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1.
Insects ; 15(5)2024 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-38786857

RESUMO

Spodoptera frugiperda (Lepidoptera: Noctuidae), commonly known as fall armyworm, was first detected in Uganda in 2016 and has spread to all the maize-growing districts. Different methods have been deployed to control this pest. However, there is a limited understanding of the role of the environment and farmers' practices on the abundance of and damage by S. frugiperda in Uganda. This study, therefore, assessed the abundance of S. frugiperda and leaf damage levels in three different districts and explored the association between agronomic practices, crop phenology, and weather parameters on S. frugiperda damage and abundance in smallholder farmers' maize fields using a longitudinal monitoring survey in 69 farmers' fields of Kole, Kiryandongo, and Nakaseke for three seasons. The numbers of egg masses and adults were generally low. The highest numbers of adults were trapped in Kiryandongo, followed by Nakaseke, and the lowest numbers were trapped in Kole. Leaf damage and incidence of damaged plants differed significantly between districts and seasons. Leaf damage and abundance of larvae varied significantly in the districts and at different growth stages. Conservation tillage, reduced weeding frequency, increased rainfall and high maximum temperatures were associated with reduced S. frugiperda damage. No significant relationship was observed between pesticide or cropping systems with S. frugiperda leaf damage. However, the influence of fertilizer use on leaf damage was contradictory across seasons and districts. Timely and vigilant scouting, proper timing of control measures, and minimum tillage practices should be included in an IPM strategy for S. frugiperda.

2.
Res Sq ; 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38496471

RESUMO

Background: Chronic kidney disease (CKD) is one of the most common complications of Diabetes Mellitus (DM). DM contributes to about 66% of CKD cases globally. CKiiiD results in increased morbidity and mortality and advanced stages often require renal replacement therapy that is unaffordable for the majority of the patients. Developing countries have scanty data regarding CKD burden in diabetic patients. OBJECTIVES: This study aimed at determining the prevalence of biomarkers for CKD and associated factors among diabetic patients attending the adult diabetic clinic of Mbale Regional Referral Hospital (MRRH). Methods: A cross-sectional study was conducted at the adult diabetic clinic of Mbale Regional Referral Hospital in Eastern Uganda. 374 adult diabetic patients who consented, were recruited and interviewed. A urine sample for Urine Albumin Creatinine Ratio (UACR) determination and a venous blood sample for measurement of serum creatinine were obtained from each participant. The estimated glomerular filtration rate (eGFR) was determined using the CKD-EPI equation and CKD was staged according to the Kidney Disease Improving Global Outcomes (KDIGO) systems. Results: A total of 318 (85%) participants had an eGFR of ≤ 60mls/min/1.72m2, significant proteinuria, or both. 6.1% were aware. Age, Duration of DM, Hypertension, and Dyslipidemia were associated with CKD biomarkers. Conclusion: There is a high prevalence of biomarkers for CKD among DM patients, the majority of them being undiagnosed. Over half of the DM patients had an eGFR consistent with advanced CKD. Strengthening routine screening for CKD biomarkers and enhancing the DM clinics with more diagnostic resources is recommended.

3.
Insects ; 14(10)2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37887798

RESUMO

Surveys were conducted during 2020 and 2021 to study the emerging lepidopteran pests inflicting cereals in Tunisia, with specific emphasis on maize and sorghum crops. A species was collected from traps placed in the Jendouba, Bizerte, Nabeul and Gabes regions. Thus, this study carried out first report on its identification, distribution, population density and damage. Results showed that M. loreyi was abundant in all prospected areas, with total adult captures reaching 4779 and 9499 moths on sorghum and maize, respectively, during 2020. Moreover, the mean infestation percentage reached its maximum during August at 31.05% and 20.69% for the Jendouba and Bizerte regions, respectively, while the highest infestations were observed in the Gabes and Nabeul regions during July, with respective mean values of 13.54% and 21.35%. In addition, results revealed that the highest pest incidence occurred in the Gabes region, with values of 11.1 ± 0.47 and 5.7 ± 0.48 during 2020 and 2021, respectively. Additionally, results pointed out that M. loreyi achieved two summer generations in the different localities of Tunisia. Overall, this study provides basic insights into the ecology and population biology of M. loreyi, which are required to establish an effective pest control program.

