patterns, and 3) assess the citation impact of clinical research funded by EDCTP. Methodology/Principal ...

  4. Utilization of Mammography Services among Elderly Rural and Urban African American Women

    Science.gov (United States)

    Agho, Augustine O; Mosley, Barbara W; Rivers, Patrick A; Parker, Shandowyn

    2007-01-01

    Purpose: This study was a two-year educational intervention and research project aimed at increasing the awareness of breast cancer and the utilization of Clinical Breast Examination (CBE) services and Self-Breast Examination (SBE) among elderly rural and urban African American women who are Medicare beneficiaries. Design: The study was…

  5. Expressive and Receptive Language Effects of African American English on a Sentence Imitation Task

    Science.gov (United States)

    Terry, J. Michael; Jackson, Sandra C.; Evangelou, Evangelos; Smith, Richard L.

    2010-01-01

    This study tests the extent to which giving credit for African American English (AAE) responses on a General American English sentence imitation test mitigates dialect effects. Forty-eight AAE-speaking second graders completed the Recalling Sentences subtest of the Clinical Evaluation of Language Fundamentals-Third Edition (1995). A Bayesian…

  6. Eliminating Health Disparities in the African American Population: The Interface of Culture, Gender, and Power

    Science.gov (United States)

    Airhihenbuwa, Collins O.; Liburd, Leandris

    2006-01-01

    Since the release of former Secretary Margaret Heckler's "Secretary's Task Force Report on Black and Minority Health" more than two decades ago, excess death from chronic diseases and other conditions between African Americans and Whites have increased. The conclusion of that report emphasized excess death and thus clinical care, paying little…

  7. A Review of Childrearing in African American Single Mother Families: The Relevance of a Coparenting Framework

    Science.gov (United States)

    Jones, Deborah J.; Zalot, Alecia A.; Foster, Sarah E.; Sterrett, Emma; Chester, Charlene

    2007-01-01

    Clinical research on African American single mother families has focused largely on mother-child dyads, with relatively less empirical attention to the roles of other adults or family members who often assist with childrearing. This narrow definition of "family" fails to take into account the extended family networks which often provide support…

  8. Decision Making Correlates of Depressive Symptoms among African-American Adolescents: Implications for Prevention Approaches.

    Science.gov (United States)

    Okwumabua, Jebose O.; Duryea, Elias J.; Wong, S. P.

    2002-01-01

    Examined the relationship between depressive symptoms and decision making among a non-clinical sample of low-income African American adolescents. Data from the Children's Depression Inventory and Flinders Adolescent Decision Making Questionnaire indicated that there was a significant correlation between adolescents' self-reported depressive…

  9. Characteristics of a French African Caribbean Epidemiological Psychiatric Sample with a History of Suicide Attempt

    Science.gov (United States)

    Slama, Frederic; Dehurtevent, Benedicte; Even, Jean-Daniel; Charles-Nicolas, Aime; Ballon, Nicolas; Slama, Remy

    2008-01-01

    Research on vulnerability factors among ethnic groups, independent of primary psychiatric diagnosis, may help to identify groups at risk of suicidal behavior. French African Caribbean general psychiatric patients (N = 362) were recruited consecutively and independently of the primary psychiatric diagnosis. Demographic and clinical characteristics…

  10. Design, recruitment, and retention of African-American smokers in a pharmacokinetic study

    Directory of Open Access Journals (Sweden)

    Mayo Matthew S

    2010-01-01

    Full Text Available Abstract Background African-Americans remain underrepresented in clinical research despite experiencing a higher burden of disease compared to all other ethnic groups in the United States. The purpose of this article is to describe the study design and discuss strategies used to recruit and retain African-American smokers in a pharmacokinetic study. Methods The parent study was designed to evaluate the differences in the steady-state concentrations of bupropion and its three principal metabolites between African-American menthol and non-menthol cigarette smokers. Study participation consisted of four visits at a General Clinical Research Center (GCRC over six weeks. After meeting telephone eligibility requirements, phone-eligible participants underwent additional screening during the first two GCRC visits. The last two visits (pharmacokinetic study phase required repeated blood draws using an intravenous catheter over the course of 12 hours. Results Five hundred and fifteen African-American smokers completed telephone screening; 187 were phone-eligible and 92 were scheduled for the first GCRC visit. Of the 81 who attended the first visit, 48 individuals were enrolled in the pharmacokinetic study, and a total of 40 individuals completed the study (83% retention rate. Conclusions Although recruitment of African-American smokers into a non-treatment, pharmacokinetic study poses challenges, retention is feasible. The results provide valuable information for investigators embarking on non-treatment laboratory-based studies among minority populations.

  11. Recruitment of a hidden population: African Americans with obsessive-compulsive disorder.

    Science.gov (United States)

    Williams, Monnica T; Proetto, Dante; Casiano, Delane; Franklin, Martin E

    2012-01-01

    Obsessive-compulsive disorder (OCD) is a leading cause of disability worldwide, however for reasons that are poorly understood ethnic minority groups are not well represented in clinical research studies. Thus, although African Americans experience equivalent rates of OCD according to epidemiological surveys, the generalizability of findings from clinical trials remains unknown. Research designed to improve identification, assessment and treatment of OCD is an important public health priority. The purpose of this study is to report outreach methods used to recruit African American adults for participation in an OCD research study. A variety of methods were employed, including radio advertisements, public transportation advertising, community outreach, and online advertising. A total of 83 African American adult participants were recruited over a 9.5 month period at the University of Pennsylvania in Philadelphia, and given comprehensive psychiatric assessments. African Americans with OCD symptoms were reliably identified and assessed, for a total of 75 with lifetime OCD (4 past and 71 current diagnoses). There was variability in the success and cost effectiveness of study recruitment methods. Radio ads were the most expensive means of recruitment, newspaper ads accounted for the largest number of eligible participants, and no cost methods such as Craig's List and word of mouth were also effective. The authors conclude that, with focused efforts, there are many effective methods for recruiting African Americans with OCD. Guidelines for recruitment are discussed, with a focus on cultural considerations. PMID:21983626

  12. Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review

    Directory of Open Access Journals (Sweden)

    de Graft Aikins Ama

    2009-08-01

    Full Text Available Abstract Background Most European countries are ethnically and culturally diverse. Globally, cardiovascular disease (CVD is the leading cause of death. The major risk factors for CVD have been well established. This picture holds true for all regions of the world and in different ethnic groups. However, the prevalence of CVD and related risk factors vary among ethnic groups. Methods This article provides a review of current understanding of the epidemiology of vascular disease, principally coronary heart disease (CHD, stroke and related risk factors among populations of Sub-Sahara African descent (henceforth, African descent in comparison with the European populations in Europe. Results Compared with European populations, populations of African descent have an increased risk of stroke, whereas CHD is less common. They also have higher rates of hypertension and diabetes than European populations. Obesity is highly prevalent, but smoking rate is lower among African descent women. Older people of African descent have more favourable lipid profile and dietary habits than their European counterparts. Alcohol consumption is less common among populations of African descent. The rate of physical activity differs between European countries. Dutch African-Suriname men and women are less physically active than the White-Dutch whereas British African women are more physically active than women in the general population. Literature on psychosocial stress shows inconsistent results. Conclusion Hypertension and diabetes are highly prevalent among African populations, which may explain their high rate of stroke in Europe. The relatively low rate of CHD may be explained by the low rates of other risk factors including a more favourable lipid profile and the low prevalence of smoking. The risk factors are changing, and on the whole, getting worse especially among African women. Cohort studies and clinical trials are therefore needed among these groups to

  13. LGBT African-American Individuals and African-American Same-Sex Couples

    OpenAIRE

    Gates, Gary J.; Kastanis, Angel

    2013-01-01

    An estimated 1,018,700 or 3.7 percent of African-American adults consider themselves lesbian, gay, bisexual or transgender (LGBT) and 34 percent of African-American same-sex couples are raising children. Currently, the estimated 84,000 African-American individuals in same-sex couples tend to live in areas where there are higher proportions of African-Americans. For example, a quarter of African-American same-sex couples live in Georgia, New York, North Carolina, and Maryland. The rep...

  14. The African agent discovered: The recognition and involvement of the African biblical interpreter in Bible translation

    Directory of Open Access Journals (Sweden)

    S V Coertze

    2008-05-01

    Full Text Available This article explores the extent to which the role of the African biblical interpreter is acknowledged in the process of Bible translation, as the Bible and Bible translation form an important part of the establishment of the African church on the continent of Africa. It points out that even though foreign discovery of African agency in Bible translation is evident, indigenous discovery of the same is largely absent. Part of the relevance of this article is for the African church to own and be actively involved in the translation of the Bible into the remaining African languages that are in need of a translation of the Bible.

  15. Constraints to estimating the prevalence of trypanosome infections in East African zebu cattle

    Directory of Open Access Journals (Sweden)

    Cox Andrew P

    2010-09-01

    Full Text Available Abstract Background In East Africa, animal trypanosomiasis is caused by many tsetse transmitted protozoan parasites including Trypanosoma vivax, T. congolense and subspecies of T. brucei s.l. (T. b. brucei and zoonotic human infective T. b. rhodesiense that may co-circulate in domestic and wild animals. Accurate species-specific prevalence measurements of these parasites in animal populations are complicated by mixed infections of trypanosomes within individual hosts, low parasite densities and difficulties in conducting field studies. Many Polymerase Chain Reaction (PCR based diagnostic tools are available to characterise and quantify infection in animals. These are important for assessing the contribution of infections in animal reservoirs and the risk posed to humans from zoonotic trypanosome species. New matrices for DNA capture have simplified large scale field PCR analyses but few studies have examined the impact of these techniques on prevalence estimations. Results The Whatman FTA matrix has been evaluated using a random sample of 35 village zebu cattle from a population naturally exposed to trypanosome infection. Using a generic trypanosome-specific PCR, prevalence was systematically evaluated. Multiple PCR samples taken from single FTA cards demonstrated that a single punch from an FTA card is not sufficient to confirm the infectivity status of an individual animal as parasite DNA is unevenly distributed across the card. At low parasite densities in the host, this stochastic sampling effect results in underestimation of prevalence based on single punch PCR testing. Repeated testing increased the estimated prevalence of all Trypanosoma spp. from 9.7% to 86%. Using repeat testing, a very high prevalence of pathogenic trypanosomes was detected in these local village cattle: T. brucei (34.3%, T. congolense (42.9% and T. vivax (22.9%. Conclusions These results show that, despite the convenience of Whatman FTA cards and specific PCR based

  16. Relational Factors and Family Treatment Engagement among Low-Income, HIV-Positive African American Mothers

    OpenAIRE

    Mitrani, Victoria B.; Prado, Guillermo; Feaster, Daniel J.; Robinson-Batista, Carleen; Szapocznik, Josê

    2003-01-01

    Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother’s desire for involvement with family, and family hassles) and mother’s history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems...

  17. Population genetics of African ungulates

    DEFF Research Database (Denmark)

    Lorenzen, Eline

    Molecular genetic techniques were used to gain insights into the evolutionary forces that have shaped the present day diversity of African savannah ungu-lates, which constitute the most species-rich mega faunal assemblage on earth. The studies included in this thesis represent individual species......-specific data sets, which are used to elucidate evolutionary processes of importance to the savannah ungulate community. Patterns of DNA variation were analyzed to assess the genetic signatures of Pleistocene refugia and investigate aspects of speciation, intraspecific structuring, hybridization, and historic...

  18. Environmental sensing by African trypanosomes.

    Science.gov (United States)

    Roditi, Isabel; Schumann, Gabriela; Naguleswaran, Arunasalam

    2016-08-01

    African trypanosomes, which divide their life cycle between mammals and tsetse flies, are confronted with environments that differ widely in temperature, nutrient availability and host responses to infection. In particular, since trypanosomes cannot predict when they will be transmitted between hosts, it is vital for them to be able to sense and adapt to their milieu. Thanks to technical advances, significant progress has been made in understanding how the parasites perceive external stimuli and react to them. There is also a growing awareness that trypanosomes use a variety of mechanisms to exchange information with each other, thereby enhancing their chances of survival. PMID:27131101

  19. Depression, Sociocultural Factors, and African American Women

    Science.gov (United States)

    Hunn, Vanessa Lynn; Craig, Carlton David

    2009-01-01

    The authors discuss depression in African American women from a sociocultural perspective, including aspects of oppression and racism that affect symptom manifestation. The authors highlight John Henryism as a coping mechanism, the history and continuing role of the African American church as a safe haven, and strategies for culturally competent…

  20. Cancer and the African American Experience

    Science.gov (United States)

    The first plenary of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study: Cultural Considerations When Caring for African Americans explores the many factors that lead to inequalities in cancer care outcomes for African Americans.

  1. African Americans in the Early Republic.

    Science.gov (United States)

    Nash, Gary B.

    2000-01-01

    Discusses five topics on African Americans that are essential to studying United States History in the years between 1760 and 1830: (1) African Americans in the Revolutionary War ; (2) the rise of free black communities; (3) early abolitionism; (4) the spread of slavery; and (5) black resistance to slavery. (CMK)

  2. African-American Student Achievement Research Project.

    Science.gov (United States)

    Wagstaff, Mark; Melton, Jerry; Lawless, Brenda; Combs, Linda

    Data from the Texas Assessment of Academic Skills (TAAS) reveal that gains in performance for the African American student population of Region VII of the state's educational system were not keeping pace with the performance of African Americans in the rest of Texas. This study investigated practices in school districts in the region in which…

  3. New data on African health professionals abroad

    Directory of Open Access Journals (Sweden)

    Clemens Michael A

    2008-01-01

    Full Text Available Abstract Background The migration of doctors and nurses from Africa to developed countries has raised fears of an African medical brain drain. But empirical research on the causes and effects of the phenomenon has been hampered by a lack of systematic data on the extent of African health workers' international movements. Methods We use destination-country census data to estimate the number of African-born doctors and professional nurses working abroad in a developed country circa 2000, and compare this to the stocks of these workers in each country of origin. Results Approximately 65,000 African-born physicians and 70,000 African-born professional nurses were working overseas in a developed country in the year 2000. This represents about one fifth of African-born physicians in the world, and about one tenth of African-born professional nurses. The fraction of health professionals abroad varies enormously across African countries, from 1% to over 70% according to the occupation and country. Conclusion These numbers are the first standardized, systematic, occupation-specific measure of skilled professionals working in developed countries and born in a large number of developing countries.

