Injuries among Artisanal and Small-Scale Gold Miners in Ghana.

Artisanal and small-scale gold miners are confronted with numerous hazards often resulting in varying degrees of injuries and fatalities. In Ghana, like many developing countries, there is paucity of information on the causes and nature of the accidents that result in the injuries. The study was a retrospective, cross sectional type that examined the records of injuries of artisanal and small-scale gold miners presented to the emergency department of a district hospital in the Eastern Region of Ghana from 2006 to 2013. The causes, types, and outcomes of reported injuries were analyzed for 72 cases. Occurrences of mining accidents reported in selected Ghanaian media during the year 2007-2012 were also analyzed to corroborate the causes of the accidents. Fractures and contusions constituted the most frequently occurring injuries, with collapse of the mine pits and falls being the most frequent cause of accidents reported both by the hospital and media records. This study shows that though varied degrees of injuries occur among the miners, the potential for serious injuries is substantial. Measures to reduce the incidence of injuries and fatalities should include education and training on the use of safe working tools and means of creating a safe working environment.

Golombok Rust Inventory of Sexual Satisfaction for the presence of sexual dysfunction within a Ghanaian urological population.

Sexual dysfunction (SD) is devastating to a man's ego and its presence could defeat his purpose of masculinity. A number of studies have explored and reported on existing comorbidities between SD and medical conditions for which urological problems are no exception. However, in Ghana there is paucity of data exploring the epidemiological, etiological and health associations of medical conditions with SD. This study was therefore conducted to determine the prevalence, types and determinants of SD in a sample of Ghanaian men with urological conditions. This descriptive cross-sectional study was carried out between December 2012 and April 2013 at the Urology clinic of the Tamale Teaching Hospital in the Northern Region of Ghana. A total of 200 participants were enrolled in the study. All participants were evaluated by using a semistructured questionnaire and the Golombok Rust Inventory of Sexual Satisfaction questionnaire. An overall response rate of 47.5% was estimated after 69 patients refused to partake in the study; 6 patients found the questionnaire too sensitive and refused to participate and 30 participants returned incomplete questionnaire. The mean age of the participants was 36.5±13.8 years and ranged from 18 to 70 years. The estimated prevalence of SD was 71.6%. The prevalence of the various SD domains was as follows: non-sensuality (71.6%), premature ejaculation (70.5%), non-communication (69.5%), impotence and infrequency (68.4%), dissatisfaction (61.1%) and avoidance (57.9%). Participants who were married, consumed alcoholic beverages, smoked cigarettes and aging males who had children were at a greater risk of developing SD. Urologic patients have a high prevalence of SD that is dependent on marital status, alcohol consumption, smoking status and aged patients with children.

Simulated preslaughter holding and isolation effects on stress responses and live weight shrinkage in meat goats.

The objective of this experiment was to determine the effects of preslaughter isolation and feed withdrawal duration on physiological responses and shrinkage in goats. A total of 84 Spanish does (36 mo of age, average weight 35 kg) were individually weighed and scored for excitability before two replicate (day) trials. The does were feed-deprived (FD) or fed (F) in holding pens (treatment, TRT) for either 0, 7, 14, or 21 h (TIME). At the end of the holding periods, FD and F does were blood-sampled (n = 6 does/treatment/time/replicate) and weighed again to assess physiological responses and shrinkage, respectively. Individual does from each pen were blood-sampled again after imposing one of three handling post-treatments: a 15-min isolation with no visual contact with other does (I); a 15-min isolation with visual contact (IV); or no isolation (C, control). Plasma cortisol concentrations were higher at 0 h than at other holding time periods (P < 0.01). Plasma triiodothyronine, thyroxine, and leptin concentrations, and differential leukocyte counts were not influenced by any of the factors. The rate of decline in glucose concentrations over TIME was greater in FD than in F group (TRT x TIME, P < 0.05). The overall plasma creatine kinase activity peaked at 7 h before reaching a lower level at 14- and 21-h holding (P < 0.05). Plasma urea nitrogen concentrations were higher at 0- and 21-h than at 7- and 14-h holding (P < 0.01). Plasma nonesterified FA concentrations in the FD group remained at an elevated level during holding, but in the F group the levels decreased at 7 h and remained at that level (TRT x TIME, P < 0.01). Excitability scores did not have any effect on the variables measured. Shrinkage increased with longer holding time, but more prominently in the FD group (TRT x TIME, P < 0.01). Plasma cortisol concentrations were greater in I and IV groups than in the C group (P < 0.01). The novelty of environment during preslaughter holding, and social isolation may be more potent stressors than feed deprivation in goats, although shrinkage may increase with increasing feed-withdrawal times.