4.
BMC Health Serv Res ; 23(1): 252, 2023 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-36918937

RESUMO

BACKGROUND: The Coronavirus disease (a highly infectious viral disease) quickly swept across the globe in 2020, causing mortality and severe respiratory illnesses. It quickly affected businesses and publicly provided services in United Arab Emirates (UAE), imposing significant costs to society. The general population of UAE was jittery and unsure how to address the problem. The focus turned on government and Health Care Workers (HCW) to handle the pandemic. Thus, knowledge, attitudes and practices (KAP) of HCW became critical for the treatment and isolation of COVID-19 patients. Thus, the KAP of the HCW came under scrutiny. This is study set out to answer the research question, by investigating the KAP of HCW related to COVID-19 in the UAE. METHODS: This was a cross-sectional study undertaken in UAE. The focus of was on HCWs as a population. Using convenience sampling with the help of Creative Research Software, the participants were identified, and an online questionnaire (Google Forms) distributed by the author. The questionnaire was adapted from the instrument developed by Bruce and Frey. It contained questions on demographic variables, knowledge, attitudes, and practice of HCW related to COVID-19. That instrument was contextualized to the UAE society and validated. RESULTS: Among the participants in the study, the majority, 90.7% (97) knew that the absence of fever did not mean there was no chance of transmission from an infected person. Further, 84.1% (90) agreed that wearing general medical face masks helps prevent one from contracting COVID-19. However, only 36.4% (39) strongly believed that wearing a well-fitting face mask was effective. In addition, only 15.9% (17) reported confidently managing patients with symptoms of COVID-19, while 54.2% (58) indicated they were afraid of contracting the virus from patients. Almost 50% of the participants noted that they avoided patients who had symptoms of the COVID-19. CONCLUSION: This study revealed that the KAP for healthcare workers from UAE healthcare facilities related to COVID-19 was high. The healthcare workers were trained well and that positively affected awareness and the practice of HCW regarding the spread of the virus.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Estudos Transversais , Emirados Árabes Unidos/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Inquéritos e Questionários
5.
Sci Rep ; 13(1): 660, 2023 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-36635481

RESUMO

The fall armyworm (FAW) Spodoptera frugiperda is thought to have undergone a rapid 'west-to-east' spread since 2016 when it was first identified in western Africa. Between 2018 and 2020, it was recorded from South Asia (SA), Southeast Asia (SEA), East Asia (EA), and Pacific/Australia (PA). Population genomic analyses enabled the understanding of pathways, population sources, and gene flow in this notorious agricultural pest species. Using neutral single nucleotide polymorphic (SNP) DNA markers, we detected genome introgression that suggested most populations in this study were overwhelmingly C- and R-strain hybrids (n = 252/262). SNP and mitochondrial DNA markers identified multiple introductions that were most parsimoniously explained by anthropogenic-assisted spread, i.e., associated with international trade of live/fresh plants and plant products, and involved 'bridgehead populations' in countries to enable successful pest establishment in neighbouring countries. Distinct population genomic signatures between Myanmar and China do not support the 'African origin spread' nor the 'Myanmar source population to China' hypotheses. Significant genetic differentiation between populations from different Australian states supported multiple pathways involving distinct SEA populations. Our study identified Asia as a biosecurity hotspot and a FAW genetic melting pot, and demonstrated the use of genome analysis to disentangle preventable human-assisted pest introductions from unpreventable natural pest spread.