  4. British African Caribbean Women and Depression

    Science.gov (United States)

    Adkison-Bradley, Carla; Maynard, Donna; Johnson, Phillip; Carter, Stephaney

    2009-01-01

    Depression is a common condition among women in the United Kingdom. However, little is known about the context of depression among British African Caribbean women. This article offers a preliminary discussion regarding issues and information pertaining to depression among British African Caribbean women. Characteristics and symptoms of depression…

  5. Psychocultural Correlates of Mental Health Service Utilization Among African American and European American Girls.

    Science.gov (United States)

    Yasui, Miwa; Hipwell, Alison E; Stepp, Stephanie D; Keenan, Kate

    2015-11-01

    Structural equation modeling was used to examine the effects of cultural factors (ethnic identity, perceived discrimination), family relations, and child problem type on mental health service utilization in a community sample of 1,480 adolescent girls (860 African American, 620 European American) between ages 15 and 17 years enrolled in the Pittsburgh Girls Study. Results revealed ethnic identity, caregiver attachment, and conduct disorder were related to service use among African American girls. Among European American girls, correlate patterns differed by clinical need. Findings highlight the need for research on health disparities to examine racially specific influences on service utilization. PMID:25380787

  6. An African VLBI network of radio telescopes

    CERN Document Server

    Gaylard, M J; Combrinck, L; Booth, R S; Buchner, S J; Fanaroff, B L; MacLeod, G C; Nicolson, G D; Quick, J F H; Stronkhorst, P; Venkatasubramani, T L

    2014-01-01

    The advent of international wideband communication by optical fibre has produced a revolution in communications and the use of the internet. Many African countries are now connected to undersea fibre linking them to other African countries and to other continents. Previously international communication was by microwave links through geostationary satellites. These are becoming redundant in some countries as optical fibre takes over, as this provides 1000 times the bandwidth of the satellite links. In the 1970's and 1980's some two dozen large (30 m diameter class) antennas were built in various African countries to provide the satellite links. Twenty six are currently known in 19 countries. As these antennas become redundant, the possibility exists to convert them for radio astronomy at a cost of roughly one tenth that of a new antenna of similar size. HartRAO, SKA Africa and the South African Department of Science and Technology (DST) have started exploring this possibility with some of the African countries...

  7. Camel Diseases and Conditions in a Non-traditional Camel Keeping Area: A case study of Kajiado District With Special Emphasis on Trypanosomiasis

    International Nuclear Information System (INIS)

    Camels in Kenya are raised in the lowlands of Semi-arid to arid areas of Northern Kenya. Some NGO's (PHI and Farm Africa) introduced some camels into the wetter Southern rangelands of Kenya, specifically in Kajiado in 1989. There is no information so far on the productivity of these animals in this new environment. The objective of this study was to collect data on disease and conditions in Kajiado district with special emphasis on trypanosomosis. Twenty-four herds of camels in three divisions of Kajiado, comprising of 324 animals, were clinically examined and blood as well as faecal samples collected for laboratory examination for haemoparasites, anaemia and helminths as well as other infections and ectoparasites. The mean trypanosome point prevalence was 7.2% although Magadi had the biggest prevalence of 26.4%, while the central division had the least, 1.3% PCV values were proportion to magnitude of infection. T. brucei/T. evansi were shown to be present in varying degrees. Tick infestation comprised of Boophilus, Rhipicephalus and Hyalomma in about 53% of the camels. Helminth infection was observed in about 51% of the camels comprising mainly Haemonchus, Trichosrongylus, Strongyloides and Oesophagostomum. There were also cases of Abscesses, diarrhoea, mange eye infections, wounds and mastitis. It was concluded that new management strategies for the camel in southern rangelands is desirable to counter possible new diseases as well as other challenges of productivity

  8. Educational Adaptation and Pan-Africanism: Trends in Africa.

    Science.gov (United States)

    Marah, John Karefah

    1987-01-01

    European colonialists believed that Africans should be educated in African traditional values, and that Africans should be made into dedicated workers, not holders of power. The African nationalists of the 1960s, in contrast, rejected most of the arduous aspects of European education as instruments of domination, and lay the foundation for the…

  9. 76 FR 6519 - National African American History Month, 2011

    Science.gov (United States)

    2011-02-04

    ... imagined, African Americans have strengthened our Nation by leading reforms, overcoming obstacles, and... of African Americans to our Nation's history and identity. This year's theme, ``African Americans and... enslaved within rebellious areas, he also opened the door for African Americans to join the Union...

  10. African widows: anthropological and historical perspectives.

    Science.gov (United States)

    Cattell, Maria G

    2003-01-01

    Variety characterizes widows' experiences around the world and in Africa south of the Sahara. This article explores the socioeconomic and cultural contexts of African widowhood, using anthropological studies in a number of African societies, including the author's research among Abaluyia of western Kenya. Some features of African widowhood are characteristic of African women's lives regardless of their marital status: their embeddedness in kinship systems and dependence on those systems for claims to productive resources, their economic self-reliance (which does not mean prosperity), strongly gendered divisions of labor, and the pervasiveness of patriarchal gender relations. Other features are specific to widowhood, including remarriage, issues of personal autonomy, and loss of status, access to productive resources and social support. Colonial and postcolonial historical transformations, including Africa's current dire economic situation and the AIDS epidemic, are considered in relation to widows' lives. An interesting question (given the theme of this edited volume) is whether a husband' s death puts African widows "on their own again," and whether, given African systems of kinship and marriage, most African women (and indeed men, too) can ever be said to be "on their own." PMID:14604001

  11. Nonblack patients with sickle cell disease have African. beta. sup s gene cluster haplotypes

    Energy Technology Data Exchange (ETDEWEB)

    Rogers, Z.R.; Powars, D.R.; Williams, W.D. (Univ. of Southern California School of Medicine, Los Angeles (USA)); Kinney, T.R. (Duke Univ., Durham, NC (USA)); Schroeder, W.A. (California Institute of Technology, Pasadena (USA))

    1989-05-26

    Of 18 nonblack patients with sickle cell disease, 14 had sickle cell anemia, 2 had hemoglobin SC disease, and 2 had hemoglobin S-{beta}{sup o}-thalassemia. The {beta}{sup s} gene cluster haplotypes that were determined in 7 patients were of African origin and were identified as Central African Republic, Central African Republic minor II, Benin, and Senegal. The haplotype Central African Republic minor II was present on the {beta}{sup o}-thalassemia chromosome in 2 patients. None of 10 patients whose {alpha}-gene status was determined had {alpha}-thalassemia-2. These data strongly support the concept that the {beta}{sup s} gene on chromosome 11 of these individuals is of African origin and that the {alpha}-gene locus on chromosome 16 is of white or native American origin. The clinical severity of the disease in these nonblack patients is appropriate to their haplotype without {alpha}-thalassemia-2 and is comparable with that of black patients. All persons with congenital hemolytic anemia should be examined for the presence of sickle cell disease regardless of physical appearance or ethnic background.

  12. The Economics of the African Media

    OpenAIRE

    Cage, Julia

    2014-01-01

    The focus of this chapter is on the economics of sub-Saharan African media. Using the history of sub-Saharan African newspapers as well as historical evidence from Europe and the United States, I study the emergence of market-oriented journalism and of an independent and informative press in sub-Saharan Africa. I document the extent to which sub-Saharan African newspapers have followed the same development steps than newspapers in other countries, moving from living off patronage and governme...

  13. MISCONCEPTIONS OF DEPRESSION IN AFRICAN AMERICANS

    Directory of Open Access Journals (Sweden)

    Zohaib eSohail

    2014-06-01

    Full Text Available Major depression is a very common disabling disorder. Although the relationship between race and depression is complex, depression affects all races, all ethnic and geographic locations as well as all age groups. The prevalence of depression in African Americans is controversial, due to the paucity of research. The deficit in the knowledge and skills in treating depression in African Americans have not been adequately addressed so far. Inadequate and insufficient data on African Americans contributes to the problems of under diagnoses, misdiagnosis and under treatment of depression. This article will highlight the existing problem of depression in Afro American with a focus on diagnostic and treatment issues.

  14. The African concept of caring for life

    Directory of Open Access Journals (Sweden)

    Maake Masango

    2005-10-01

    Full Text Available This article analyses the village concept of caring among African people. The old pattern of caring was based on the concept of ubuntu (humanity which respects people, because they are created in the imago Dei. Then the article compares the western concept of caring, which is based on individualism and people's privacy. Finally, economy, globalisation and this western concept are analysed. The impact of the above concepts affects Africans in urban areas, who are caught up in the two worlds, namely the African and western worlds.

  15. Mandela’s Favourite African Folktales

    OpenAIRE

    Carmen Concilio

    2014-01-01

    In this essay I would like to examine the selection of African tales that Nelson Mandela took care to leave as heritage to the future generations, not only to children, and not only to African children. The fact that a political leader, ex freedom fighter and political prisoner dedicated his time to the collection and editing of stories from all over the African continent to be addressed to new readers as simple entertainment or as educational tools clearly testifies to the great humanity, cu...

  16. AFRA. African Regional Co-operative Agreement

    International Nuclear Information System (INIS)

    This publication provides an outline of the African Regional Co-operation Agreement for research, development and training related to nuclear science and technology (AFRA). The agreement stems from an initiative of several African member states of the IAEA to get the agency to help establish an African regional arrangement which would be similar to arrangements which were already in place in the Asian and Latin American regions. Through this regional approach to development, AFRA seeks to accelerate moves toward self-sufficiency in scientific disciplines and appropriate technologies by coordinating intellectual and physical resources and disseminating innovative methods and practices in a cost-effective manner

  17. 21st Century South African Science Fiction

    Directory of Open Access Journals (Sweden)

    CARAIVAN LUIZA

    2014-12-01

    Full Text Available The paper analyses some aspects of South African science fiction, starting with its beginnings in the 1920s and focusing on some 21st century writings. Thus Lauren Beukes’ novels Moxyland (2008 and Zoo City (2010 are taken into consideration in order to present new trends in South African literature and the way science fiction has been marked by Apartheid. The second South African science fiction writer whose writings are examined is Henrietta Rose-Innes (with her novel Nineveh, published in 2011 as this consolidates women's presence in the SF world.

  18. The African American Wellness Village in Portland, Ore

    OpenAIRE

    McKeever, Corliss; Koroloff, Nancy; Faddis, Collaine

    2006-01-01

    More than 80% of African Americans in Oregon reside in the Portland metropolitan area; African Americans comprise 1.7% of the state's population. Although relatively small, the African American population in the state experiences substantial health disparities. The African American Health Coalition, Inc was developed to implement initiatives that would reduce these disparities and to promote increased communication and trust between the African American community and local institutions and or...

  19. Victimization Experiences, Substance Misuse and Mental Health Problems in Relation to Risk for Lethality among African-American and African-Caribbean Women

    OpenAIRE

    Sabri, Bushra; Stockman, Jamila K.; Betrand, Desiree; Campbell, Doris W.; Callwood, Gloria B.; Campbell, Jacquelyn C.

    2013-01-01

    The purpose of this study was to investigate the association of intimate partner victimization experiences, mental health, and substance misuse problems with the risk for lethality among women of African descent. Data for this cross-sectional study were derived from a large case-control study examining the relationship between abuse status and health consequences. Women were recruited from primary care, prenatal or family planning clinics in Baltimore and the US Virgin Islands. Logistic regre...

  20. Palaearctic-African Bird Migration

    DEFF Research Database (Denmark)

    Iwajomo, Soladoye Babatola

    -Saharan migrants than autumn migration. Information about the behavior and interactions of migrants during the nonbreeding season in sub-Saharan Africa is also scarce for many species. Furthermore, very little is known about intra-African migration. This thesis summarizes my research on the autumn migration of...... still unknown. The fourth paper and one manuscript investigate the behavior of garden warblers Sylvia borin, during the non-breeding season in Nigeria. The first paper shows that the species also utilizes habitats south of the savannah region, presumably on its way to the final goal area. Individuals...... also molt their flight feathers at this location and intraspecific interactions are non-aggressive. The second manuscript investigates whether variations in the timing of migration of wader species at a stopover site in southeast Sweden is influence by local or regional climatic variables. The...

  1. African diatom palaeoecology and biostratigraphy

    Science.gov (United States)

    Gasse, F.; Fourtanier, E.

    This paper illustrates the different types of information which can be deduced from African diatoms studies. The first section is devoted to the reconstruction of palaeoenvironments. The accuracy of ecological data (estimates of ecological variables e.g. types of habitats, water chemistry…) depends on the times scale and on the spatial scale considered: short-term environments in a given waterbody, environmental evolution during individual humid episodes considered locally or regionally, long-term changes in diatom flora induced by major climatic tendencies at a regional or continental scale. One then summarizes our present state of knowledge in diatom biostratigraphy in Africa. Several centric taxa, belonging to the genera Aulacoseira, Mesodictyon, Cyclotella, Stephanodiscus and Cyclostephanos appear to have limited stratigraphical ranges and to be good chronological markers.

  2. Africa Pentecostalized? Understanding the African appropriation of Pentecostalism in light of African perspectives

    OpenAIRE

    Østhassel, Ole Aleksander

    2013-01-01

    I want to prepare an understanding of why Pentecostalism seems to be so attractive in Africa. I will outline Ogbu Kalu's understanding of a resonance between African traditional culture and Pentecostalism, and then add perspectives from other African scholars. And the research problem follows: How can we understand the appropriation of Pentecostalism in Africa in light of Ogbu Kalu? Research questions will be: In what way do Pentecostalism and African traditional cult...

  3. Extraordinary life history in African annual fishes

    Czech Academy of Sciences Publication Activity Database

    Blažek, Radim; Polačik, Matej; Reichard, Martin

    Bujumbura: University of Burundi, 2013. s. 52-53. [International Conference of the Pan African Fish and Fisheries Association (PAFFA) /5./. 16.09.2013-20.09.2013, Bujumbura] Institutional support: RVO:68081766 Keywords : Nothobranchius * Mozambique Subject RIV: EG - Zoology

  4. African Studies Abstracts Online: number 28, 2009

    OpenAIRE

    African Studies Centre

    2009-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 28 (2009). African Studies Centre, Leiden.

  5. African Studies Abstracts Online: number 25, 2009

    OpenAIRE

    African Studies Centre

    2009-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 25 (2009). African Studies Centre, Leiden.

  6. African Studies Abstracts Online: number 10, 2005

    OpenAIRE

    African Studies Centre

    2005-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 10 (2005). African Studies Centre, Leiden.