Effects of N-methyl-D,L-aspartate on LH, GH, and testosterone secretion in goat bucks maintained under long or short photoperiods.

Photoperiod modulates reproduction in goats. We tested the hypothesis that the excitatory glutamatergic tone is reduced in the photoinhibited goat. The objectives of this study were to determine the effect of photoperiod and glutamatergic stimulation on LH, GH, and testosterone (T) secretion in goat bucks. Eight mature, intact bucks were used in two simultaneous 4 x 4 Latin square designs. Variables were two photoperiod regimens (short day; SD, 10 h light:14 h dark, n = 4; vs long day; LD, 16 h light:8 h dark, n = 4) and four doses of N-methyl-D-L-aspartate (NMA; 0, 1, 2 and 4 mg/kg BW, i.v.). Venous blood was obtained for 2 h before and after NMA injection, followed by GnRH injection and then a final 1 h of sampling. Injection of NMA increased (P < 0.002) LH secretion within 20 min. This increase was sustained for 120 min, but the response was most pronounced in LD goats. The increase in mean LH was associated with a concomitant dose-dependent increase in pulse frequency (P < 0.006). However, NMA treatment had no effect (P > 0.10) on LH pulse amplitude. The release of LH after injection of GnRH was not affected by photoperiod. Exposure of bucks to LD reduced T secretion relative to that of SD bucks (P < 0.01). However, GH secretion was enhanced in LD bucks (P< 0.001). The response of GH to NMA was dependent on photoperiod history. A highly significant immediate and sustained increase (P < 0.001) was observed in LD but not in SD bucks within 10 min. Overall, a dose-dependent increase (P < 0.01) in T secretion was stimulated by NMA in both LD and SD bucks. These results indicate that NMA receptors may be involved in the regulation of LH, GH, and testosterone secretion in the goat. Furthermore, length of day influences GH secretion in the goat and NMA receptor activation had divergent effects on the secretion of this hormone.

Transportation of goats: effects on physiological stress responses and live weight loss.

The management of food animals prior to slaughter influences both profitability and animal well-being. This experiment was conducted as a split-unit design to determine live weight shrink and stress responses in goats due to differences in stocking density during transportation and holding. A total of 150 Spanish does were transported on two different days (replicate) and held overnight (18 h) without feed in low- (LD) or high-density (HD) groups. On each day, 75 does were transported 2.5 h with floor spaces of .18 m2 and .37 m2/animal in LD (25 does) and HD (50 does) groups, respectively. The average temperatures in the trailer during transportation were 34.6 and 35 degrees C, respectively, on d 1 and 2. All animals were blood-sampled before loading (PRELOAD) and four does from each treatment were sampled immediately after loading (POSTLOAD). Animals were blood-sampled in holding pens either at 0, 1, 2, 3, 4, or 18 h after transportation (time) to assess the time course (n = 8 does per time per replicate) of stress responses. Individual animals were weighed just before loading onto a trailer and after overnight holding to assess shrinkage. Treatment or treatment x time did not have a significant effect on any of the dependent variables studied. There were significant effects of time (P < .01) on plasma cortisol, glucose, and urea nitrogen (PUN) concentrations. Time also had significant effects (P < .01) on plasma creatine kinase (CK) activity, differential leukocyte counts (neutrophils, lymphocytes, monocytes, and eosinophils), and ratio of neutrophils to lymphocytes (N:L). However, plasma leptin concentrations were not influenced by time. Cortisol concentrations increased at POSTLOAD sampling, peaked at 0 h, and decreased thereafter before spiking again at 18 h of holding. The PUN was higher at 18 h than at other time periods studied. Plasma glucose concentrations increased and remained at higher levels at 0, 1, and 2 h and began decreasing at 3 h, reaching PRELOAD levels at 18 h. Plasma CK kinase activity peaked at approximately 2 h after transportation. The N:L ratio was higher at all time periods after transportation than prior to starting the journey, indicating a prolonged effect of transportation stress on the immune system. The mean (+/- SE) shrinkage losses were 10.2 +/- .68 and 9.8 +/- .68 in HD and LD treatment groups, respectively. The results indicate that the stress responses of goats due to transportation begin decreasing within 3 h after transportation. However, prolonged holding periods without feed may increase stress responses and bring about metabolic changes.