Assuntos
Comércio , Spodoptera , Animais , Ásia , Austrália , Marcadores Genéticos , Spodoptera/genética , Genética Populacional , Fluxo Gênico , Polimorfismo de Nucleotídeo Único , Espécies Introduzidas
6.
BMC Genomics ; 24(1): 22, 2023 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-36646998

RESUMO

BACKGROUND: The fall armyworm (FAW), Spodoptera frugiperda; J.E. Smith (Lepidoptera: Noctuidae), is now an economically important pest that causes huge losses to maize productivity in sub-Saharan Africa. Variations in sub-population genetics and the processes of rapid adaptation underpinning the invasion remain unclear. For this, the genetic identity and diversity of FAW populations in Uganda were revealed by sequencing 87 samples (collected across the country). Based on the partial mitochondrial cytochrome oxidase I (COI) gene polymorphisms, we further examined the mitochondrial haplotype configuration and compared the FAW in Uganda with sequences from other parts of the world. The molecular target for organophosphate and carbamate resistance, acetylcholinesterase, was also investigated. RESULTS: Analysis of the partial COI gene sequences showed the presence of both rice (predominant) and corn strain haplotypes, with a haplotype diversity of 0.382. Based on the COI marker, pairwise difference distribution analyses, and neutrality tests, showed that the FAW populations in Uganda and the rest of Africa are evolving neutrally, but those in America and Asia are undergoing expansion. Our findings support observations that invasive FAW populations throughout the rest of Africa and Asia share a common origin. Sequencing of the S. frugiperda ace-1 gene revealed four amino acid substitutions, two of which (A201S and F290V) were previously shown to confer organophosphate resistance in both S. frugiperda and several other insect species. The other two previously reported new variations in positions g-396 and g-768, are presumed to be related to the development of insecticide resistance. CONCLUSIONS: This research has increased our knowledge of the genetics of FAW in Uganda, which is critical for pest surveillance and the detection of resistance. However, due to the low gene polymorphism of COI, more evolutionary studies incorporating the Spodoptera frugiperda whole-genome sequence are required to precisely understand the FAW population dynamics, introduction paths, origin, and subsequent spread.


Assuntos
Acetilcolinesterase , Inseticidas , Animais , Spodoptera/genética , Acetilcolinesterase/genética , Mutação Puntual , Organofosfatos/farmacologia , Uganda , Resistência a Inseticidas/genética , Inseticidas/farmacologia , Zea mays/genética , Larva
7.
Afr Health Sci ; 22(2): 535-544, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36407345

RESUMO

Background: Improving maternal and child health, one of the key UN Sustainable Development Goals (SDGs), is a major challenge in sub-Saharan Africa. Exclusive breast-feeding contributes significantly to child survival and development, but many mothers in Africa do not exclusively breastfeed their infants. This paper reports a study in Mulago hospital in Kampala. The study aims to identify factors influencing mothers' choices of infant feeding practices. Methods: Mixed methods were used. Respondents included 362 lactating mothers and health workers. Participants were who came for treatment were selected using simple random sampling. EpiInfor and SPSS were used for analysing the data and presented as descriptive study. Results: Results indicate that socio-demographic factors including age and education level influence mothers' ability and willingness to breastfeed exclusively for the first six months. Awareness about breast-feeding was mainly obtained from health centres, leaving mothers unable to attend these centres to miss out on vital information about exclusive breast-feeding. Around 43% of health workers were unaware of the country's Young and Infant Feeding Policy Guidelines. Conclusions: To increase the rate of exclusive breast-feeding in Uganda, it is important that community health is strengthened, and health workers are trained on national breast-feeding policies.