  7. African Studies Abstracts Online: number 36, 2011

    OpenAIRE

    African Studies Centre

    2011-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 36 (2011). African Studies Centre, Leiden.

  8. African Studies Abstracts Online: number 23, 2008

    OpenAIRE

    African Studies Centre

    2008-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 23 (2008). African Studies Centre, Leiden.

  9. African Studies Abstracts Online: number 30, 2010

    OpenAIRE

    African Studies Centre

    2010-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 30 (2010). African Studies Centre, Leiden.

  10. African Studies Abstracts Online: number 20, 2007

    OpenAIRE

    African Studies Centre

    2007-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 20 (2007). African Studies Centre, Leiden.

  11. African Studies Abstracts Online: number 50, 2015

    OpenAIRE

    African Studies Centre

    2015-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 50 (2015). African Studies Centre, Leiden.

  12. African Studies Abstracts Online: number 34, 2011

    OpenAIRE

    African Studies Centre

    2011-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 34 (2011). African Studies Centre, Leiden.

  13. African Studies Abstracts Online: number 11, 2005

    OpenAIRE

    African Studies Centre

    2005-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 11 (2005). African Studies Centre, Leiden.

  14. African Studies Abstracts Online: number 52, 2015

    OpenAIRE

    African Studies Centre

    2015-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 52 (2015). African Studies Centre, Leiden.

  15. African Studies Abstracts Online: number 15, 2006

    OpenAIRE

    African Studies Centre

    2006-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 15 (2006). African Studies Centre, Leiden.

  16. African Studies Abstracts Online: number 48, 2014

    OpenAIRE

    African Studies Centre

    2014-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 48 (2014). African Studies Centre, Leiden.

  17. African Studies Abstracts Online: number 22, 2008

    OpenAIRE

    African Studies Centre

    2008-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 22 (2008). African Studies Centre, Leiden.

  18. African Studies Abstracts Online: number 43, 2013

    OpenAIRE

    African Studies Centre

    2013-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 43 (2013). African Studies Centre, Leiden.

  19. African Studies Abstracts Online: number 17, 2007

    OpenAIRE

    African Studies Centre

    2007-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 17 (2007). African Studies Centre, Leiden.

  20. African Studies Abstracts Online: number 18, 2007

    OpenAIRE

    African Studies Centre

    2007-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 18 (2007). African Studies Centre, Leiden.

  1. African Studies Abstracts Online: number 38, 2012

    OpenAIRE

    African Studies Centre

    2012-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 38 (2012). African Studies Centre, Leiden.

  2. African Studies Abstracts Online: number 9, 2005

    OpenAIRE

    African Studies Centre

    2005-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 9 (2005). African Studies Centre, Leiden.

  3. African Studies Abstracts Online: number 31, 2010

    OpenAIRE

    African Studies Centre

    2010-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 31 (2010). African Studies Centre, Leiden.

  4. African Studies Abstracts Online: number 40, 2012

    OpenAIRE

    African Studies Centre

    2012-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 40 (2012). African Studies Centre, Leiden.

  5. African Studies Abstracts Online: number 27, 2009

    OpenAIRE

    African Studies Centre

    2009-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 27 (2009). African Studies Centre, Leiden.

  6. African Studies Abstracts Online: number 37, 2012

    OpenAIRE

    African Studies Centre

    2012-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 37 (2012). African Studies Centre, Leiden.

  7. African Studies Abstracts Online: number 26, 2009

    OpenAIRE

    African Studies Centre

    2009-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 26 (2009). African Studies Centre, Leiden.

  8. African Studies Abstracts Online: number 29, 2010

    OpenAIRE

    African Studies Centre

    2010-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 29 (2010). African Studies Centre, Leiden.

  9. African Studies Abstracts Online: number 33, 2011

    OpenAIRE

    African Studies Centre

    2011-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 33 (2011). African Studies Centre, Leiden.

  10. African Studies Abstracts Online: number 42, 2013

    OpenAIRE

    African Studies Centre

    2013-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 42 (2013). African Studies Centre, Leiden.

  11. African Studies Abstracts Online: number 45, 2014

    OpenAIRE

    African Studies Centre

    2014-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 45 (2014). African Studies Centre, Leiden.

  12. African Studies Abstracts Online: number 19, 2007

    OpenAIRE

    African Studies Centre

    2007-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 19 (2007). African Studies Centre, Leiden.

  13. African Studies Abstracts Online: number 46, 2014

    OpenAIRE

    African Studies Centre

    2014-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 46 (2014). African Studies Centre, Leiden.

  14. African Studies Abstracts Online: number 32, 2010

    OpenAIRE

    African Studies Centre

    2010-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 32 (2010). African Studies Centre, Leiden.

  15. African Studies Abstracts Online: number 51, 2015

    OpenAIRE

    African Studies Centre

    2015-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 51 (2015). African Studies Centre, Leiden.

  16. African Studies Abstracts Online: number 16, 2006

    OpenAIRE

    African Studies Centre

    2006-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 16 (2006). African Studies Centre, Leiden.

  17. African Studies Abstracts Online: number 24, 2008

    OpenAIRE

    African Studies Centre

    2008-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 24 (2008). African Studies Centre, Leiden.

  18. African Studies Abstracts Online: number 39, 2012

    OpenAIRE

    African Studies Centre

    2012-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 39 (2012). African Studies Centre, Leiden.

  19. African Studies Abstracts Online: number 54, 2016

    OpenAIRE

    African Studies Centre Leiden

    2016-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 54 (2016). African Studies Centre, Leiden.

  20. African Studies Abstracts Online: number 47, 2014

    OpenAIRE

    African Studies Centre

    2014-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 47 (2014). African Studies Centre, Leiden.

  1. African Studies Abstracts Online: number 21, 2008

    OpenAIRE

    African Studies Centre

    2008-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 21 (2008). African Studies Centre, Leiden.

  2. African Studies Abstracts Online: number 35, 2011

    OpenAIRE

    African Studies Centre

    2011-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 35 (2011). African Studies Centre, Leiden.

  3. African Studies Abstracts Online: number 44, 2013

    OpenAIRE

    African Studies Centre

    2013-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 44 (2013). African Studies Centre, Leiden.

  4. African Studies Abstracts Online: number 53, 2016

    OpenAIRE

    African Studies Centre

    2016-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 53 (2016). African Studies Centre, Leiden.

  5. African Studies Abstracts Online: number 49, 2015

    OpenAIRE

    African Studies Centre

    2015-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 49 (2015). African Studies Centre, Leiden.

  6. African Studies Abstracts Online: number 41, 2013

    OpenAIRE

    African Studies Centre

    2013-01-01

    ASA Online provides a quarterly overview of journal articles and edited works on Africa in the field of the social sciences and the humanities available in the ASC library. Issue 41 (2013). African Studies Centre, Leiden.

  7. African American Men and Prostate Cancer

    Medline Plus

    Full Text Available ... the African-American that we treat this as what it is -- an epidemic. Winston Dyer: My introduction ... being ignorant to prostate cancer -- and not knowing what it was -- that was my first, first, first- ...

  8. African American Men and Prostate Cancer

    Medline Plus

    Full Text Available ... runs higher. We really don't know. But I would strongly suggest to the African-American that ... then my dad four months later. And then I was told by doctors that I should be ...

  9. Development of 'Serunding' from African catfish

    DEFF Research Database (Denmark)

    Juhari, Nurul Hanisah Binti; MK, Zainol; MM, Masduki

    This research was conducted to develop serunding from African catfish (Clarias gariepinus). Proximate analysis, physical analysis, ascorbic acid analysis, mineral analysis and sensory evaluation were carried out to determine the nutrient compositions and consumer acceptance towards the products. ...

  10. The innovative African kilowatt-hour

    International Nuclear Information System (INIS)

    There is a worldwide resurgence of interest in pricing electricity. Whether motivated by deregulation and the treat of competition (as in England and New Zealand) or by restructuring of regulatory goals to encourage competition or conservation (as in the United States), electricity suppliers and distributors are seeing pricing as a means of safeguarding, maintaining, increasing sales. South Africa is no exception in this regard. Past and proposed new developments in electricity pricing in the South African electricity supply industry are discussed, in response to pressures across several fronts: pressures from customers to reduce electricity prices to facilitate growth and survival in the South African economy; the national electrification program; the appointment of the National Electricity Regulator; moves by Southern African electricity utilities to establish a Southern African grid. The current status of electricity pricing, metering, demand profile research and demand management in South Africa are overviewed. (author)

  11. The innovative African kilowatt-hour

    Energy Technology Data Exchange (ETDEWEB)

    Calitz, A.C. [ESKOM, Johannesburg (South Africa)

    1996-12-31

    There is a worldwide resurgence of interest in pricing electricity. Whether motivated by deregulation and the treat of competition (as in England and New Zealand) or by restructuring of regulatory goals to encourage competition or conservation (as in the United States), electricity suppliers and distributors are seeing pricing as a means of safeguarding, maintaining, increasing sales. South Africa is no exception in this regard. Past and proposed new developments in electricity pricing in the South African electricity supply industry are discussed, in response to pressures across several fronts: pressures from customers to reduce electricity prices to facilitate growth and survival in the South African economy; the national electrification program; the appointment of the National Electricity Regulator; moves by Southern African electricity utilities to establish a Southern African grid. The current status of electricity pricing, metering, demand profile research and demand management in South Africa are overviewed. (author).

  12. African American Men and Prostate Cancer

    Medline Plus

    Full Text Available ... Walker: The researchers don't know exactly why. It is suggested that maybe our diet, maybe our ... African-American that we treat this as what it is -- an epidemic. Winston Dyer: My introduction to ...

  13. Development of West African Rainy Seasons (Invited)

    Science.gov (United States)

    Cook, K. H.

    2013-12-01

    The development of West African rainy seasons in the observed climatology can be understood in terms of two factors: continentality, i.e., the shape and placement of the African continent, and solar forcing. First, the observed features of the West African spring and summer precipitation climatology that distinguish it from the precipitation climatology of the tropical Atlantic to the east and Central/Eastern Africa to the west are presented. These include a lingering of the precipitation maximum along the Guinean coast in June and the apparent sudden movement of the precipitation maximum into the Sahel in early July. Then, these distinguishing features of the West Africa precipitation climatology are explained in terms of the regional dynamics and, finally, related to continentality and solar forcing through the roles of the African easterly jet, land surface temperature, and seasonally-varying SSTs.

  14. Development of 'Serunding' from African catfish

    OpenAIRE

    Juhari, Nurul Hanisah Binti; MK, Zainol; MM, Masduki

    2009-01-01

    This research was conducted to develop serunding from African catfish (Clarias gariepinus). Proximate analysis, physical analysis, ascorbic acid analysis, mineral analysis and sensory evaluation were carried out to determine the nutrient compositions and consumer acceptance towards the products. samples of serunding were prepared with 3 different sizes (30-40cm, 40-50cm, 50-60cm) of African catfish and control was prepared using round scad fish ('ikan selayang') with same amount of fish flesh...

  15. Glimmering Utopias: 50 Years of African Film

    OpenAIRE

    Cassis Kilian

    2011-01-01

    The history of African film began in the 1960s with the independence of the colonies. Despite all kinds of political and economic difficulties, numerous films have been made since then, featuring wide-ranging processes of consolidation, differentiation and transformation which were characteristic of post-colonial sub-Saharan Africa. However, these feature films should not merely be viewed as back references to specifically African problems. The glimmering fictions are imagination spaces. They...

  16. Informed consent comprehension in African research settings

    OpenAIRE

    Afolabi, M.; Okebe, J.; McGrath, N.; Larson, H; Bojang, K.; Chandramohan, D.

    2014-01-01

    Objective Previous reviews on participants' comprehension of informed consent information have focused on developed countries. Experience has shown that ethical standards developed on Western values may not be appropriate for African settings where research concepts are unfamiliar. We undertook this review to describe how informed consent comprehension is defined and measured in African research settings. Methods We conducted a comprehensive search involving five electronic databa...

  17. Corynebacterial pneumonia in an African hedgehog.

    Science.gov (United States)

    Raymond, J T; Williams, C; Wu, C C

    1998-04-01

    A 3-mo-old, male African hedgehog (Atelerix albiventris) was anorectic and lethargic for a period of 3 days prior to death. Necropys revealed lungs that were diffusely firm, dark red, and dorsally adhered by fibrinous tags to the pericardial sac. Histopathology revealed necrosuppurative bronchopneumonia with pulmonary abscesses and suppurative pericarditis and myocarditis. A Corynebacterium sp. was isolated from the lungs. We believe this is the first reported case of corynebacterial pneumonia in an African hedgehog. PMID:9577794

  18. Intestinal lymphosarcoma in captive African hedgehogs.

    Science.gov (United States)

    Raymond, J T; Clarke, K A; Schafer, K A

    1998-10-01

    Two captive adult female African hedgehogs (Atelerix albiventris) had inappetance and bloody diarrhea for several days prior to death. Both hedgehogs had ulceration of the small intestine and hepatic lipidosis. Histopathology revealed small intestinal lymphosarcoma with metastasis to the liver. Extracellular particles that had characteristics of retroviruses were observed associated with the surface of some neoplastic lymphoid cells by transmission electron microscopy. These are the first reported cases of intestinal lymphosarcoma in African hedgehogs. PMID:9813852

  19. South African coal statistics 2006. Marketing manual

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-08-15

    The report shows that South African thermal exports increased 5% from 66.6Mt to 69.9Mt in 2005 and that the country was the world's third largest seaborne exporter of thermal coal last year. Covering local coal consumption, South African coal imports, exports, prices and qualities, the report offers a complete statistical review of 2005. The report also includes details on labour, individual collieries, export and rail infrastructure and Black Empowerment (BEE) companies.

  20. Contemporary Literature in the African Diaspora

    OpenAIRE

    Barrios Herrero, Olga; Bell, Bernard W.

    1997-01-01

    [ES] El libro es una colección de ensayos divididos entre las tres grandes secciones del libro: Literatura afroamericana, Literatura Afro-caribeña y Afro-latinoamericana y Literatura africana en inglés. [EN] The book is a collection of essays included in the three sections of the book: on African American Literature, Afro-Caribbean and Afro-Latin American Literature and African Literature in English.

