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Background: Contribution of host factors in mediating susceptibility to extrapulmonary tuberculosis is not well understood. Objective: To examine the influence of patient sex on anatomical localization of extrapulmonary tuberculosis. Methods: We conducted a retrospective cross-sectional study in Mali, West Africa. Hospital records of 1,304 suspected cases of extrapulmonary tuberculosis, available in TB Registry of a tertiary tuberculosis referral center from 2019 to 2021, were examined. Results: A total of 1,012 (77.6%) were confirmed to have extrapulmonary tuberculosis with a male to female ratio of 1.59:1. Four clinical forms of EPTB predominated, namely pleural (40.4%), osteoarticular (29.8%), lymph node (12.5%), and abdominal TB (10.3%). We found sex-based differences in anatomical localization of extrapulmonary tuberculosis, with males more likely than females to have pleural TB (OR: 1.51; 95% CI [1.16 to 1.98]). Conversely, being male was associated with 43% and 41% lower odds of having lymph node and abdominal TB, respectively (OR: 0.57 and 0.59). Conclusion: Anatomical sites of extrapulmonary tuberculosis differ by sex with pleural TB being associated with male sex while lymph node and abdominal TB are predominately associated with female sex. Future studies are warranted to understand the role of sex in mediating anatomical site preference of tuberculosis.
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Background: The emergence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) variants may have contributed to prolonging the pandemic, and increasing morbidity and mortality related to coronavirus disease 2019 (COVID-19). This article describes the dynamics of circulating SARS-CoV-2 variants identified during the different COVID-19 waves in Mali between April and October 2021. Methods: The respiratory SARS-CoV-2 complete spike (S) gene from positive samples was sequenced. Generated sequences were aligned by Variant Reporter v3.0 using the Wuhan-1 strain as the reference. Mutations were noted using the GISAID and Nextclade platforms. Results: Of 16,797 nasopharyngeal swab samples tested, 6.0% (1008/16,797) tested positive for SARS-CoV-2 on quantitative reverse transcription polymerase chain reaction. Of these, 16.07% (162/1008) had a cycle threshold value ≤28 and were amplified and sequenced. The complete S gene sequence was recovered from 80 of 162 (49.8%) samples. Seven distinct variants were identified: Delta (62.5%), Alpha (1.2%), Beta (1.2%), Eta (30.0%), 20B (2.5%), 19B (1.2%) and 20A (1.2%). Conclusions and perspectives: Several SARS-CoV-2 variants were present during the COVID-19 waves in Mali between April and October 2021. The continued emergence of new variants highlights the need to strengthen local real-time sequencing capacity and genomic surveillance for better and coordinated national responses to SARS-CoV-2.
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Orphan legume crops play an important role in smallholder farmers' food systems. Though less documented, they have the potential to contribute to adequate nutrition in vulnerable communities. Unfortunately, data are scarce about the potential of those crops to withstand current and future climate variations. Using Macrotyloma geocarpum as an example, we used ecological niche modeling to explore the role of ecology on the current and future distributions of genetic populations of Kersting's groundnut. Our findings showed that: (1) the models had good predictive power, indicating that M. geocarpum's distribution was correlated with both climatic and soil layers; (2) identity and similarity tests revealed that the two genetic groups have identical and similar environmental niches; (3) by integrating the genetic information in niche modeling, niches projections show divergence in the response of the species and genetic populations to ongoing climate change. This study highlights the importance of incorporating genetic data into Ecological Niche Modeling (ENM) approaches to obtain a finer information of species' future distribution, and explores the implications for agricultural adaptation, with a particular focus on identifying priority actions in orphan crops conservation and breeding.
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Fabaceae , Fitomejoramiento , África Occidental , Ecosistema , Fabaceae/genética , Estructuras GenéticasRESUMEN
AIM: The aim of this study was to help National Center for Blood Transfusion of Bamako in implementation of a quality assurance system. MATERIALS AND METHODS: Study was conducted in 2007 and 2008 at the National Center for Blood Transfusion of Mali in Bamako. We first evaluated the state of the quality system and studied the Knowledge, Attitude and Practices of the staff about quality assurance then carried out an plan of actions. We also made a check out of 2 critical processes in Blood transfusion: the whole blood collection process in fixed cabin and the temperature-monitored storage facilities for blood and reagents. RESULT: From the analysis of the state of assurance quality system, we found numerous failures. A policy of quality and guidelines for blood transfusion were absent. Most of the mains procedures and the flow chart of the center were also lacking. Sixty six of the personnel were aware about the notion of quality assurance and 36.7% were trained in this matter. The plan of actions was executed at 57.4%. Several failures were recorded in the processes of blood collection and in the temperature-monitored storage system. Corrective actions should be taken by training the staff in application of procedures. CONCLUSION: Despite of the great progress made in implementation of quality assurance at the CNTS of Mali, some insufficiencies were remaining. Development of quality system across all the stages of the blood transfusion chain is vital for CNTS. This require an adoption of national blood policy.