Assuntos
Aleitamento Materno , Lactação , Humanos , Lactente , Feminino , Criança , Estudos Transversais , Uganda , Hospitais
8.
Insects ; 13(9)2022 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-36135549

RESUMO

Bean leaf beetles (BLBs) (Ootheca spp.) are serious legume pests in Uganda and sub-Saharan Africa, but their ecology is not well understood. We planted host plants, viz., common bean, cowpea, and soybean, in an experiment in the hotspot areas of Arua and Lira districts in Northern Uganda in order to assess their influence on the density of adults and immature stages of BLBs in different seasons. Overall, the number of adults, larvae, and pupae were higher in cowpea than common bean and soybean plots. The number of adults were highest in cowpea (29.5 adults/15 plants) in Arua during the long rainy season (2018A). The number of adults did not differ significantly during short rains (season B) in 2017 and 2018. Similarly, in Lira district, the highest number of adult BLBs was in cowpea (4.6 beetles) compared to the common bean (2.7 beetles) and soybean plots, with a peak at four weeks after planting (WAP). During 2018A, larvae of BLBs first appeared at five WAP and seven WAP and peaked at 13 WAP and 11 WAP in Arua and Lira, respectively. The pupae were present in the soil after the harvesting of crops during 2018A, but peaked at seven WAP and eight WAP in 2018B season in Arua and Lira, respectively. The occurrence of below-ground adults in 2018B followed the peak abundance of pupae, although this was delayed until six WAP in Arua compared to Lira. We conclude that cowpea is the most preferred by adults and larvae compared to common bean and soybean. Similarly, the first rain season (2018A) attracted higher abundance and damage than the second rain season. Management of the BLBs should thus take into consideration avoidance of host crop rotation and dealing with the below-ground stages.

9.
Insects ; 13(8)2022 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-36005334

RESUMO

Bean leaf beetles (Ootheca spp.) (Coleoptera: Chrysomelidae) are one of Africa's most important pests of the common bean (Phaseolus vulgaris L.). Roots, leaves, floral parts, and young pods are all attacked, leading to a considerable loss in grain yield. In Uganda, there are no comprehensive prescribed management strategies for bean leaf beetles, but farmers typically try to control the pest by delaying bean crop sowing, and to a lesser extent, using insecticides. Although farmers have consistently implemented the two approaches, there is no information on the effects of the approaches in Uganda. To assess the impact of planting timing and insecticide spray regimes on bean leaf beetle populations, concomitant foliar damage, and grain yield, we set up trials in three agro-ecological zones with known presence of the beetles during the second rainy season of 2016 (2016) and the first rainy season of 2017 (2017). The first planting, coinciding with early planting, was conducted within one week after the onset of rains. The second planting, coinciding with mid planting, followed two weeks later, while the third planting, considered late planting in this study, was conducted one month after the second planting. A foliar application of cypermethrin commencing at 7 days after emergence (DAE), 14 DAE, 21 DAE, 28 DAE, and 35 DAE; a soil drench of imidacloprid at planting combined with a foliar spray starting at 7 DAE; and an untreated control were among the insecticide spray regimes evaluated. Higher bean leaf beetle abundance was recorded from mid-planting, while higher foliar damage was recorded from late planting in two of the three agro-ecological zones. However, higher marketable grain yield was recorded from early planting in all agro-ecological zones, suggesting that delayed planting may not be beneficial. Insecticide application reduced foliar damage and increased marketable grain yield, with a combination of soil drench and foliar spray resulting in much less foliar damage and, as a result, higher grain yield. However, this did not result in economic benefits. Furthermore, marketable grain yield was higher when insecticide spray regimes were combined with early planting in all agro-ecological zones during both seasons. Our findings suggest that the common bean should be planted early and that the control of the bean leaf beetle should target both the adults and the juvenile stages in the soil. Therefore, there is a need for farmers to be able to access less-expensive soil treatments.