  1. Coinfections in East African Shorthorn Zebu

    OpenAIRE

    Callaby, Rebecca

    2015-01-01

    The Infectious Diseases of East African Livestock (IDEAL) project followed 548 East African Shorthorn Zebu (EASZ) calves in Western Kenya for the first year of life and monitored the sequelae of infections by multiple parasites. More than 50 different parasites were identified during this time. The IDEAL project also gathered environmental information about the farm and collected phenotypic data on the calf and its dam. Calves were also genotyped for 55,777 single nucleotide po...

  2. The african protoproverbial in a multipolar world

    OpenAIRE

    Taiwo, Ọlọruntọba-Oju

    2014-01-01

    The proverb is a rhetorical universal and as such shares features across linguistic, ethnic and culture boundaries, thus making typological distinctions along ethnic or regional lines a daunting task. Further complicating this scenario within the African context is the relentless hybridization and subversion of the African proverb consequent on colonial contact and sundry postcolonial interventions. This twin trajectory, the conceptual universalism of the proverb and the relent...

  3. African American Culture and Hypertension Prevention

    OpenAIRE

    Peters, Rosalind M.; Aroian, Karen J.; Flack, John M.

    2006-01-01

    A qualitative study was done to explore attitudes and beliefs of African Americans regarding hypertension-preventive self-care behaviors. Five focus groups, with 34 participants, were held using interview questions loosely based on the Theory of Planned Behavior (TPB). Analysis revealed themes broadly consistent with the TPB, and also identified an overarching theme labeled “circle of culture.” The circle is a metaphor for ties that bind individuals within the larger African American communit...

  4. Language and Culture in African Postcolonial Literature

    OpenAIRE

    Asante-Darko, Kwaku

    2000-01-01

    In his article, "Language and Culture in African Postcolonial Literature," Kwaku Asante-Darko offers both conceptual basis and empirical evidence in support of the fact that critical issues concerning protest, authenticity, and hybridity in African post-colonial literature have often been heavily laden with nationalist and leftist ideological encumbrances, which tended to advocate the rejection of Western standards of aesthetics. One of the literary ramifications of nationalist/anti-colonial ...

  5. Demographics of South African Households - 1995

    OpenAIRE

    Rantho, Lillian

    2003-01-01

    This paper provides an overview of the demographics of the South African population based on the October Household Survey (OHS) and the Income and Expenditure Survey (IES), both conducted by Statistics South Africa in 1995. Figures and tables are used throughout to paint a picture of the structure of the South African population, both at household level (IES data) and individual level (OHS data). Specific reference is made to the racial and spatial composition of households and individuals, t...

  6. Economic Key to Sino-African Ties

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Following Chinese President Hu Jintao's visit to Africa's Morocco, Nigeria and Kenya in April, Chinese Premier Wen Jiabao is currently visiting seven African countries-Egypt, Ghana, Republic of Congo, Angola, South Africa, Tanzania and Uganda. Haile-Kiros Gessesse, Ethiopia's Ambassador to China, discussed with Beijing Review reporter Ni Yanshuo the future of the Sino-African relationship. As special envoy for the Forum on China-Africa Cooperation, he also expressed his expectations of the forum summit t...

  7. Weak interaction in the African Easterly Jet

    OpenAIRE

    A. Lenouo; F. Nkankam Kamga; Yepdjuo, E.

    2005-01-01

    Low-frequency, African Easterlies Waves (AEW) are examined as disturbances embedded in the mid-tropospheric easterly jet of the African low troposphere. The solution to the nonlinear vorticity equation relevant to the description of waves is sought in the form of triplet waves. The latest suggest a unified method to determine their kinetics characteristic and to explain the mechanism of energy exchange between their different modes. The period of energy interaction between different modes of ...

  8. Neurocysticercosis - The first documented clinical case in Mozambique

    OpenAIRE

    M. Santos; Vilhena, M; Prazeres, M.; Tsang, V.C.Tsang; Schantz, P.M.; Torgal, J.

    2004-01-01

    Neurocysticercosis is claimed to be endemic in some African countries. However no clinical case has been documented in Mozambique until now. We report the first clinical case of human neurocysticercosis in Mozambique, where we suspect that this disease is under-recognised.

  9. Fine-mapping and initial characterization of QT interval loci in African Americans.

    Directory of Open Access Journals (Sweden)

    Christy L Avery

    Full Text Available The QT interval (QT is heritable and its prolongation is a risk factor for ventricular tachyarrhythmias and sudden death. Most genetic studies of QT have examined European ancestral populations; however, the increased genetic diversity in African Americans provides opportunities to narrow association signals and identify population-specific variants. We therefore evaluated 6,670 SNPs spanning eleven previously identified QT loci in 8,644 African American participants from two Population Architecture using Genomics and Epidemiology (PAGE studies: the Atherosclerosis Risk in Communities study and Women's Health Initiative Clinical Trial. Of the fifteen known independent QT variants at the eleven previously identified loci, six were significantly associated with QT in African American populations (P≤1.20×10(-4: ATP1B1, PLN1, KCNQ1, NDRG4, and two NOS1AP independent signals. We also identified three population-specific signals significantly associated with QT in African Americans (P≤1.37×10(-5: one at NOS1AP and two at ATP1B1. Linkage disequilibrium (LD patterns in African Americans assisted in narrowing the region likely to contain the functional variants for several loci. For example, African American LD patterns showed that 0 SNPs were in LD with NOS1AP signal rs12143842, compared with European LD patterns that indicated 87 SNPs, which spanned 114.2 Kb, were in LD with rs12143842. Finally, bioinformatic-based characterization of the nine African American signals pointed to functional candidates located exclusively within non-coding regions, including predicted binding sites for transcription factors such as TBX5, which has been implicated in cardiac structure and conductance. In this detailed evaluation of QT loci, we identified several African Americans SNPs that better define the association with QT and successfully narrowed intervals surrounding established loci. These results demonstrate that the same loci influence variation in QT

  10. The East African rift system

    Science.gov (United States)

    Chorowicz, Jean

    2005-10-01

    This overview paper considers the East African rift system (EARS) as an intra-continental ridge system, comprising an axial rift. It describes the structural organization in three branches, the overall morphology, lithospheric cross-sections, the morphotectonics, the main tectonic features—with emphasis on the tension fractures—and volcanism in its relationships with the tectonics. The most characteristic features in the EARS are narrow elongate zones of thinned continental lithosphere related to asthenospheric intrusions in the upper mantle. This hidden part of the rift structure is expressed on the surface by thermal uplift of the rift shoulders. The graben valleys and basins are organized over a major failure in the lithospheric mantle, and in the crust comprise a major border fault, linked in depth to a low angle detachment fault, inducing asymmetric roll-over pattern, eventually accompanied by smaller normal faulting and tilted blocks. Considering the kinematics, divergent movements caused the continent to split along lines of preexisting lithospheric weaknesses marked by ancient tectonic patterns that focus the extensional strain. The hypothesis favored here is SE-ward relative divergent drifting of a not yet well individualized Somalian plate, a model in agreement with the existence of NW-striking transform and transfer zones. The East African rift system comprises a unique succession of graben basins linked and segmented by intracontinental transform, transfer and accommodation zones. In an attempt to make a point on the rift system evolution through time and space, it is clear that the role of plume impacts is determinant. The main phenomenon is formation of domes related to plume effect, weakening the lithosphere and, long after, failure inducing focused upper mantle thinning, asthenospheric intrusion and related thermal uplift of shoulders. The plume that had formed first at around 30 Ma was not in the Afar but likely in Lake Tana region (Ethiopia

  11. Potential antimalarials from African natural products: a review

    Directory of Open Access Journals (Sweden)

    Bashir Lawal

    2015-12-01

    Full Text Available Ethnopharmacological relevance: Malaria remains an overwhelming infectious disease with significant health challenges in African and other endemic countries globally. Resistance to antimalarial drugs has become one of the most momentous challenges to human health and thus has necessitated the hunt for new and effective drugs. Consequently, few decades have witnessed a surfeit of research geared to validate the effectiveness of commonly used traditionally medicines against malaria fever. The present review work focuses on documenting natural products from African whose activity has been reported in-vivo or invi-tro against malaria parasite. Methods: Literature was collected using electronic search of published articles (Google Scholar, PubMed, Medline, Sciencedirect, Science domain that report on antiplasmodial activity of natural products from differernts Africa region. Results: A Total of 652 plant taxa from 146 families, 134 isolated antimalarial compounds from 39 plants species, 2 herbal formulations and 4 insect/products were found to be reported in literature from 1996 to 2015. Plants species from family Asteraceae (11.04%, Fababceae (8.128%, Euphorbiaceae (5.52%, Rubiaceas (5.52% and Apocyanaceae (5.214%, have received more scientific validation than others. Conclusion: African natural products possess remarkable healing properties as revealed in the various citations as promising antimalarial agents. Some of these natural products from Africa demonstrate high, promising or low activities against plasmodium parasite. This study also shows that natural products from Africa have a huge amount of novel antimalarial compounds that could serve as a leads for the development of new and effective antiplasmodial drugs. However, in a view of bridging the gap in knowledge, clinical validation of these natural products is of paramount importance. [J Intercult Ethnopharmacol 2015; 4(4.000: 318-343

  12. Human rhinovirus infection in young African children with acute wheezing

    Directory of Open Access Journals (Sweden)

    Zar Heather J

    2011-03-01

    Full Text Available Abstract Background Infections caused by human rhinoviruses (HRVs are important triggers of wheezing in young children. Wheezy illness has increasingly been recognised as an important cause of morbidity in African children, but there is little information on the contribution of HRV to this. The aim of this study was to determine the role of HRV as a cause of acute wheezing in South African children. Methods Two hundred and twenty children presenting consecutively at a tertiary children's hospital with a wheezing illness from May 2004 to November 2005 were prospectively enrolled. A nasal swab was taken and reverse transcription PCR used to screen the samples for HRV. The presence of human metapneumovirus, human bocavirus and human coronavirus-NL63 was assessed in all samples using PCR-based assays. A general shell vial culture using a pool of monoclonal antibodies was used to detect other common respiratory viruses on 26% of samples. Phylogenetic analysis to determine circulating HRV species was performed on a portion of HRV-positive samples. Categorical characteristics were analysed using Fisher's Exact test. Results HRV was detected in 128 (58.2% of children, most (72% of whom were under 2 years of age. Presenting symptoms between the HRV-positive and negative groups were similar. Most illness was managed with ambulatory therapy, but 45 (35% were hospitalized for treatment and 3 (2% were admitted to intensive care. There were no in-hospital deaths. All 3 species of HRV were detected with HRV-C being the most common (52% followed by HRV-A (37% and HRV-B (11%. Infection with other respiratory viruses occurred in 20/128 (16% of HRV-positive children and in 26/92 (28% of HRV-negative samples. Conclusion HRV may be the commonest viral infection in young South African children with acute wheezing. Infection is associated with mild or moderate clinical disease.

  13. Travelers' Health: Trypanosomiasis, American (Chagas Disease)

    Science.gov (United States)

    ... Guide Learn About Destination See a Doctor Pre-Travel Appointment Your Health Status How Diseases Spread Pack Smart Plan Ahead ... During Trip After Your Trip CDC-TV Videos Travel to the Olympics ... Presentations for Health Professionals Yellow Fever Vaccine Course About the Yellow ...

  14. Successful snakebite treatment in three juvenile African wild dogs (Lycaon pictus) with polyvalent antivenom: A Namibian case report

    OpenAIRE

    Florian J. Weise; van Vuuren, Rudie J.; Katherine E. Echement; Matthew P. Cleverley; Marlice van Vuuren

    2013-01-01

    This article reports the first documented treatment of venomous snakebite with a polyvalent snake antivenom from the South African Institute for Medical Research in endangered African wild dogs (Lycaon pictus). Three juvenile male animals (6.5 months of age) showed clinical signs after being bitten by an unidentified venomous snake. The signs included loss of appetite, disorientation, impaired locomotion, excessive facial swelling, profuse salivation, reduced respiratory effort and an apparen...

  15. Perceptions of African American and European American Teachers on the Education of African American Boys

    Science.gov (United States)

    Bacon, Ellen; Banks, Joy; Young, Kathryn; Jackson, Francesina R.

    2007-01-01

    The authors interviewed 27 teachers (16 African American and 11 European American) on instructional factors contributing to overidentification of behavior problems in African American boys. Interviews focused on teachers' perspectives of effective teachers, teacher-student relationships, and communication styles. Analysis of the interviews showed…

  16. Fat, fibre and cancer risk in African Americans and rural Africans

    NARCIS (Netherlands)

    O'Keefe, S.J.; Li, J.V.; Lahti, Leo; Ou, J.; Carbonero, F.; Khaled, M.; Postma, J.M.; Kinross, J.; Wahl, E.; Ruder, E.; Vipperla, K.; Naidoo, V.; Mtshali, L.; Tims, S.; Puylaert, P.G.B.; DeLany, J.; Krasinskas, A.; Benefiel, A.C.; Kaseb, H.O.; Newton, K.; Nicholson, J.K.; Vos, De W.M.; Gaskins, H.R.; Zoetendal, E.G.

    2015-01-01

    Rates of colon cancer are much higher in African Americans (65:100,000) than in rural South Africans (<5:100,000). The higher rates are associated with higher animal protein and fat, and lower fibre consumption, higher colonic secondary bile acids, lower colonic short-chain fatty acid quantities and

  17. Changing Fatherhood: An Exploratory Qualitative Study with African and African Caribbean Men in England

    Science.gov (United States)

    Williams, Robert; Hewison, Alistair; Wildman, Stuart; Roskell, Carolyn

    2013-01-01

    This paper presents findings from a qualitative study undertaken with 46 African and African Caribbean men exploring their experiences of fatherhood. Data analysis was informed by Connell's theoretical work on changing gender relations. Findings indicate that fathers' lives were mediated by masculinities, racism, gender, migration and…

  18. A SNP test to identify Africanized honeybees via proportion of 'African' ancestry.

    Science.gov (United States)

    Chapman, Nadine C; Harpur, Brock A; Lim, Julianne; Rinderer, Thomas E; Allsopp, Michael H; Zayed, Amro; Oldroyd, Benjamin P

    2015-11-01

    The honeybee, Apis mellifera, is the world's most important pollinator and is ubiquitous in most agricultural ecosystems. Four major evolutionary lineages and at least 24 subspecies are recognized. Commercial populations are mainly derived from subspecies originating in Europe (75-95%). The Africanized honeybee is a New World hybrid of A. m. scutellata from Africa and European subspecies, with the African component making up 50-90% of the genome. Africanized honeybees are considered undesirable for bee-keeping in most countries, due to their extreme defensiveness and poor honey production. The international trade in honeybees is restricted, due in part to bans on the importation of queens (and semen) from countries where Africanized honeybees are extant. Some desirable strains from the United States of America that have been bred for traits such as resistance to the mite Varroa destructor are unfortunately excluded from export to countries such as Australia due to the presence of Africanized honeybees in the USA. This study shows that a panel of 95 single nucleotide polymorphisms, chosen to differentiate between the African, Eastern European and Western European lineages, can detect Africanized honeybees with a high degree of confidence via ancestry assignment. Our panel therefore offers a valuable tool to mitigate the risks of spreading Africanized honeybees across the globe and may enable the resumption of queen and bee semen imports from the Americas. PMID:25846634

  19. African Self-Consciousness and Health-Promoting Behaviors among African American College Students.

    Science.gov (United States)

    Thompson, Shawn N.; Chambers, John W., Jr.

