Sex-biased miRNA expression in Atlantic halibut (Hippoglossus hippoglossus) brain and gonads

Paid Open Acces

Absorbable versus silk sutures for surgical treatment of trachomatous trichiasis in Ethiopia: a randomised controlled trial.

BACKGROUND: Trachoma causes blindness through an anatomical abnormality called trichiasis (lashes touching the eye). Trichiasis can recur after corrective surgery. We tested the hypothesis that using absorbable sutures instead of silk sutures might reduce the risk of recurrent disease among patients with major trichiasis in a randomised trial. METHODS AND FINDINGS: 1,300 individuals with major trichiasis from rural villages in the Amhara Region of Ethiopia were recruited and assigned (1:1) by computer-generated randomisation sequence to receive trichiasis surgery using either an absorbable suture (polyglactin-910) or silk sutures (removed at 7-10 days) in an otherwise identical surgical technique. Participants were examined every 6 months for 2 years by clinicians masked to allocation. The primary outcome measure was recurrent trichiasis (≥one lash touching the eye) at 1 year. There was no difference in prevalence of recurrent trichiasis at 1 year (114 [18.2%] in the absorbable suture group versus 120 [19.7%] in the silk suture group; odds ratio = 0.90, 95% CI 0.68-1.20). The two groups also did not differ in terms of corneal opacification, visual acuity, conjunctival inflammation, and surgical complications. CONCLUSIONS: There was no evidence that use of absorbable polyglactin-910 sutures was associated with a lower prevalence of trichiasis recurrence at 1 year postsurgery than silk sutures. However, from a programmatic perspective, polyglactin-910 offers the major advantage that patients do not have to be seen soon after surgery for suture removal. The postoperative review after surgery using absorbable polyglactin-910 sutures can be delayed for 3-6 months, which might allow us to better determine whether a patient needs additional surgery. TRIAL REGISTRATION: ClinicalTrials.gov NCT00522860

Factors predisposing to rhegmatogenous retinal detachment among Ethiopians

Aim: To determine and describe the causes and risk factors predisposing Ethiopian patients to rhegmatogenous retinal detachment (RRD). Methods: A retrospective study of all patients with RRD seen at the retina clinic of Menilik II Hospital, Addis Ababa, from April 1999 to October 2003 was done. Charts of patients with the diagnosis of RRD were collected and data were filled on structured questionnaires and analyzed using EPI INFO 6 software. Results: Data were available for 276 patients (305 eyes) in whom the diagnosis of RRD was made. Age of patients ranged from 7-85 years; mean age was 41 and median was 40 years. Hundred-eighty-eight [68%] of the patients were males and 88 [32%] were females with male-to-female ratio of 2.1:1. Myopia was the predisposing factor for RRD in 78 [28.3%] patients of which 63 had myopia of > 5D. In 57 [20.7%] patients with RRD, there was a history of ocular trauma. Thirty-nine [14.2%] patients had had cataract surgery with lens implantation and 21 [7.6%] patients were surgically aphakic. Macula-off RRD was seen in 225 [73.8%] eyes. Bilateral RRD was seen in 29 [10.5%] patients. Conclusion: The study showed that myopia, ocular trauma, pseudophakia and aphakia in decreasing frequency were the main risk factors associated with RRD among Ethiopians attending a tertiary eye care centre

Subjective Quality of Life and Perceived Adequacy of Social Support among the Elderly in Arbaminch Town

Cultural discourse in Ethiopia appears to retain mixed attitudes about life in the latter years. There is on the one hand, a portrayal of the elderly as socially valued, privileged, respected, and supported. On the other hand, there is a conception that links aging and retirement with sickness, inability, helplessness, and dependency (“ke areju aiyebeju”) and going down the hill. However, academic discourse is only emerging and there is a lot more to be done to uncover what it really feels like to be an elderly in Ethiopia. One such major concern pertains to the very general experiences of life of the elderly and associated factors. The purpose of this study was then to specifically assess the subjective quality of life and perceived adequacy of social support and the possible socio-demographic factors making differences in quality of life. Data were collected through questionnaire administered to a sample of 360 elderly (aged 60 and over) in Arbaminch Town. Data analysis was made through descriptive statistics, one-samplemean test, bivariate correlation analysis, multiple regression, and the forward stepwise variant of multiple regression analysis. Findings indicated that very few elderly had a high quality of life, but the majority had either low or moderate quality of life. Perceived adequacy of social support also took the same pattern contrary to the  expectation that the elderly in “developing nations” are believed to enjoy extended social support. Attempts to explain this profile of the elderly yielded that perceived social support and income were indeed the strongest predictors generally explaining about fifty percent of the variance in self-ratings of subjective quality of life. Hence, it was suggested that there is a need to explore other potent factors that would do the remaining fifty percent of the explaining. Other recommendations were also suggested to better address the problem in the future.Keywords: Elderly in Ethiopia, quality of life, Social Support, Subjective Quality of Life