10.
Insects ; 13(6)2022 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-35735880

RESUMO

Bean leaf beetle (BLB) (Ootheca mutabilis) has emerged as an important bean pest in Uganda, leading to devastating crop losses. There is limited information on the population genetic structure of BLB despite its importance. In this study, novel microsatellite DNA markers and the partial mitochondrial cytochrome oxidase subunit I (mtCOI) gene sequences were used to analyze the spatial population genetic structure, genetic differentiation and haplotype diversity of 86 O. mutabilis samples from 16 (districts) populations. We identified 19,356 simple sequence repeats (SSRs) (mono, di-, tri-, tetra-, penta-, and hexa-nucleotides) of which 81 di, tri and tetra-nucleotides were selected for primer synthesis. Five highly polymorphic SSR markers (4-21 alleles, heterozygosity 0.59-0.84, polymorphic information content (PIC) 50.13-83.14%) were used for this study. Analyses of the 16 O. mutabilis populations with these five novel SSRs found nearly all the genetic variation occurring within populations and there was no evidence of genetic differentiation detected for both types of markers. Also, there was no evidence of isolation by distance between geographical and genetic distances for SSR data and mtCOI data except in one agro-ecological zone for mtCOI data. Bayesian clustering identified a signature of admixture that suggests genetic contributions from two hypothetical ancestral genetic lineages for both types of markers, and the minimum-spanning haplotype network showed low differentiation in minor haplotypes from the most common haplotype with the most common haplotype occurring in all the 16 districts. A lack of genetic differentiation indicates unrestricted migrations between populations. This information will contribute to the design of BLB control strategies.

11.
Crop Prot ; 156: 105945, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35662834

RESUMO

Stem borers are major insect pests of maize in Uganda. A study was conducted in 2014-2016 to assess the performance of Bt hybrids expressing Cry1Ab (event MON810) against the two major stem borer species in Uganda - the African stem borer (Busseola fusca) and the spotted stem borer (Chilo partellus) - under artificial infestation. The study comprised 14 non-commercialized hybrids, including seven pairs of Bt and non-Bt hybrids (isolines), three non-Bt commercial hybrids and a conventional stem borer resistant check. All stem borer damage parameters (leaf damage, number of internodes tunneled and tunnel length) were generally significantly lower in Bt hybrids than in their isolines, the conventionally resistant hybrid, and local commercial hybrids. Mean yields were significantly higher by 29.4-80.5% in the Bt hybrids than in the other three categories of non-Bt hybrids. This study demonstrated that Bt maize expressing Cry1Ab protects against leaf damage and can limit entry of stem borers into the stems of maize plants, resulting in higher yield than in the non-transgenic hybrids. Thus, Bt maize has potential to contribute to the overall management package of stem borers in Uganda.

12.
Psychol Res Behav Manag ; 15: 1423-1433, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35698566

RESUMO

Introduction: The emotional health disorders are a significant burden to the health of the residents of the United Arab Emirates (UAE). However, there is a paucity of evidence on the prevalence of mental health disorders throughout the Middle East in general. The prevalence of mental health problems among students and the associated impact on UAE society requires more exploration. Building an understanding of these factors is essential to inform the development of interventions in the UAE context. Aim: This study aimed to establish the prevalence of three main mental health problems (depression, anxiety, and stress disorders) among undergraduate students in the UAE. Methods: This study used a descriptive, cross-sectional mixed methods design. Data were collected 2018 using the Depression Anxiety Stress Scales (DASS) just before the Mental Health problems associated with Corona Pandemic and analyzed using the Statistical Package for the Social Sciences (SPSS) software. Results: The results were reported using descriptive statistics. This study received ethical approval. The prevalence rates of depression, anxiety, and stress among university students in one Emirates in UAE were 38% (95% confidence interval [CI]: 2.04-2.33), 55% (95% CI: 2.52-2.87), and 29% (95% CI: 1.76-2.02), respectively. Conclusion: Anxiety disorders are the predominant mental health problem among UAE students. There is a need for increased research in this area and on mental health problems in general in the UAE.