    2000-01-01

    Investigated three models of relationships between African self-consciousness, health consciousness, and health-promoting behaviors among African American college students. The models included the mediator model, moderator model, and independent model. Surveys of 80 students supported the independent model, suggesting that African…

  20. African American Pastors' Beliefs and Actions Regarding Childhood Incest in the African American Community

    Science.gov (United States)

    Wells, Tesia Denis

    2012-01-01

    This quantitative study sought to explore African American pastors' beliefs and actions regarding childhood incest in the African American community and their decisions to inform the proper authorities. This exploratory study was developed in order to draw both public and academic attention to the understudied phenomenon of childhood incest…

  1. Snoring and risk for obstructive sleep apnea among nigerians with heart failure: Prevalence and clinical correlates

    Directory of Open Access Journals (Sweden)

    Adeseye A Akintunde

    2013-01-01

    Conclusion: Heart failure seems to be associated with snoring and a high risk for obstructive sleep apnea among Africans with heart failure. Assessment for sleep disordered breathing should be incorporated into their routine clinical workup.

  2. Racial Disparities in the Pathogenesis of Type 2 Diabetes and its Subtypes in the African Diaspora: A New Paradigm.

    Science.gov (United States)

    Gaillard, Trudy R; Osei, Kwame

    2016-03-01

    The global epidemic of diabetes has extended to the developing countries including Sub-Sahara Africa. In this context, blacks with type 2 diabetes in the African Diaspora continue to manifest 1.5-2 times higher prevalent rates than in their white counterparts. Previous studies have demonstrated that blacks with and without type 2 diabetes have alterations in hepatic and peripheral insulin sensitivity, beta-cell function, and hepatic insulin clearance as well as hepatic glucose dysregulation when compared to whites. In addition, non-diabetic blacks in the African Diaspora manifest multiple metabolic mediators that predict type 2 diabetes and its subtypes. These pathogenic modifiers include differences in subclinical inflammation, oxidative stress burden, and adipocytokines in blacks in the African Diaspora prior to clinical diagnosis. Consequently, blacks in the African Diaspora manifest subtypes of type 2 diabetes, including ketosis-prone diabetes and J type diabetes. Given the diversity of type 2 diabetes in blacks in the African Diaspora, we hypothesize that blacks manifest multiple early pathogenic defects prior to the diagnosis of type 2 diabetes and its subtypes. These metabolic alterations have strong genetic component, which appears to play pivotal and primary role in the pathogenesis of type 2 diabetes and its subtypes in blacks in the African Diaspora. However, environmental factors must also be considered as major contributors to the higher prevalence of type 2 diabetes and its subtypes in blacks in the African Diaspora. These multiple alterations should be targets for early prevention of type 2 diabetes in blacks in the African Diaspora. PMID:26896111

  3. Rib osteoblastic osteosarcoma in an African hedgehog (Atelerix albiventris).

    Science.gov (United States)

    Benoit-Biancamano, Marie-Odile; D'Anjou, Marc-André; Girard, Christiane; Langlois, Isabelle

    2006-07-01

    A 3-year-old African hedgehog (Atelerix albiventris) was presented to the Exotic Animal Clinic of the University of Montreal for evaluation of a mass growing on the right thoracic wall. The diagnostic workup, which included helical computed tomography, confirmed the presence of a large mass, originating from the right 7th rib, infiltrating the thoracic wall and cavity. The animal was euthanized due to the poor prognosis. At necropsy, a well-demarcated mass penetrated the thoracic wall and incorporated the 6th to 8th ribs. Cut sections of the tumor were white, glistening, firm, and gritty. Microscopically, it was composed of polyhedral to elongated cells with interspersed trabeculae of osteoid and large areas of coagulative necrosis. On the basis of histopathologic findings, a diagnosis of osteoblastic osteosarcoma was made. To the authors' knowledge, this is the first report of an osteoblastic osteosarcoma on the thoracic wall of an African hedgehog, as well as the first report of the use of helical computed tomography in that species. PMID:16921888

  4. [Breast cancer in Sub-Saharan African women: review].

    Science.gov (United States)

    Ly, Madani; Antoine, Martine; André, Fabrice; Callard, Patrice; Bernaudin, Jean-François; Diallo, Dapa A

    2011-07-01

    Breast cancer is the second most frequent cancer in Sub-Saharan African women with an incidence of 15-53 per 100,000 women. Using PubMed, we reviewed all the articles published on this topic between 1989 and 2009. Breast cancer is usually diagnosed in women younger than in developed countries (mean age: 42-53 years), with later stages (III or IV, i.e. with axillary nodes and distant metastases). Reported tumors are mostly invasive ductal carcinomas with aggressive characteristics: grade III histoprognosis, absence of hormonal receptors or HER2 expression. According to the new breast cancer classification, nearly half of these tumors should be classified as triple negative. However, studies are rare and require confirmation. In conclusion, data on epidemiology and biology of breast cancer in Sub-Saharan African women are still scarce and need more extensive studies. In these countries, the pattern of breast cancer will likely change in the future, according to the evolution of lifestyle namely urbanisation. There is a great need for commitment of research and clinical resources in Sub-Saharan Africa in order to develop specific strategies. PMID:21700549

  5. First report of acariasis by Caparinia tripilis in African hedgehogs, (Atelerix albiventris), in Costa Rica.

    Science.gov (United States)

    Moreira, Andrés; Troyo, Adriana; Calderón-Arguedas, Olger

    2013-01-01

    The African hedgehog is one of the newly imported exotic pets which have been observed with increasing regularity in veterinary clinics in Costa Rica. Despite their popularity, information about their diseases is scarce. Within skin diseases of hedgehogs, mange caused by Caparinia spp. is a common diagnosis in other countries. Two adult African hedgehogs, one male and one female, were brought to a private clinic in Heredia, Costa Rica, with chronic pruritic dermatitis, scabs, nearly complete loss of spines, lethargy, dehydration, and weight loss. During physical exam, deposits of dry seborrhea were taken and processed for diagnosis. Microscopic examination revealed psoroptid mites identified as Caparinia tripilis. This is the first report of the presence of Caparinia tripilis in Costa Rica and, to the authors' knowledge, the rest of Central America. PMID:24252963

  6. [South African tick bite fever in a group of Russian tourists].

    Science.gov (United States)

    Kozhevnikova, G M; Tokmalaev, A K; Voznesensky, S L; Karan, L S

    2014-01-01

    The paper describes a clinical case of South African tick bite fever in a group of Russian tourists. The group of 5 people who had been ill with this disease after a tourist trip to the South African Republic (the Kruger National Park in the north-eastern province of Mpumalanga) were followed up. During their trip, all of them were bitten by different insects many times. The disease exhibited different clinical presentations; however, all the patients were noted to have a fever with slight intoxication and a maculopapular rash at different sites of the body; 3 had lymphadenopathy and one had a primary effect at the site of tick sticking. The diagnosis was verified by indirect immunofluorescence for the detection of high titers to Rickettsia conorii. The course of the disease was favorable in all the patients treated with antibiotics (doxycycline or ceftriaxone). PMID:25715493

  7. Racial Bias in Personality Assessment: Using the MMPI-2 to Predict Psychiatric Diagnoses of African American and Caucasian Chemical Dependency Inpatients

    Science.gov (United States)

    Monnot, Matthew J.; Quirk, Stuart W.; Hoerger, Michael; Brewer, Linda

    2009-01-01

    An assessment of predictive bias was conducted on numerous scales of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989), including the Restructured Clinical (RC) scales, in the prediction of clinical diagnostic status for African American and Caucasian male…

  8. First report of acariasis by Caparinia tripilis in African hedgehogs, (Atelerix albiventris), in Costa Rica Primeiro relato de acariasis por Caparinia tripilis em ouriços Africanos, (Atelerix albiventris), na Costa Rica

    OpenAIRE

    Andrés Moreira; Adriana Troyo; Olger Calderón-Arguedas

    2013-01-01

    The African hedgehog is one of the newly imported exotic pets which have been observed with increasing regularity in veterinary clinics in Costa Rica. Despite their popularity, information about their diseases is scarce. Within skin diseases of hedgehogs, mange caused by Caparinia spp. is a common diagnosis in other countries. Two adult African hedgehogs, one male and one female, were brought to a private clinic in Heredia, Costa Rica, with chronic pruritic dermatitis, scabs, nearly complete ...

  9. Risperidone-associated adverse drug reactions and CYP2D6 polymorphisms in a South African cohort

    Directory of Open Access Journals (Sweden)

    Tyren M. Dodgen

    2015-06-01

    Conclusion: CYP2D6 variation appeared not to be a good pharmacogenetic marker for predicting risperidone-related ADRs in this naturalistic South African cohort. Evaluation of a larger cohort would be needed to confirm these observations, including an examination of the role of potential intermediaries between the hypothesised genetic and clinical phenotypes.

  10. New Branches from Old Roots: Experts Respond to Questions about African American English Development and Language Intervention

    Science.gov (United States)

    Burns, Frances A.; Velleman, Shelley L.; Green, Lisa J.; Roeper, Tom

    2010-01-01

    This article uses a question-and-answer format to respond to questions about working with children who speak African American English (AAE) in clinical and educational contexts. The respondents urge speech-language pathologists to appreciate AAE as students' first language, to view all language for its communicative potential, and to remain aware…

  11. The Impact of Body Image and Afrocentric Appearance on Sexual Refusal Self-Efficacy in Early Adolescent African American Girls

    Science.gov (United States)

    Plybon, Laura E.; Holmer, Heidi; Hunter, Alexis; Sheffield, Charity; Stephens, Christopher; Cavolo, Lucas

    2009-01-01

    Research examining the association between body image and sexual risk-taking has been mostly limited to clinical and/or White female samples. It is unclear whether body image plays a role in sexual risk-taking among African American early adolescent females. Moreover, research has neglected to consider body image within a cultural and ethnic…

  12. Readiness of ethics review systems for a changing public health landscape in the WHO African Region

    OpenAIRE

    Motari, Marion; Ota, Martin Okechukwu; Kirigia, Joses Muthuri

    2015-01-01

    Background The increasing emphasis on research, development and innovation for health in providing solutions to the high burden of diseases in the African Region has warranted a proliferation of studies including clinical trials. This changing public health landscape requires that countries develop adequate ethics review capacities to protect and minimize risks to study participants. Therefore, this study assessed the readiness of national ethics committees to respond to challenges posed by a...

  13. Mycobacterium sherrisii visceral disseminated infection in an African HIV-infected adolescent

    Directory of Open Access Journals (Sweden)

    Francesco Santoro

    2016-04-01

    Full Text Available A case of visceral disseminated infection by Mycobacterium sherrisii in an African HIV-infected adolescent with multiple abdominal abscesses is reported. Despite multiple drug resistance to first-line antibiotics in vitro, long-term treatment with clarithromycin, moxifloxacin, and clindamycin, together with appropriate antiretroviral treatment, resulted in clinical and radiological cure after 19 months of therapy and follow-up.

  14. The Association Between Self-Efficacy and Hypertension Self-Care Activities Among African American Adults

    OpenAIRE

    Warren-Findlow, Jan; Seymour, Rachel B.; Brunner Huber, Larissa R.

    2012-01-01

    Chronic disease management requires the individual to perform varying forms of self-care behaviors. Self-efficacy, a widely used psychosocial concept, is associated with the ability to manage chronic disease. In this study, we examine the association between self-efficacy to manage hypertension and six clinically prescribed hypertension self-care behaviors. We interviewed 190 African Americans with hypertension who resided in the greater metropolitan Charlotte area about their self-efficacy a...

  15. Abdominal obesity has the highest impact on metabolic profile in an overweight African population

    DEFF Research Database (Denmark)

    Handlos, L. N.; Witte, D. R.; Mwaniki, D. L.; Bolt, M. K.; Kilonzo, B.; Friis, H.; Hansen, A. W.; Borch-Johnsen, K.; Tetens, Inge; Christensen, D. L.

    2012-01-01

    Aim: The aim of this study was to determine the association between different anthropometric parameters and metabolic profile in an overweight, adult, black Kenyan population. Methods: An opportunity sample of 245 overweight adult Kenyans (body mass index (BMI) ≥ 25 kg/m2) was analysed. A score o....... WC is useful in clinical practice for the diagnosis of metabolically unhealthy fat accumulation in an African setting. Read More: http://informahealthcare.com/doi/abs/10.3109/03014460.2012.720279...

  16. Caregiver's education level and child's dental caries in African Americans: A path analytic study

    OpenAIRE

    Heima, Masahiro; Lee, Wonik; Milgrom, Peter; Nelson, Suchitra

    2015-01-01

    The objective of this study was to investigate the influence of caregiver education level on children's dental caries mediated by both caregiver and child oral health behaviors. Participants were 423 low-income African American kindergarteners and their caregivers who were part of a school-based randomized clinical trial. Path analysis tested the hypothesis that caregiver education level affected untreated dental caries and cumulative overall caries experience (decayed or filled teeth) throug...

  17. Antigenic and genetic characterization of a divergent African virus, Ikoma lyssavirus

    OpenAIRE

    Horton, Daniel L.; Banyard, Ashley C.; Marston, Denise A.; Wise, Emma; Selden, David; Nunez, Alejandro; Hicks, Daniel; Lembo, Tiziana; Cleaveland, Sarah; Peel, Alison J.; Kuzmin, Ivan V.; Rupprecht, Charles E.; Fooks, Anthony R.