Bovine Hydatidosis in Ambo Municipality Abattoir, West Shoa, Ethiopia

A cross-sectional study on bovine hydatidosis was conducted in Ambo municipality abattoir from November 2007 to March 2008 with the aim of investigating the prevalence, intensity, fertility and economic losses in cattle slaughtered for human consumption. Stray dogs killed with strychnine baited meat piece were also examined for the presence of adult Echinococcus granulosus. Out of the total 384 cattle examined 114 (29.69%) were found infected with hydatidosis. From the examined animals 61 (15.89%), 19 (4.95%) and 26 (6.77.3%) contained hydatid cyst in their lungs, livers, and in both lung and liver, respectively. Age related infection was significant in that older animals were more infected (

Epilation for minor trachomatous trichiasis: four-year results of a randomised controlled trial.

BACKGROUND: Trachomatous trichiasis (TT) needs to be managed to reduce the risk of vision loss. The long-term impact of epilation (a common traditional practice of repeated plucking of lashes touching the eye) in preventing visual impairment and corneal opacity from TT is unknown. We conducted a randomized controlled trial of epilation versus surgery for the management of minor TT (fewer than six lashes touching the eye) in Ethiopia. Here we report the four-year outcome and the effect on vision and corneal opacity. METHODOLOGY/ PRINCIPAL FINDINGS: 1300 individuals with minor TT were recruited and randomly assigned to quality trichiasis surgery or repeated epilation using high quality epilation forceps by a trained person with good near vision. Participants were examined six-monthly for two-years, and then at four-years after randomisation. At two-years all epilation arm participants were offered free surgery. At four-years 1151 (88.5%) were re-examined: 572 (88%) and 579 (89%) from epilation and surgery arms, respectively. At that time, 21.1% of the surgery arm participants had recurrent TT; 189/572 (33%) of the epilation arm had received surgery, while 383 (67%) declined surgery and had continued epilating ("epilation-only"). Among the epilation-only group, 207 (54.1%) fully controlled their TT, 166 (43.3%) had minor TT and 10 (2.6%) had major TT (>5 lashes). There were no differences between participants in the epilation-only, epilation-to-surgery and surgery arm participants in changes in visual acuity and corneal opacity between baseline and four-years. CONCLUSIONS/ SIGNIFICANCE: Most minor TT participants randomised to the epilation arm continued epilating and controlled their TT. Change in vision and corneal opacity was comparable between surgery and epilation-only participants. This suggests that good quality epilation with regular follow-up is a reasonable second-line alternative to surgery for minor TT for individuals who either decline surgery or do not have immediate access to surgical treatment

The burden of neglected tropical diseases in Ethiopia, and opportunities for integrated control and elimination

Background: Neglected tropical diseases (NTDs) are a group of chronic parasitic diseases and related conditions that are the most common diseases among the 2·7 billion people globally living on less than US$2 per day. In response to the growing challenge of NTDs, Ethiopia is preparing to launch a NTD Master Plan. The purpose of this review is to underscore the burden of NTDs in Ethiopia, highlight the state of current interventions, and suggest ways forward. Results: This review indicates that NTDs are significant public health problems in Ethiopia. From the analysis reported here, Ethiopia stands out for having the largest number of NTD cases following Nigeria and the Democratic Republic of Congo. Ethiopia is estimated to have the highest burden of trachoma, podoconiosis and cutaneous leishmaniasis in sub-Saharan Africa (SSA), the second highest burden in terms of ascariasis, leprosy and visceral leishmaniasis, and the third highest burden of hookworm. Infections such as schistosomiasis, trichuriasis, lymphatic filariasis and rabies are also common. A third of Ethiopians are infected with ascariasis, one quarter is infected with trichuriasis and one in eight Ethiopians lives with hookworm or is infected with trachoma. However, despite these high burdens of infection, the control of most NTDs in Ethiopia is in its infancy. In terms of NTD control achievements, Ethiopia reached the leprosy elimination target of 1 case/10,000 population in 1999. No cases of human African trypanosomiasis have been reported since 1984. Guinea worm eradication is in its final phase. The Onchocerciasis Control Program has been making steady progress since 2001. A national blindness survey was conducted in 2006 and the trachoma program has kicked off in some regions. Lymphatic Filariasis, podoconiosis and rabies mapping are underway. Conclusion: Ethiopia bears a significant burden of NTDs compared to other SSA countries. To achieve success in integrated control of NTDs, integrated mapping, rapid scale up of interventions and operational research into co implementation of intervention packages will be crucial