13.
Commun Biol ; 5(1): 297, 2022 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-35393491

RESUMO

Native to the Americas, the invasive Spodoptera frugiperda (fall armyworm; FAW) was reported in West Africa in 2016, followed by its chronological detection across the Old World and the hypothesis of an eastward Asia expansion. We explored population genomic signatures of American and Old World FAW and identified 12 maternal mitochondrial DNA genome lineages across the invasive range. 870 high-quality nuclear single nucleotide polymorphic DNA markers identified five distinct New World population clusters, broadly reflecting FAW native geographical ranges and the absence of host-plant preferences. We identified unique admixed Old World populations, and admixed and non-admixed Asian FAW individuals, all of which suggested multiple introductions underpinning the pest's global spread. Directional gene flow from the East into eastern Africa was also detected, in contrast to the west-to-east spread hypothesis. Our study demonstrated the potential of population genomic approaches via international partnership to address global emerging pest threats and biosecurity challenges.


Assuntos
Fluxo Gênico , Metagenômica , Spodoptera , África Oriental , Animais , Ásia , Spodoptera/genética
14.
Environ Monit Assess ; 194(5): 339, 2022 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-35389105

RESUMO

There have been many global studies on the occurrence and distribution of pharmaceuticals and personal care products (PPCPs) in the aquatic resources, but reports on the effects of physicochemical properties of water on their concentrations are very scarce. The amounts and removal of these contaminants in various environmental media are dependent on these physicochemical properties, which include pH, temperature, electrical conductivity, salinity, turbidity, and dissolved oxygen. Here, we reviewed the influence of these properties on determination of PPCPs. Reports showed that increase in turbidity, electrical conductivity, and salinity gives increase in concentrations of PPCPs. Also, neutral pH gives higher PPCP concentrations, while decrease in temperature and dissolved oxygen gives low concentration of PPCPs. Nevertheless, it is quite challenging to ascertain the influence of water quality parameters on the PPCP concentration, as other factors like climate change, type of water, source of pollution, persistence, and dilution factor may have great influence on the concentration of PPCPs. Therefore, routine monitoring is suggested as most water quality parameters vary because of effects of climate change.


Assuntos
Cosméticos , Poluentes Químicos da Água , Cosméticos/análise , Monitoramento Ambiental , Oxigênio , Preparações Farmacêuticas , Poluentes Químicos da Água/análise , Áreas Alagadas
15.
Insects ; 12(11)2021 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-34821848

RESUMO

Bean leaf beetles (Ootheca spp.) (Insecta: Coleoptera: Chrysomelidae) are one of Africa's most destructive pests of common bean and other leguminous crops. The beetles are widely distributed in Africa where they are estimated to cause annual crop yield losses of 116,400 tons of crop yields in sub-Saharan Africa. Despite their importance, little is known about the distribution, relative abundance and damage caused by bean leaf beetles in Uganda. As a result, the development of effective management methods has been hampered. We conducted surveys in six key Ugandan agro-ecological zones to determine the species distribution and relative abundance of bean leaf beetles. Findings indicate that leaf beetles belonging to 12 genera are present, including members of the genera Afrophthalma Medvedev, 1980, Buphonella Jacoby, 1903, Chrysochrus Chevrolat in Dejean, 1836, Diacantha Dejean, 1845, Exosoma Jacoby, 1903, Lamprocopa Hincks, 1949, Lema Fabricius, 1798, Nisotra Baly, 1864, Neobarombiella Bolz and Wagner, 2012, Ootheca Dejean, 1935, Parasbecesta Laboissière, 1940, and Plagiodera Dejean, 1835. We identified only three species belonging to the genus Ootheca: O. mutabilis, O. proteus, and O. orientalis. Seventy percent of all the beetles collected were O. mutabilis and these were present in all agro-ecological zones studied. The Northern Moist Farmlands (21.9%), West Nile Farmlands (12.9%), Central Wooded Savanna (4.4%) and Southern and Eastern Lake Kyoga Basin (1.4%) were the only agro-ecological zones where O. proteus was found. Only one specimen of O. orientalis was found at a single site in the Central Wooded Savanna. The Northern Moist Farmlands had a significantly (p < 0.05) higher bean leaf beetle density than the West Nile Farmlands and Southwestern Highlands. Similarly, the Northern Moist Farmlands had the highest beetle foliar damage per plant (1.15 ± 0.05), while the Southwestern Highlands had the lowest (0.03 ± 0.02). We provide the first information on Ootheca species distribution, abundance and damage in Uganda. Our findings provide a foundation for assessing the importance of Ootheca spp. as common bean pests in Uganda.