Protein and energy value of pearl millet grain for mature goats.

We conducted two studies to assess the protein and energy value of pearl millet grain (Pennisetum glaucum [L.] R. Br.) for mature goats. In Exp. 1, 15 2-yr-old male castrated goats were gradually introduced over a 4-mo period to three all-grain diets consisting of 100% corn (Zea mays L.), 50:50 corn:pearl millet, and 100% pearl millet. After the adjustment to all-grain feeds, the goats were fed the diets in metabolism crates for 2-d adjustment and 7-d total collection periods. For Exp. 2, complete diets containing the three grain treatments (corn, 50:50 corn:pearl millet, and pearl millet) as 40% of the total DM as fed (the remainder was mainly alfalfa meal and mineral supplement) were balanced to contain 16% crude protein (CP) and 2.24 Mcal digestible energy (DE)/kg on an air-dry basis. Twelve mature (4- to 6-yr-old) buck goats were randomly assigned to diets and fed in pens for 14 d and then moved to metabolism crates for 10-d adjustment and 10-d total collection periods. In Exp. 1, DM intake was unaffected by dietary treatment, but digestibility of DM and organic matter was lowest (P < .10) in goats fed 100% pearl millet. Digestibility of complete diets also decreased (P < .10) as corn was replaced by 50 or 100% pearl millet, but DM intake increased (P < .10) on the 100% millet diet. In both experiments, substituting pearl millet for corn had no effect on nitrogen retained by the goats. Metabolizable energy of pearl millet was only 92% that of corn, but ME intake was similar when the grains were fed as 40% of the dietary DM. Pearl millet has potential as a major energy feed for goats in areas where it can be economically produced.

Nutritional value of pearl millet for lactating and growing goats.

Studies were conducted to assess nutritional value of pearl millet grain (Pennisetum glaucum [L] R. Br.) for lactating and growing goats. Three complete diets containing either 40% corn, 40% pearl millet, or 40% corn and pearl millet mixed 1:1 (wt/wt) were balanced to contain 16% crude protein and 2.24 Mcal DE/kg on an air-dry basis. Forty-five does were blocked by kidding date and randomly assigned to diets for a 7-wk investigation. Feed intake and milk production were unaffected (P > .25) by treatment, and they averaged 2.86 and 2.47 kg daily, respectively. Thirty-three growing goats were blocked by sex and fed the same diets for 15 wk. Daily growth rate and feed to gain ratio were depressed (P < .05) by 25.4 and 19.0%, respectively, when corn was completely replaced with pearl millet. Digestion coefficients for DM, GE, CP, and NDF were reduced by over 10 percentage units with partial or complete replacement of corn by pearl millet. Ruminal acetate and ratio of acetate to propionate increased (P < .05) but butyrate, propionate, and ammonia were depressed (P < .05) with the pearl millet diets. Growing goats consumed 43 meals daily. They consumed 26.9, 32.6, 27.4, and 13.1% of their ration during the morning (0600 to 1200), afternoon (1200 to 1800), evening (1800 to 2400), and night (2400 to 0600), respectively. Pearl millet is a useful energy feed for mature, but not for growing, goats.

Biotechnological advances in goat reproduction.