The 14-bp deletion polymorphism in the HLA-G gene displays significant differences between ulcerative colitis and Crohn's disease and is associated with ileocecal resection in Crohn's disease

HLA-G is a non-classical MHC class Ib molecule predominantly expressed in cytotrophoblasts and under pathological conditions also in chronically inflamed and in malignant tissues. Recently an increased expression of HLA-G was found in ulcerative colitis (UC), but not in Crohn's disease (CD). The HLA-G gene is located in IBD3, a linkage region for inflammatory bowel disease (IBD). A 14-bp deletion polymorphism (Del+/Del−) within exon 8 of the HLA-G gene might influence transcription activity and is therefore of potential functional relevance. To investigate whether the 14-bp deletion polymorphism is associated with IBD, 371 patients with CD, 257 patients with UC and 739 controls were genotyped. The heterozygous genotype (P = 0.031) and the Del+ phenotype (P = 0.038) were significantly increased, whereas the homozygous Del− phenotype (P = 0.038) was significantly decreased in UC when compared with CD. Thus, the 14-bp deletion polymorphism within the HLA-G gene displayed significant differences between UC and CD. Moreover, a significant increase of the Del+ allele (P = 0.002) and the Del+/Del+ genotype (P = 0.013) and a consecutive decrease of the Del−/− genotype (P = 0.024) were observed in those CD cases positive for ileocecal resection. Thus, a potential effect of the HLA-G gene in IBD may affect both UC and CD. Other polymorphisms linked to the 14-bp deletion polymorphism might also contribute to immunopathogenesis. As there are several partly functional polymorphisms within the promoter region potentially influencing HLA-G expression, further studies in IBD are necessary in the context of differential expression of HLA-G between UC and C

2-[2-(2-Pyrid­yl)eth­yl]isoindolinium perchlorate

In the title salt, C15H17N2 +·ClO4 −, the isoindoline N atom is protonated and an intra­molecular N—H⋯N hydrogen bond occurs. In the crystal, N—H⋯O and numerous weak C—H⋯O inter­actions occur between the cation and anion. The O atoms of the perchlorate anion are disordered over four sets of sites with occupancies of 0.438 (4), 0.270 (9), 0.155 (8) and 0.138 (5)

Fataluku medicinal ethnobotany and the East Timorese military resistance

BACKGROUND: An ethnobotanical study of medicinal and poisonous plants used by the East Timor resistance was undertaken in the Lautem District of East Timor to study medicinal plant use in the region. Interviews were conducted with a single key consultant from the resistance army who belonged to the Fataluku culture. This study is of importance as a historical document and because no previous medicinal ethnobotanical studies on this region exist. METHODS: A rapid ethnobotanical survey of medicinal and poisonous plants was conducted through the proposed Conis Santana National Park in the Lautem district of East Timor. Medicinal and poisonous plants were identified by a Consultant and data was collected by the authors using classical descriptive ethnobotanical techniques (i.e. no quantitative measures) through an unstructured open ended interview. RESULTS: During the survey 40 medicinal and poisonous plants were identified by the Consultant and collected by the authors. Defining characteristics of the Consultant's knowledge include a high frequency use of trees, heavily forested habitats, leaves, decoctions and drinks for a range of conditions relevant to a resistance army. CONCLUSION: Despite limitations of the study, important contributions of this study include preservation of a part of the cultural history of the resistance movement and traditional botanical knowledge of the Fataluku. Furthermore, initial findings may indicate that traditional botanical knowledge is unique amongst different East Timorese cultures in terms of plant selection