    2014-01-01

    In 2009, a novel lyssavirus (subsequently named Ikoma lyssavirus, IKOV) was detected in the brain of an African civet (Civettictis civetta) with clinical rabies in the Serengeti National Park of Tanzania. The degree of nucleotide divergence between the genome of IKOV and those of other lyssaviruses predicted antigenic distinction from, and lack of protection provided by, available rabies vaccines. In addition, the index case was considered likely to be an incidental spillover event, and there...

  18. The establishment of implicit perspectives of personality in Tshivenda-speaking South Africans / Rejoyce Talifhani Ntsieni

    OpenAIRE

    Ntsieni, Rejoyce Talifhani

    2006-01-01

    Personality tests are widely used in South Africa. The application of personality assessment techniques for clinical and personnel decisions has been a major activity for psychologists. All main personality models have ken developed in a Western context: the question therefore arises whether these models are adequate and sufficient for South Africa. There is a need to develop personality tests that are based on South African cultures. In South Africa the continuous use of Western-based per...

  19. Africans and Black Americans in the United States: Social Distance and Differential Acculturation.

    Science.gov (United States)

    Emoungu, Paul-Albert

    1992-01-01

    Presents an exploratory examination of the causes of social distance characterizing the association between Africans and African Americans. African American's perceptions about Africa and Africans are assessed through anecdotes and impressions, and thoughts and criticisms of Africans about African Americans are considered. A social science…

  20. A model for selecting assessment methods for evaluating medical students in African medical schools.

    Science.gov (United States)

    Walubo, Andrew; Burch, Vanessa; Parmar, Paresh; Raidoo, Deshandra; Cassimjee, Mariam; Onia, Rudy; Ofei, Francis

    2003-09-01

    Introduction of more effective and standardized assessment methods for testing students' performance in Africa's medical institutions has been hampered by severe financial and personnel shortages. Nevertheless, some African institutions have recognized the problem and are now revising their medical curricula, and, therefore, their assessment methods. These institutions, and those yet to come, need guidance on selecting assessment methods so as to adopt models that can be sustained locally. The authors provide a model for selecting assessment methods for testing medical students' performance in African medical institutions. The model systematically evaluates factors that influence implementation of an assessment method. Six commonly used methods (the essay examinations, short-answer questions, multiple-choice questions, patient-based clinical examination, problem-based oral examination [POE], and objective structured clinical examination) are evaluated by scoring and weighting against performance, cost, suitability, and safety factors. In the model, the highest score identifies the most appropriate method. Selection of an assessment method is illustrated using two institutional models, one depicting an ideal situation in which the objective structured clinical examination was preferred, and a second depicting the typical African scenario in which the essay and short-answer-question examinations were best. The POE method received the highest score and could be recommended as the most appropriate for Africa's medical institutions, but POE assessments require changing the medical curricula to a problem-based learning approach. The authors' model is easy to understand and promotes change in the medical curriculum and method of student assessment. PMID:14507620

  1. Afro-Americans and Early Pan-Africanism

    Science.gov (United States)

    Contee, Clarence G.

    1970-01-01

    History of the Pan-African movement, the roles of W.E.B.Du Bois and Marcus Garvey in the movement activities, and the shift to African based leadership of the movement in the 1940's are discussed. (KG)

  2. What about African Americans and High Blood Pressure?

    Science.gov (United States)

    ANSWERS by heart Lifestyle + Risk Reduction High Blood Pressure What About African Americans and High Blood Pressure? The prevalence of high blood pressure in African Americans is among the highest in ...

  3. Sculpture of decorative candlestick based on African totem masks

    Directory of Open Access Journals (Sweden)

    Sofronova Nadezhda

    2015-04-01

    Full Text Available The paper deals with the decorative small sculptures and African totem masks, their artistic and stylistic fea-tures, analysis of the works of sculptors and steps for creating a decorative candlestick based on African totem masks.

  4. Men of African Descent and Carcinoma of the Prostate Consortium

    Science.gov (United States)

    The Men of African Descent and Carcinoma of the Prostate Consortium collaborates on epidemiologic studies to address the high burden of prostate cancer and to understand the causes of etiology and outcomes among men of African ancestry.

  5. Metabolic Syndrome in African Americans: Views on Making Lifestyle Changes

    OpenAIRE

    Kirkendoll, Kenya D.; Clark, Patricia C.; Grossniklaus, Daurice A.; Igho-Pemu, Priscilla; Mullis, Rebecca M.; Dunbar, Sandra B.

    2010-01-01

    This study explores African American adults’ understanding of metabolic syndrome (MetS) and their motivations for making lifestyle changes. African Americans have a greater risk for components of MetS, such as hypertension.

  6. African Union in the Maintenance of Peace and Security of African Countries: Challenges and Prospects

    Directory of Open Access Journals (Sweden)

    Wilson, O. S.

    2012-04-01

    Full Text Available The African Union by its declaration is committed to the total integration of all African states and unity of action based on shared values and common, development interests and goals. To this end, the challenges facing the African Union include the problems of infrastructures and inadequate social services. The African states are plagued by political instability, ethnic conflicts, refugees/ internally displaced persons and fragile civil institutions. These problems are compounded by globalization, New World Order and heavy burden of external debts that make life difficult and the future dim and gloomy. These challenges and struggles by the African leaders to face up to them have precipitated the writing of this research paper. In doing so, the study traced the historical concept, evolution and final emergence of the union. The research project carefully looked into the act establishing the AU and compared with the charter of the Organization of African Unity (OAU and appreciated the necessity of its establishment. The study has noted that AU was modelled after the European Union (EU and therefore, efforts have been made to study the two unions so that the AU will benefit from the experience of the EU. In concluding the study, it is recommended inter alia that African Union make peace and security a priority and harmonize general policies and Infrastructural development. The hope that this study will contribute its widow's might to the development of AU is imperative. We cannot afford to fail this time, as the consequences are better imagined than experienced.

  7. The Dictionary Unit for South African English. South African Concise Oxford Dictionary

    Directory of Open Access Journals (Sweden)

    Rajend Mesthrie

    2011-10-01

    Full Text Available The South African Concise Oxford Dictionary (henceforth SACOD is a South Af-rican version of the Concise Oxford Dictionary, the first time that this particular hybrid has been prepared. It is testimony to the enduring success of the work of the Dictionary Unit for South African English at Rhodes University, headed by teams that included Jean and William Branford in the 1970s, Penny Silva in the 1990s and now, Kathryn Kavanagh. The lexicographical work from the unit saw the publication of four editions of the Dictionary of Southern African English (1978, 1980, 1987, 1991, a South African Pocket Oxford Dictionary (SAPOD and the Dictionary of South African English on Historical Principles (DOSAEHP (1995. SACOD differs from the rest in several ways. It is larger in scope than SAPOD, smaller than DOSAEHP, and unlike DOSAE and DOSAEHP, does not deal with South African words alone. Based on the 10th edition of the Concise Oxford Dictionary SACOD has excised some words from the parent, whilst adding many new words of general English as well as of South Africa.

  8. Haplotype variation and genotype imputation in African populations

    OpenAIRE

    Huang, Lucy; Jakobsson, Mattias; Pemberton, Trevor J.; Ibrahim, Muntaser; Nyambo, Thomas; Omar, Sabah; Pritchard, Jonathan K.; Tishkoff, Sarah A; Rosenberg, Noah A.

    2011-01-01

    Sub-Saharan Africa has been identified as the part of the world with the greatest human genetic diversity. This high level of diversity causes difficulties for genome-wide association (GWA) studies in African populations—for example, by reducing the accuracy of genotype imputation in African populations compared to non-African populations. Here, we investigate haplotype variation and imputation in Africa, using 253 unrelated individuals from 15 Sub-Saharan African populations. We identify the...

  9. On Cultural and Academic Exchanges Between China and African Countries

    OpenAIRE

    Charles Kabwete Mulinda

    2015-01-01

    Cooperation between China and African countries has often been portrayed as an economic one. Despite multiple exchanges in the area of culture and knowledge production, not much is written about chinese culture in Africa or knowledge production interaction between both China and African countries. Just to give an example, each African major town has chinese restaurants and Africans like chinese food. But food is seen as an economic asset, not a cultural one. Chinese cuisine is not enough take...

  10. Psychology and Ubuntu : therapeutic meetings in a South African context

    OpenAIRE

    2008-01-01

    The purpose of this study was to explore therapeutic meetings in a South African context. Utilising a qualitative research method, I have examined how South African therapists work in a multicultural context, asking questions regarding challenges the therapists met, what elements existed in the African context that influence healing. I proposed that the concept of Ubuntu could provide an African perspective to balance the western notion of psychotherapy. I also explored what adjustments thera...

  11. Attempts at a web presence inventory of African minority languages

    OpenAIRE

    Gee, Quintin

    2006-01-01

    Making an inventory of minority languages that have web sites is difficult. We show that, even if we define “minority” as African languages, then this is of little use since the appearance of web sites in any African languages are few. Many African web sites are hosted outside the continent, and few have totally indigenous languages displayed; rather, it contains a mixture of ex-colonial language illustrating documents in the African language concerned. In addition, many countries have more t...

  12. South African Artillery in the Eighties

    Directory of Open Access Journals (Sweden)

    A. C. Lillie

    2012-02-01

    Full Text Available Emerging from the Second World War armed with the then completely adequate 25 pounder and BL 5.5" guns, the South African Field Artillery continued to use the same guns operationally over thirty years later.When the armed forces of South Africa were thrown into a conventional conflict during the Angolan Civil War in 1975, the gunners found their equipment to be woefully inadequate. Soviet made artillery systems in the hands of the Russian-backed forces possessed ranges far in excess of the Second World War vintage South African systems and brought home in a very real way the need for drastic modernisation of the artillery branch of the South African Army.

  13. IDEAL Symposium on the East African Lakes

    Science.gov (United States)

    Johnson, T. C.; Kelts, K.; Lehman, J. T.; Wuest, A.

    A vast array of interdisciplinary problems presented by the African Great Lakes were highlighted at the International Symposium on the Limnology, Climatology and Paleoclimatology of the East African Lakes, organized by the International Decade for the East African Lakes (IDEAL) February 17-21 in Jinja, Uganda. Approximately 125 scientists attended from North America, Europe, Africa, and New Zealand. Jinja is located on the northern shore of Lake Victoria at the head-waters of the Nile and is the site of the host institution for the symposium, the Uganda Freshwater Fisheries Research Organization (UFFRO). The conveners of the symposium were Tom Johnson of Duke University, George Kitaka of UNESCO-ROSTA, and Eric Odada of the University of Nairobi.

  14. A prospective evaluation of the transthyretin Ile122 allele frequency in an African-American population.

    Science.gov (United States)

    Yamashita, Taro; Hamidi Asl, Kamran; Yazaki, Masahide; Benson, Merrill D

    2005-06-01

    Transthyretin Val122Ile is one of greater than 80 mutations in transthyretin (TTR) that are associated with hereditary amyloidosis. Retrospective studies have shown a prevalence of this mutation as high as 3.9% in African-Americans. The present study was undertaken to determine in a prospective fashion the prevalence of the TTR Val122Ile allele in African-Americans in a Midwestern American city. DNA was isolated from cord bloods collected at the time of birth in the County hospital of Indianapolis, Indiana. Samples were identified only as to ethnic origin of the mother. Analysis was performed by PCR amplification of TTR exon 4 followed by SSCP and RFLP. Cord bloods from 1,973 children born at the County hospital were analyzed. Thirty of 1,000 DNA samples from African-American newborns were positive for TTR Val122Ile (3%). Two of 453 DNA samples from Caucasian newborns were positive (0.44%). Zero of 490 DNA samples from newborns of Hispanic mothers and 0 of 30 from newborns with mothers classified as other (including Asian) were positive. This prospective study demonstrates that 3% of newborns of African-American women in an urban population have the TTR Val122Ile mutation which is associated with late-onset cardiomyopathy. The degree of penetrance of this mutation at the clinical level has not yet been determined. PMID:16011990

  15. Two Novel Mutations Identified in an African-American Child with Chediak-Higashi Syndrome

    Directory of Open Access Journals (Sweden)

    Kerry Morrone

    2010-01-01

    Full Text Available Background. Chediak-Higashi syndrome (CHS is a rare, autosomal recessive disorder characterized by oculocutaneous albinism, immunodeficiency, coagulopathy and late-onset, progressive neurological dysfunction. It also has an “accelerated phase” characterized by hemophagocytic lymphohistiocytosis (HLH. The disease is caused by mutations in the CHS1/LYST gene located on chromosome 1, which affects lysosome morphology and function. We report the case of an African-American child with CHS in Case. This 16-month old African-American girl presented with fever and lethargy. The proband had pale skin compared to her parents, with light brown eyes, silvery hair and massive hepatosplenomegaly. Her laboratory evaluation was remarkable for pancytopenia, high serum ferritin and an elevated LDH. Bone marrow aspirate revealed large inclusions in granulocytes and erythrophagocytosis consistent with HLH. Genetic evaluation revealed two novel nonsense mutations in the CHS1 gene: c.3622C>T (p.Q1208X and c.11002G>T (p.E3668X. Conclusions. Our patient is one of the few cases of CHS reported in the African American population. We identified 2 nonsense mutations in the CHS1 gene, the first mutation analysis published of an African-American child with Chediak-Higashi Syndrome. These two mutations predict a severe phenotype and thus identification of these mutations has an important clinical significance in CHS.

  16. The Dictionary Unit for South African English. South African Concise Oxford Dictionary

    OpenAIRE

    Rajend Mesthrie

    2011-01-01

    The South African Concise Oxford Dictionary (henceforth SACOD) is a South Af-rican version of the Concise Oxford Dictionary, the first time that this particular hybrid has been prepared. It is testimony to the enduring success of the work of the Dictionary Unit for South African English at Rhodes University, headed by teams that included Jean and William Branford in the 1970s, Penny Silva in the 1990s and now, Kathryn Kavanagh. The lexicographical work from the unit saw the publication of fou...

  17. What is Ubuntu? Different Interpretations among South Africans of African Descent

    DEFF Research Database (Denmark)

    Gade, Christian B.N.

    2012-01-01

    In this article, I describe and systematize the different answers to the question 'What is Ubuntu?' that I have been able to identify among South Africans of African descent (SAADs). I show that it is possible to distinguish between two clusters of answers. The answers of the first cluster all...... define ubuntu as a moral quality of a person, while the answers of the second cluster all define ubuntu as a phenomenon (for instance a philosophy, an ethic, African humanism, or, a wordview) according to which persons are interconnected. The concept of a person is of central importance to all the...