16.
J Multidiscip Healthc ; 14: 2871-2879, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34675535

RESUMO

PURPOSE: Antibiotic resistance is spreading at an alarming rate globally, mainly because of antibiotics misuse. The World Health Organization developed guidelines for the rational use of antibiotics to prevent antibiotic misuse and reduce the potential development of antibiotic resistance. Although many countries adhere to these guidelines and have contextualized them to their needs, data on antibiotics use are limited in African countries, particularly in South Sudan. This study explored prescription patterns and use of antibiotics at Juba Teaching Hospital (JTH) to clarify the potential for antibiotic resistance in South Sudan. MATERIALS AND METHODS: We conducted a retrospective, cross-sectional study of archived patient data from 2016 to determine the prevalence of inappropriate antibiotics use at JTH. We used methodology developed in a previous study to assess the appropriate use of antibiotics. The study sample comprised 384 files. After reviewing and cleaning the files, 316 files were included in our analyses. This study was approved by the South Sudan Ministry of Health Ethics Review Board (approval number: MoH/ERB 51/2018) and all procedures were consistent with the Declaration of Helsinki. RESULTS: Antibiotics use was highest in the medical ward (75.4%). Most antibiotics prescriptions were for infectious diseases (23.7%), followed by ailments affecting the digestive system (19.9%). Commonly prescribed antibiotics were ceftriaxone (21.2%) and metronidazole (20.0%). The mean number of antibiotics prescribed per patient encounter was 2.09 (95% confidence interval: 1.98-2.19). Most files (n=233, 70.57%) demonstrated incorrect use of antibiotics with 78.8% (n=249) of prescriptions being inappropriate (misuse). CONCLUSION: This study revealed a high level of inappropriate antibiotics use at JTH despite the existence of local guidelines, which suggested there was an increased risk for antibiotic resistance. Therefore, it is necessary to introduce antibiotic stewardship activity, along with continuous national surveillance. Enforcement of guidelines to reduce irrational antibiotics use may reduce the risk for antibiotic resistance.

17.
Insects ; 12(7)2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34357264

RESUMO

High populations of species in the whitefly complex Bemisia tabaci Gennadius (Hemiptera: Aleyrodidae) were reported to cause severe damage to cassava in East and Central Africa. However, reasons for B. tabaci population increases are not well understood. We investigated the effect of cassava morphological traits, temperature, rainfall and relative humidity (RH) on the abundance of B. tabaci. Five cassava genotypes with varying levels of resistance to cassava mosaic disease, cassava brown streak disease, and B. tabaci infestation were planted in three Ugandan agro-ecological zones. The experiment was conducted in 2016 and 2017 in a randomized complete block design. Across all locations, the tallest genotype Alado alado supported the lowest number of B. tabaci adults. In areas with high B. tabaci prevalence, leaf area, leaf lobe width, and leaf lobe number exhibited significant positive effects (p < 0.001) on B. tabaci adult count. Positive effects of relative humidity and negative effects of temperature and rainfall on B. tabaci adult and nymph counts were observed in 2016 and 2017, resulting in low populations in Lira. Evidently, temperatures of 28-30 °C, rainfall of 30-150 mm and RH of 55-70%, and deployment of cassava genotypes of low plant height, large leaf area, and lobe width significantly enhanced B. tabaci population growth.