Goat selection and reproduction have resulted from using conventional methods of natural mating and artificial insemination. Genetic improvements resulting from these are usually slow. Innovative developments in biotechnology rapidly propagate superior genes, offering hope for modeling and designing animals to fit market and environmental requirements. Use of Tris, citric acid, fructose, egg yolk, and glycerol extender has enabled goat sperm to be stored successfully for several years before being used in cervical or laparoscopic insemination. Laparoscopic recovery of goat embryos to reduce adhesions from repeat surgeries has great potential in improving embryo production for direct transfer or for future transfer after cryopreservation. Goat kids have been produced, as a result of experiments to refine techniques of in vitro maturation and fertilization of recovered oocytes, with successful culture and transfer of embryos. In vitro fertilization technology is also essential for cloning goat embryos and for gene transfer. Transgenic goats have already been produced due to new genes being expressed from biologically active molecules altering the phenotype of the transferred goat. The introduced gene is capable of transmission between generations. The goat's diversified commercial value and convenient size make it a benefactor to new technology for rapid genetic improvement as a supplement to conventional selection methods.

Breeding season and aspects of reproduction of female goats.

Reproductive data were collected on 608 female goats and their 1,147 offspring, involving 20 herds, from different geographical locations in Georgia for 3 yr. Results for seven breeds and a dairy crossbred revealed that most goats bred seasonally, commencing approximately in late June and reaching a peak in September to November. However, the Pygmy had an unusual peak of mating activity during summer (July). Gestation period ( +/- SE) was 150.6 +/- 2.64 d. Pygmies had the shortest gestation period, whereas Toggenburgs had the longest. Gestation period decreased as the litter of size of the doe increased (b = -.92 d/kid, P < .001) and increased slightly with increasing parity (b = .22 d/parity). December and January matings had the shortest gestation period. Litter size was 1.85 +/- .67, with twins being the most prevalent litter size. Litter size varied among breeds. The litter size increased with mating weight of the doe for most breeds (litter size increased approximately .02 kids/kg of mating weight). Birth weight was 3.24 +/- .64 kg and varied among breeds; Pygmy kids were lightest (1.7 kg) and Toggenburgs were heaviest (3.9 kg). Males were heavier than female kids. Birth weight decreased with the size of litter (approximately .45 kg/kid, P < .001).

The prevalence of hepatitis C virus antibodies among hemodialysis patients in jeddah area, saudi arabia.

The prevalence of antibody to hepatitis C virus (HCV) in hemodialysis (HD) patients is high and variable. One hundred and thirty nine patients undergoing maintenance HD at three different renal units in Jeddah, Kingdom of Saudi Arabia, were studied for prevalence of anti-HCV antibody. The overall prevalence in the group examined was 52.5% (73/139). There was a significant correlation between prevalence of anti-HCV and duration of HD; 53/ 74 (71.6%) in patients on HD for > 3 years as against 20/65 (30.8%) for patients on HD for < 3 years (P< 0.05). We were unable to demonstrate a correlation of anti-HCV positivity with history of blood transfusions, previous exposure to hepatitis-B virus, sex, age, or ethnic group. The very high prevalence of anti-HCV found in patients on maintenance HD and the positive correlation between anti-HCV reactivity and duration on dialysis suggest that factors within the dialysis unit might contribute to the spread of the virus.

Pregnancy in a hemodialysis patient with no residual renal function.

Pregnancies have occurred in a few patients with end-stage renal disease requiring dialysis. The presence of significant residual renal function has normally been required for successful outcome. We report a pregnancy in a patient with complete anuria. Although birth occurred prematurely, fetal growth remained normal throughout gestation.

Clinical identification of nondiabetic renal disease in diabetic patients with type I and type II disease presenting with renal dysfunction.

A retrospective study was done on 109 diabetic patients who had renal biopsies during 1974-1984 to determine factors identifying nondiabetic renal disease in patients with diabetes mellitus presenting with renal dysfunction. Six of 49 (12%) patients with type I and 17 of 60 (28%) with type II diabetes mellitus had other renal diseases, with or without diabetic glomerulosclerosis. Multivariate predictors of other renal disease in type I diabetes mellitus were duration less than 5 years (p less than 0.001), absence of proteinuria (p less than 0.001), and absence of neuropathy (p less than 0.05). In type II diabetes mellitus these were late age of onset (p less than 0.001), absence of neuropathy (p less than 0.05), and Caucasian race (p less than 0.005). Some patients with other diseases appeared to respond to therapy directed at their nondiabetic glomerulosclerosis disease. We emphasize the need to distinguish between the subgroup of diabetic patients with nondiabetic renal disease from the majority who have diabetic glomerulosclerosis alone. The latter group should be spared the discomforts, risks, and costs of a renal biopsy.