  18. Assessing the contributions of East African and West Pacific warming to the 2014 boreal spring East African drought

    Science.gov (United States)

    Funk, Christopher C.; Shukla, Shraddhanand; Hoell, Andrew; Livneh, Ben

    2015-01-01

    Anthropogenic warming contributed to the 2014 East African drought by increasing East African and west Pacific temperatures, and increasing the gradient between standardized western and central Pacific SST causing reduced rainfall, evapotranspiration, and soil moisture.

  19. Student-Centered Designs of Pan-African Literature Courses

    Science.gov (United States)

    M'Baye, Babacar

    2010-01-01

    A student-centered teaching methodology is an essential ingredient of a successful Pan-African literary course. In this article, the author defines Pan-Africanism and how to go about designing a Pan-African literature course. The author combines reading assignments with journals, film presentations, and lectures in a productive learning…

  20. Perceived Attractiveness, Facial Features, and African Self-Consciousness.

    Science.gov (United States)

    Chambers, John W., Jr.; And Others

    1994-01-01

    Investigated relationships between perceived attractiveness, facial features, and African self-consciousness (ASC) among 149 African American college students. As predicted, high ASC subjects used more positive adjectives in descriptions of strong African facial features than did medium or low ASC subjects. Results are discussed in the context of…

  1. African American Educational Leadership in the School Superintendency

    Science.gov (United States)

    Smith, Eva C.

    2013-01-01

    African American educational leadership has long been part of American education and African American activism to resist oppression. However, the field of educational leadership has rarely included the contributions of African American leaders, particularly women leaders, into mainstream leadership theory and practices. This omission is difficult…

  2. Situational Stability and Variability in African American Racial Identity.

    Science.gov (United States)

    Shelton, J. Nicole; Sellers, Robert M.

    2000-01-01

    Investigated the stable and situational properties of African American racial identity using the Multidimensional Model of Racial Identity (MMRI). African American undergraduate students completed the Multidimensional Inventory of Black Identity, which assessed dimensions of the MMRI. African American racial identity had stable and situational…

  3. An Exploration of African American Students' Attitudes toward Online Learning

    Science.gov (United States)

    Okwumabua, Theresa M.; Walker, Kristin M.; Hu, Xiangen; Watson, Andrea

    2011-01-01

    The current work presents exploratory research findings concerning African American students' attitudes toward online learning. The Online Tutoring Attitudes Scale (OTAS; Graff, 2003) was administered to 124 African American students in a positive youth development program. Findings suggest that African American students' attitudes toward…

  4. Seeing African Americans as Competent Parents: Implications for Family Counselors

    Science.gov (United States)

    Adkison-Bradley, Carla

    2011-01-01

    One of the primary roles of parents is to guide and socialize children to make meaningful life choices. African American parents, in particular, have the additional tasks of preparing their children to thrive in an environment that has historically been hostile toward African Americans. Yet, many African American parents are often depicted as…

  5. Disease Management to Promote Blood Pressure Control Among African Americans

    OpenAIRE

    Brennan, Troyen; Spettell, Claire; Villagra, Victor; Ofili, Elizabeth; McMahill-Walraven, Cheryl; Lowy, Elizabeth J.; Daniels, Pamela; Quarshie, Alexander; Mayberry, Robert

    2010-01-01

    African Americans have a higher prevalence of hypertension and poorer cardiovascular and renal outcomes than white Americans. The objective of this study was to determine whether a telephonic nurse disease management (DM) program designed for African Americans is more effective than a home monitoring program alone to increase blood pressure (BP) control among African Americans enrolled in a national health plan.

  6. North African populations carry the signature of admixture with Neandertals

    DEFF Research Database (Denmark)

    Sánchez-Quinto, Federico; Botigué, Laura R; Civit, Sergi;

    2012-01-01

    One of the main findings derived from the analysis of the Neandertal genome was the evidence for admixture between Neandertals and non-African modern humans. An alternative scenario is that the ancestral population of non-Africans was closer to Neandertals than to Africans because of ancient popu...

  7. Contrastive Studies - African Languages and English. Specialised Bibliography C9.

    Science.gov (United States)

    British Council, London (England). English-Teaching Information Centre.

    This selective bibliography lists 8 books and 19 journal articles dealing with contrastive studies of African languages and English. The entries range in date from 1953 to 1972 with the majority published since 1965. The books cited are African and British publications and the articles appeared in well-known African, European or American…

  8. Exposure of African-American Youth to Alcohol Advertising.

    Science.gov (United States)

    2003

    The marketing of alcohol products in African-American communities has, on occasion, stirred national controversy and met with fierce resistance from African Americans and others. Despite occasional media and community spotlights on the marketing of alcohol products in the African-American community, there has been no systematic review of the…

  9. Some Growth Points in African Child Development Research

    Science.gov (United States)

    Serpell, Robert; Marfo, Kofi

    2014-01-01

    We reflect on ways in which research presented in earlier chapters responds to challenges of generating an African child development field and identify additional issues calling for the field's attention. The chapters collectively display a variety of African contexts and reflexive evidence of the authors' African cultural roots.…

  10. Engaging Youth through African-Derived Dance and Culture

    Science.gov (United States)

    Franklin, Kikora

    2013-01-01

    This article provides a brief history of African and African-derived dance and culture and highlights the physical health, dance education, historical, and cultural benefits of a school-based program that incorporates African dance as its core component. The article also includes the phases of the programming and brings attention to potential…

  11. African American Single Mothers Raising Sons: Implications for Family Therapy

    Science.gov (United States)

    Gantt, Ann L.; Greif, Geoffrey L.

    2009-01-01

    Being raised by a single mother is one factor that has been suggested as contributing to the plight of African American males. Yet few studies have focused specifically on African American single mothers' experiences with raising sons. This qualitative study explored the following questions: (1) What are the experiences of African American single…

  12. Oral Cancer in African Americans: Addressing Health Disparities

    Science.gov (United States)

    Dodd, Virginia J.; Watson, Jennifer M.; Choi, Youjin; Tomar, Scott L.; Logan, Henrietta L.

    2008-01-01

    Objectives: To explore factors underlying African Americans' perceptions of oral cancer and the oral cancer exam. Study findings were used to guide development of oral cancer messages designed to increase oral cancer exams among African Americans. Methods: Focus groups were conducted to understand African Americans' attitudes and expectations…

  13. Mammary gland tumors in captive African hedgehogs.

    Science.gov (United States)

    Raymond, J T; Gerner, M

    2000-04-01

    From December 1995 to July 1999, eight mammary gland tumors were diagnosed in eight adult captive female African hedgehogs (Atelerix albiventris). The tumors presented as single or multiple subcutaneous masses along the cranial or caudal abdomen that varied in size for each hedgehog. Histologically, seven of eight (88%) mammary gland tumors were malignant. Tumors were classified as solid (4 cases), tubular (2 cases), and papillary (2 cases). Seven tumors had infiltrated into the surrounding stroma and three tumors had histologic evidence of neoplastic vascular invasion. Three hedgehogs had concurrent neoplasms. These are believed to be the first reported cases of mammary gland tumors in African hedgehogs. PMID:10813628

  14. AIDS in Africans living in London.

    OpenAIRE

    O'Farrell, N.; Lau, R.; Yoganathan, K; Bradbeer, C S; Griffin, G E; Pozniak, A L

    1995-01-01

    OBJECTIVES--To investigate the presentation of HIV infection and AIDS amongst Africans diagnosed with AIDS living in London. METHODS--Identification of all AIDS cases of African origin attending four HIV specialist centres in South London--Guy's, King's, St George's and St Thomas' Hospitals--up to March 1994, by retrospective review of case notes of all HIV positive patients. RESULTS--Of 86 patients (53 women, 33 men) studied, 59 (69%) were from Uganda. The most frequent AIDS-defining diagnos...

  15. The landscape of recombination in African Americans

    OpenAIRE

    Anjali G Hinch; Tandon, Arti; Patterson, Nick; Song, Yunli; Rohland, Nadin; Palmer, Cameron D; Chen, Gary K.; Wang, Kai; Buxbaum, Sarah G.; Akylbekova, Meggie; Aldrich, Melinda C.; Ambrosone, Christine B.; Amos, Christopher; Bandera, Elisa V.; Berndt, Sonja I.

    2011-01-01

    Recombination, together with mutation, is the ultimate source of genetic variation in populations. We leverage the recent mixture of people of African and European ancestry in the Americas to build a genetic map measuring the probability of crossing-over at each position in the genome, based on about 2.1 million crossovers in 30,000 unrelated African Americans. At intervals of more than three megabases it is nearly identical to a map built in Europeans. At finer scales it differs significantl...

  16. 'Great power' intervention in African armed conflicts

    DEFF Research Database (Denmark)

    Olsen, Gorm Rye

    2015-01-01

    This paper asks why the United States (US), China and the European Union (EU) have intervened in a number of armed conflicts in Africa in the twenty-first century. Scrutiny and comparison of the motivations and interests of the three non-African actors in intervening in African crises are assumed...... to contribute to understanding the changing geopolitical environment and the current conditions for conflict management in Africa. The focus is not on trade and aid. The paper launches the hypothesis that the explanations why the US, China and the EU have intervened are basically identical. In spite...

  17. Cryptosporidium and cryptosporidiosis: the African perspective.

    Science.gov (United States)

    Aldeyarbi, Hebatalla M; Abu El-Ezz, Nadia M T; Karanis, Panagiotis

    2016-07-01

    The present overview discusses the findings of cryptosporidiosis research conducted in Africa and highlights the currently available information on Cryptosporidium epidemiology, genetic diversity, and distribution on the African continent, particularly among vulnerable populations, including children. It also emphasizes the burden of cryptosporidiosis, which is underestimated due to the presence of many silent asymptomatic carriers.Cryptosporidiosis is recognized as one of the leading causes of childhood diarrhea in African countries. It has dramatic adverse effects on child growth and development and causes increased mortality on a continent where HIV, poverty, and lack of sanitation and infrastructure increase the risk of cryptosporidial waterborne infection. PMID:27126869

  18. African agricultural trade: Recent and the future

    OpenAIRE

    Jensen, Hans Grinsted; Sandrey, Ron

    2015-01-01

    This article starts with a profile of African agricultural trade. Using the pre-release version 9.2 of the GTAP database, we then show that the results for tariff elimination on intra-African trade are promising, but these tariff barriers are not as significant as the various trade-related barriers outside of tariffs. Impressive results were forecast by simulating both a 50% reduction in what can be considered traditional non-tariff barriers and a modest 20% reduction in the costs associated ...

  19. CLINICAL BIOCHEMISTRY

    Science.gov (United States)

    Assessment of the health status of animals through measurement of cellular, biochemical, and macromolecular constituents in blood, secretions, and excretions has been variously referred to as clinical chemistry, clinical biochemistry, or clinical pathology. he genesis of this dis...

  20. The African VLBI network project

    Science.gov (United States)

    Loots, Anita

    2015-01-01

    larger teams in science, engineering and technology issues and collaborate with the broader global science community to develop new African radio astronomy science communities.

  1. African Easterly Waves and Superparameterization

    Science.gov (United States)

    McCrary, Rachel; Randall, David; Stan, Cristiana

    2013-04-01

    This study examines the dynamics of African easterly wave (AEW) in the Superparameterized Community Climate System Model (SP-CCSM). Conventional general circulation models (GCMs) have difficulty representing AEW dynamics over West Africa. One reason is that the coarse resolution of these models limits their ability to represent the multi-scale interactions between the large-scale dynamics and individual convective systems, which are important for the origin and development of AEWs. The SP-CCSM has been designed to better simulate the interactions between small-scale circulations and large-scale dynamics, by replacing the conventional parameterizations with a 2D cloud resolving model embedded within each GCM grid column. With this approach we are able to capture the interactions between clouds and the global circulation of the atmosphere. The goal of our work is to improve our understanding of the multi-scale interactions that occur between AEWs and convection over West Africa. The implementation of the superparameterization into the CCSM improves the overall representation of monsoon precipitation over West Africa. Most notably, the region of maximum precipitation is shifted from the Gulf of Guinea in CCSM (not realistic), to over the continent in SP-CCSM. The biases found in precipitation for both models are thought to be linked to anomalously warm sea surface temperatures in the Gulf of Guinea and a misrepresentation of the equatorial Atlantic cold tongue (a common problem for coupled GCMs). AEWs and their relationship with convection are also improved in the SP-CCSM. In the standard model, little to no easterly wave activity is found over West Africa, and the relationship with convection is tenuous at best. SP-CCSM on the other hand produces strong AEWs over the region that exhibit similar horizontal and vertical structures to observations. The simulated waves are also shown to be strongly coupled to convection, and results suggest that barotropic and baroclinic

  2. The African Proverbs Project and After

    Directory of Open Access Journals (Sweden)

    John S. Mbiti

    2011-10-01

    Full Text Available

    Abstract: The Pew Charitable Trusts financed the African Proverbs Project with Dr Stan Nussbaum as co-ordinator, for three years (1993?1996. He assembled a number of scholars who had collected and studied proverbs. The purpose of the Project was to encourage further work of collecting, studying and publishing proverbs. It organised international and interdisciplinary symposia and embarked on three types of publications. One kind of publication was the African Proverbs Series, with Prof. John Mbiti as editor. Five volumes were published in 1997, each with proverbs from respectively Ethiopia, Uganda, Lesotho, Burkina Faso and Ghana. Their size ranged from 584 to 1 497 proverbs in African languages, with translations into English or French. Another set of publications with the Rev. Joshua Kudadjie as editor, covered proverbs for preaching and teaching purposes. Three volumes have come from Malawi, Ghana and Liberia. The Project also published an annotated bibliography by Prof. Wolfgang Mieder. The report from one of the symposia appeared in 1997. The third manner of publication is in the form of a CD-ROM edited by Dr Stan Nussbaum and published in 1996. This is a very comprehensive collection and source of material that includes, inter alia, books from the Project, some 28 000 proverbs, a bibliography with 1 000 items, summaries and extracts from published collections, and a language survey of work on proverbs. The Project has generated both local and international interest in African paremiography and paremiology. Four academic institutions in South Africa, Kenya, Ghana and the Ivory Coast, with links to others in Africa, Europe and America, are continuing this work on proverbs.