18.
J Multidiscip Healthc ; 14: 1863-1872, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34285504

RESUMO

INTRODUCTION: This study aimed to determine the prevalence of anxiety among clinical training students. Despite the existence of interventions that address anxieties, lack of data on the size of the problem, especially in the Middle East where mental health stigmatized, means that outcomesmay not be maximized. MATERIALS AND METHODS: Our study was cross-sectional survey of the University of Sharjah (UOS), the United Arab Emirates students undergoing clinical training in health sciences. The participants were selected from all the three UOS campuses: medical and science colleges; women's colleges; and men's colleges. A sample of 219 clinical training students were randomly sent an electronic link to participate on an online survey. The study received ethical approval from the UOS Research Ethics Committee number is REC-20-03-04-02-S. RESULTS: The mean score for state anxiety was 47.24±1.31 and the mean score for trait anxiety was 46.82±1.21. These scores indicated a high level of anxiety among students undertaking clinical training. Overall, 63% of the sample were classified as having high state anxiety, and 62% had high trait anxiety. CONCLUSION: This study shows clinical training students experience high levels of state and trait anxiety. It is necessary to address this issue to improve the conditions and circumstances for students entering clinical training. It may also be necessary to implement strategies to enable students with anxiety to perform well in clinical training.

19.
Insects ; 12(2)2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33573080

RESUMO

The fall armyworm (FAW) Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae) has successfully invaded Africa, where it has significantly impacted maize and sorghum production. Management of FAW in Africa predominantly relies on synthetic insecticides, which are expensive, and negatively impact the environment and beneficial insects. We, therefore, conducted field surveys in Uganda in 2017 and 2019 to identify egg and larval parasitoids of FAW for possible use in integrated pest management (IPM) programs. Parasitoids were identified by their mitochondrial DNA cytochrome c oxidase subunit 1 (mtCOI) gene sequences. We identified 13 parasitoid species belonging to three families of Hymenoptera: Platygastridae, Braconidae and Ichneumonidae, as well as one Dipteran family (Tachinidae). Coccygidium spp. and Chelonus bifoveolatus were the most abundant and widely distributed parasitoids. Overall, parasitism averaged 9.2% and ranged from 3.1% to 50% in 2017, and 0.8% to 33% in 2019. Parasitism by Sturmiopsis parasitica, Diolcogaster sp., and Cotesia flavipes on FAW in maize crops are reported for the first time. Our results suggest high biological diversity of FAW parasitoids, which should be exploited in the IPM of the FAW in Uganda.

20.
Crop Prot ; 139: 105384, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33390639

RESUMO

Smallholder maize farmers in Africa experience pre- and post-harvest production stresses either individually or in combination at different stages of the crop cycle. The maize weevil is among the major post-harvest storage pests. A strategy to address this problem is to develop and promote high yielding maize germplasm with resistance to multiple stresses. A study was conducted to: 1) assess yield and agronomic performance of testcross hybrids developed from early generation lines; and 2) assess the response of the testcross hybrids to infestation with Sitophilus zeamais. Fifty-eight drought-tolerant testcross hybrids were evaluated for agronomic performance and weevil resistance at four environments in Uganda in 2016. Hybrid G39 (L2/T2) had the best grain yield performance; it significantly out-performed the best check by 11.4% in all environments. Hybrid grain from field trials was subjected to Sitophilus zeamais infestation in a choice and no choice test under laboratory conditions. Hybrids G56 (L49/T2) and G58 (L51/T2) had the least weevil damage and were rated as resistant to Sitophilus zeamais. The numbers of damaged kernels, number of exit holes and ear aspect were positively correlated with the grain weight loss. The results suggest possibilities for simultaneous selection for high grain yield and storage insect pest resistance among drought-tolerant genotypes. Use of high-yielding and resistant maize hybrids to storage insect pest should be promoted for increased maize production and managing post-harvest losses due to the maize weevil in smallholder farming communities in Africa.

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