    Keywords: AFRICAN PROVERBS PROJECT, AFRICAN PROVERBS SERIES, PROVERB, PAREMIOGRAPHY, PAREMIOLOGY

    Opsomming: Die African Proverbs Project en daarna. Die Pew Charitable Trusts het die African Proverbs Project, met dr. Stan Nussbaum as ko?rdineerder, vir drie

  3. "Brothers Gonna Work It Out:" Understanding the Pedagogic Performance of African American Male Teachers Working with African American Male Students

    Science.gov (United States)

    Brown, Anthony L.

    2009-01-01

    Drawing from ethnographic data, this paper explores how African American male teachers working with African American male students performed their pedagogy. This paper highlights how teachers' understanding of African American males social and educational needs shaped their pedagogical performance. Interestingly however, teachers' performance was…

  4. Standardizing Visual Control Devices for Tsetse Flies: East African Species Glossina swynnertoni

    OpenAIRE

    Mramba, Furaha; Oloo, Francis; Byamungu, Mechtilda; Kröber, Thomas; McMullin, Andrew; Mihok, Steve; Guerin, Patrick M.

    2013-01-01

    Background Here we set out to standardize long-lasting, visually-attractive devices for Glossina swynnertoni, a vector of both human and animal trypanosomiasis in open savannah in Tanzania and Kenya, and in neighbouring conservation areas used by pastoralists. The goal was to determine the most practical device/material that would induce the strongest landing response in G. swynnertoni for use in area-wide population suppression of this fly with insecticide-impregnated devices. Methods and Fi...

  5. African-American mitochondrial DNAs often match mtDNAs found in multiple African ethnic groups

    Directory of Open Access Journals (Sweden)

    Jackson Fatimah

    2006-10-01

    Full Text Available Abstract Background Mitochondrial DNA (mtDNA haplotypes have become popular tools for tracing maternal ancestry, and several companies offer this service to the general public. Numerous studies have demonstrated that human mtDNA haplotypes can be used with confidence to identify the continent where the haplotype originated. Ideally, mtDNA haplotypes could also be used to identify a particular country or ethnic group from which the maternal ancestor emanated. However, the geographic distribution of mtDNA haplotypes is greatly influenced by the movement of both individuals and population groups. Consequently, common mtDNA haplotypes are shared among multiple ethnic groups. We have studied the distribution of mtDNA haplotypes among West African ethnic groups to determine how often mtDNA haplotypes can be used to reconnect Americans of African descent to a country or ethnic group of a maternal African ancestor. The nucleotide sequence of the mtDNA hypervariable segment I (HVS-I usually provides sufficient information to assign a particular mtDNA to the proper haplogroup, and it contains most of the variation that is available to distinguish a particular mtDNA haplotype from closely related haplotypes. In this study, samples of general African-American and specific Gullah/Geechee HVS-I haplotypes were compared with two databases of HVS-I haplotypes from sub-Saharan Africa, and the incidence of perfect matches recorded for each sample. Results When two independent African-American samples were analyzed, more than half of the sampled HVS-I mtDNA haplotypes exactly matched common haplotypes that were shared among multiple African ethnic groups. Another 40% did not match any sequence in the database, and fewer than 10% were an exact match to a sequence from a single African ethnic group. Differences in the regional distribution of haplotypes were observed in the African database, and the African-American haplotypes were more likely to match haplotypes

  6. The African Renaissance and its relation to the geosciences: a South African perspective

    Science.gov (United States)

    Mtimkulu, M. N.; Motloung, M.; Graham, I. T.; Eriksson, P. G.; Bumby, A. J.

    2001-08-01

    Implicit in the African Renaissance is the synergy between government, the private sector, the educated minority and the disadvantaged majority. For this concept to work, belief and commitment must arise first from the African individual, whatever his or her potential contribution may be. The geosciences in South Africa provide a currently vibrant example of such cooperation, which has the potential to contribute significantly to the upliftment of the country and its neighbouring states. Based largely on personal interviews with various role players, from the Presidency of South Africa, through ministerial levels, the corporate sector and down to the individual, we present a spectrum of viewpoints and initiatives which are starting to result in practical implementation of the African revival. An end to conflict and xenophobia, the entrenchment of democratic government and corporate expression of the entrepreneurial spirit are essential to provide the framework within which the individual African can become a "Renaissance Man or Woman".

  7. Prostate cancer in African-American men: outcome following radiation therapy with or without adjuvant androgen ablation

    International Nuclear Information System (INIS)

    Purpose: To compare the outcome of irradiated clinically localized prostate cancer in African-American and white patients. Methods and Materials: This was a retrospective review of 1,201 men, 116 African-American and 1,085 white, with T1-T3, N0/NX, M0 prostate cancer receiving external radiation between 1987 and 1996. Pretreatment characteristics, treatment parameters, and outcome (relapse or rising prostate-specific antigen [PSA] levels, local recurrence, metastatic relapse, and survival) were compared between the groups using univariate and multivariate statistical methods. Results: There were no significant differences between African-American and white patients in T-stage, Gleason score, prostatic acid phosphatase (PAP) level, and testosterone level. African-Americans had a significantly lower incidence of abnormal digital rectal findings and a proportionally higher incidence of obstructive urinary symptoms at presentation and tended to be somewhat younger. A major difference between the two groups was in the significantly higher PSA levels among African-Americans (median, 14 ng/ml) than among white patients (median, 9.5 ng/ml). This translated into a higher incidence of unfavorable disease according to our criteria (39% vs. 25%) among African-Americans and, thus, to the more frequent use of adjuvant androgen ablation and to somewhat higher radiation doses in these patients. With a median follow-up of 42 months the overall 6-year freedom from relapse for African-Americans was 63% compared to 61% for whites (p = 0.634). We found no significant differences in biochemical relapse rates between any subgroups of African-Americans and whites. Specifically, even patients who did not have androgen ablation, when stratified by PSA levels, had similar outcomes regardless of race. Likewise, local recurrence and metastasis rates were not significantly different between the two groups. Conclusions: Although African-American patients tend to have higher pretreatment PSA

  8. African Voices and Activists at the WSF in Nairobi: The Uncertain Ways of Transnational African Activism

    OpenAIRE

    Marie-Emmanuelle Pommerolle; Johanna Siméant

    2015-01-01

    Transnational social movement studies have long neglected the way activists from the South, and particularly from Africa, have participated in World Social Forum processes. Alterglobal activists have also been accused of neglecting or dominating southern voices. The organization of the WSF in Nairobi was seen as an opportunity to make African voices be heard. This examines how Africans activists participated in Nairobi, and the complex relationship they have to northern and other southern (su...

  9. Co-evolution between the South African venture capital industry and the South [African] government

    OpenAIRE

    Aluko, Olumide Mayowa

    2011-01-01

    This thesis contributes to the current discourse around co-evolution, this study investigates co-evolution between the South African venture capital industry and the South African government. Using a qualitative method which involved gathering data from archival sources and contemporary interviews, this study extends the growing literature on the co-evolution of organizations and their institutional environment in three ways. First, the study shows that the co-evolution that occurs between or...

  10. Examining the associations of racism, sexism, and stressful life events on psychological distress among African-American women.

    Science.gov (United States)

    Stevens-Watkins, Danelle; Perry, Brea; Pullen, Erin; Jewell, Jennifer; Oser, Carrie B

    2014-10-01

    African-American women may be susceptible to stressful events and adverse health outcomes as a result of their distinct social location at the intersection of gender and race. Here, racism and sexism are examined concurrently using survey data from 204 African-American women residing in a southeastern U.S. urban city. Associations among racism, sexism, and stressful events across social roles and contexts (i.e., social network loss, motherhood and childbirth, employment and finances, personal illness and injury, and victimization) are investigated. Then, the relationships among these stressors on psychological distress are compared, and a moderation model is explored. Findings suggest that racism and sexism are a significant source of stress in the lives of African-American women and are correlated with one another and with other stressful events. Implications for future research and clinical considerations are discussed. PMID:25313434

  11. Differences in optic nerve structure between individuals of predominantly African and European ancestry: Implications for disease detection and pathogenesis

    Directory of Open Access Journals (Sweden)

    Christopher A Girkin

    2008-03-01

    Full Text Available Christopher A GirkinUniversity of Alabama at Birmingham School of Medicine, Birmingham, AL, USAAbstract: Glaucoma disproportionately affects individual of African ancestry. Additionally, racial differences in the optic nerve head have been well described that may alter the vulnerability to intraocular pressure related injury and, in addition, alter the clinical ability to detect the presence of early optic nerve injury. This paper will review the literature describing racial differences in the optic nerve head between individuals of African and European ancestry with regards to the potential effects of these differences on the ability to detect glaucoma in different racial groups and to potential differences in the pathogenesis of glaucomatous injury.Keywords: primary open angle glaucoma, African American, optic nerve, optic disc, retinal nerve fiber layer

  12. Prevalence of the apolipoprotein E Arg145Cys dyslipidemia at-risk polymorphism in African-derived populations.

    Science.gov (United States)

    Abou Ziki, Maen D; Strulovici-Barel, Yael; Hackett, Neil R; Rodriguez-Flores, Juan L; Mezey, Jason G; Salit, Jacqueline; Radisch, Sharon; Hollmann, Charleen; Chouchane, Lotfi; Malek, Joel; Zirie, Mahmoud A; Jayyuosi, Amin; Gotto, Antonio M; Crystal, Ronald G

    2014-01-15

    Apolipoprotein E, a protein component of blood lipid particles, plays an important role in lipid transport. Different mutations in the apolipoprotein E gene have been associated with various clinical phenotypes. In an initiated study of Qataris, we observed that 17% of the African-derived genetic subgroup were heterozygotes for a rare Arg145Cys (R145C) variant that functions as a dominant trait with incomplete penetrance associated with type III hyperlipoproteinemia. On the basis of this observation, we hypothesized that the R145C polymorphism might be common in African-derived populations. The prevalence of the R145C variant was assessed worldwide in the "1000 Genomes Project" and in 1,012 whites and 1,226 African-Americans in New York, New York. The 1000 Genomes Project data demonstrated that the R145C polymorphism is rare in non-African-derived populations but present in 5% to 12% of Sub-Saharan African-derived populations. The R145C polymorphism was also rare in New York whites (1 of 1,012, 0.1%); however, strikingly, 53 of the 1,226 New York African-Americans (4.3%) were R145C heterozygotes. The lipid profiles of the Qatari and New York R145C heterozygotes were compared with those of controls. The Qatari R145C subjects had higher triglyceride levels than the Qatari controls (p worldwide derived from Sub-Saharan Africans are apolipoprotein E R145C. In conclusion, although larger epidemiologic studies are necessary to determine the long-term consequences of this polymorphism, the available evidence suggests it is a common cause of a mild triglyceride dyslipidemia. PMID:24239320

  13. Improving the productivity of indigenous African livestock

    International Nuclear Information System (INIS)

    This document summarizes the results of two Co-ordinated Research Programs to improve the productivity of indigenous African livestock. After an introduction and a summary the reports of the participating countries are presented. The individual contributions have been indexed separately. Refs, figs and tabs

  14. African and Pacific Literature: A Comparative Study.

    Science.gov (United States)

    Martin, Kristine L.

    Literary writing in Africa and the Pacific addresses themes that reflect colonial experience and the struggles of newly independent nations to cope with change and conflicts between traditional and modern existence. The novels of Chinua Achebe of Nigeria and Ngugi Wa Thiong'o of Kenya illustrate many dominant themes of African literature. Achebe…

  15. RHD allele distribution in Africans of Mali

    Directory of Open Access Journals (Sweden)

    Moulds Joann M

    2003-09-01

    Full Text Available Abstract Background Aberrant and non-functional RHD alleles are much more frequent in Africans than in Europeans. The DAU cluster of RHD alleles exemplifies that the alleles frequent in Africans have evaded recognition until recently. A comprehensive survey of RHD alleles in any African population was lacking. Results We surveyed the molecular structure and frequency of RHD alleles in Mali (West Africa by evaluating 116 haplotypes. Only 69% could be attributed to standard RHD (55% or the RHD deletion (14%. The aberrant RHD allele DAU-0 was predicted for 19%, RHDΨ for 7% and Ccdes for 4% of all haplotypes. DAU-3 and the new RHD allele RHD(L207F, dubbed DMA, were found in one haplotype each. A PCR-RFLP for the detection of the hybrid Rhesus box diagnostic for the RHD deletion in Europeans was false positive in 9 individuals, including all carriers of RHDΨ . Including two silent mutations and the RHD deletion, a total of 9 alleles could be differentiated. Conclusion Besides standard RHD and the RHD deletion, DAU-0, RHDΨ and Ccdes are major alleles in Mali. Our survey proved that the most frequent alleles of West Africans have been recognized allowing to devise reliable genotyping and phenotyping strategies.

  16. Some remarks on the African wild ass

    NARCIS (Netherlands)

    Bemmel, van A.C.V.

    1972-01-01

    INTRODUCTION Without any doubt the African Wild Ass should be considered a species threatened with extinction. Therefore, it seems worth-while to collect as many data on this species as possible and to do this quickly. Data and material, however, are scarce. Many sportsmen and zoologists observed th

  17. African American Students' Attitudes toward Entrepreneurship Education.

    Science.gov (United States)

    Ede, Fred O.; Panigrahi, Bhagaban; Calcich, Stephen E.

    1998-01-01

    A survey of 171 African-American students found that 72% came from nonentrepreneurial family backgrounds; only 24.5% intended to start their own businesses, there were no gender differences in entrepreneurship attitudes, and seniors and those from entrepreneurial backgrounds were more favorable toward entrepreneurship. (SK)

  18. Glucose intolerance in the West African Diaspora

    DEFF Research Database (Denmark)

    Nielsen, Jannie; Christensen, Dirk Lund

    2011-01-01

    In the United States, Black Americans are largely descendants of West African slaves; they have a higher relative proportion of obesity and experience a higher prevalence of diabetes than White Americans. However, obesity rates alone cannot explain the higher prevalence of type 2 diabetes. Type 2...

  19. African Literature and the American University.

    Science.gov (United States)

    Priebe, Richard

    While African literature appears to be firmly established in American colleges and universities, its expansion, and in some cases its continuance, is threatened by two factors: racialism and departmental conservatism. As demands for courses in black literature can be met by an increased supply of scholars in Afro-American literature, fewer schools…

  20. Myths in African Concept of Reality

    Science.gov (United States)

    Jaja, Jones M.

    2014-01-01

    Myths are accounts of the origin of societies and institutions not subject to rationalization but often used by historians and philosophers in their quest to study African history; for it is only thus that we can comprehend the various aspects of the continent's history and culture. This paper examines the critical understanding of African…