Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test a...Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test and the 6-minute walk test, is the measure of the patient’s overall functional ability to perform physical activities and tolerate exercise loads. The objective of this study was to assess the impact of cardiac rehabilitation on patients’ physical capabilities and to conduct a thorough comparison of data obtained via exercise testing and the 6-minute walk test before and after the rehabilitation programme. Methods: This was a descriptive and analytical cross-sectional study, conducted from 1 February 2021 to 31 June 2022. Included were heart failure patients who had participated in an outpatient cardiovascular rehabilitation programme. The collected data included anamnestic, clinical, paraclinical data, and the 6-minute walk test. Informed consent was obtained. Data analysis, word processing, and charting were performed using Microsoft Word 2016, Excel 2013, and Sphinx version 5.1.0.2. Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 24.0. Any difference less than 0.05 was considered statistically significant. Results: In a Senegalese study, heart failure patients undergoing rehabilitation in a cardiac unit represented 45.59% of all cases, with a prevalence rate of 3.21%. The average participant was 57.97 years old, with those aged 61 to 70 forming the largest group (35.5%). The study noted a male predominance (sex ratio of 2.1) and identified dyslipidaemia (80.6%) and sedentarism (71%), as prevalent cardiovascular risk factors. All participants initially suffered from NYHA stage 2 or 3 dyspnoea, yet 80.65% showed no symptoms following rehabilitation. Significant improvements were recorded in resting heart rate (from 79 to 67 bpm), and the 6-minute walk test distance (from 328 m to 470 m). Enhanced exercise tolerance and walking test outcomes were particularly notable in patients with LVEF ≥ 50%, women, non-obese individuals, those initially walking less than 300 m, achieving more than 3 METs, and non-smokers. Conclusion: The findings underscore the effectiveness of cardiovascular rehabilitation in improving symptoms, physical capability, and overall quality of life for heart failure patients in Senegal.展开更多
Coastal hazards induced by meteo-marine forcing are exacerbated by sea level change along the West African coastline. Changes in sea level are induced by ocean processes such as ocean heat content and river discharge....Coastal hazards induced by meteo-marine forcing are exacerbated by sea level change along the West African coastline. Changes in sea level are induced by ocean processes such as ocean heat content and river discharge. However, although these processes control largely change in sea level, they remain poorly understood. This study analyzes changes in ocean heat content, river discharge, and sea level and establishes an interconnection between these parameters using several statistical methods over the 1993-2021 period. Results showed a significant correlation between sea level and ocean heat content at 2000 m depth. The yearly minimum value appears in July from Cote d’Ivoire to Benin, whilst this value appears in June in Nigeria. The temporal variability of ocean heat content, river discharge and sea level along the West African coastline exhibits three or four periods interrupted by some breakpoints with unequal duration. The results indicate that the 1993-2000 period was dominated by an increasing ocean heat content along the coastline, while the period after the 2000s exhibits mostly a decreasing trend. Positive and negative trends characterized river discharge and sea level along this coastline. The result of multiple linear regression between sea level, river discharge and ocean heat content is a good approximation of sea level trend along the West African coastline. The results of this study could be used to predict future sea level trends along the coast.展开更多
Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was condu...Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was conducted in West Atacora of Benin Republic to assess the drivers of farmers’ perceptions of climate change risk. We used a random sampling technique to select 360 households’ heads who were interviewed regarding different climate change risks perception. Binomial logistic regression was used to assess the drivers of farmers’ perceptions of climate change risks. The results showed that the farmers in drier areas had a higher perception of the global risk of climate change than those in humid areas. The same trend was observed for the seven different individual’s climate change risk investigated. The study identified also membership of farm organizations as main sociodemographic characteristic that explains farmers’ perception of climate change risk perception. These findings are helpful tools to sensitize the local people on climate change risk and cope with the risk in agricultural lands.展开更多
Diabetes is a chronic condition that is significantly impacted daily by environment. At least one in five Saudis, suffer from diabetes. “Diabetes is a pandemic of unprecedented magnitude spiraling out of control” (B...Diabetes is a chronic condition that is significantly impacted daily by environment. At least one in five Saudis, suffer from diabetes. “Diabetes is a pandemic of unprecedented magnitude spiraling out of control” (Boulton). Saudi Arabia ranks the second highest in the Middle East, and is the seventh in the world for the prevalence of diabetes (WHO). Diabetes mellitus (DM) has been found to be related to high mortality, morbidity accompanied by poor general health and lower quality of life. Current Saudi diabetes patients’ behaviors, practices, and beliefs regarding foot health problems such as ulcers, are not well investigated. Diabetic patients frequently utilize natural remedies and Herbs for self-medication as a part of complementary and alternative Medicine. Aim of study: To explore the widespread use of the alternative remedies in the local communities of the Western Saudi Arabia, the drives behind using and to focus on the potential adverse effects following their usage. Method: A descriptive, cross-sectional study of 386 diabetic patients with feet problems in Makkah Region, West of Saudi Arabia during the period April - June 2023. Results: Out of the 531 participants, only 386 participants reported diabetic foot disorder (DFD). Most of the participant were above 65 years of age group (24.61 %). Male (52.08%) more than female (47.92%) in the research group. All of the participants had diabetic foot disorders at least once. The prevalence of complementary and alternative medicines (CAM) use among them was 67.88%, as solitary or in combination with hospital medicines. Honey headed the list followed by myrrh and black seeds. Acquaintances advice (59.54%) was the most reason for using the alternative medicine. 60.30% of Diabetic foot patient complained of adverse effects during CAM remedies use. Conclusion: Consumption of CAM remedies among diabetic patients for Diabetic Foot Disorder (DFD) is common. Honey headed the list followed by myrrh and black seeds. Additional wide-scale research is required to establish their actual efficacy, safety and potential adverse out-comes and to generalize the outcomes.展开更多
Several cardiac outcomes have been reported with West Nile-encephalitis;however, the underlying pathophysiology remains complex. We present a 42-year-old female, with multiple sclerosis, whose neurological symptoms an...Several cardiac outcomes have been reported with West Nile-encephalitis;however, the underlying pathophysiology remains complex. We present a 42-year-old female, with multiple sclerosis, whose neurological symptoms and respiratory decline were finally explained by the diagnosis of West Nile-encephalitis. During her admission, the isolated peaked T-waves indicated the underlying stress-induced cardiomyopathy. The absence of all other causes of hyperacute T-waves, their subsequent resolution with the resolution of infection and improvement in wall motion abnormalities, further supported the association. This case highlights the importance of considering hyperacute T-waves in an approach towards the diagnosis of WNV-encephalitis related atypical variant of stress-induced cardiomyopathy.展开更多
The West African Monsoon (WAM) is characterized by strong decadal and multi-decadal variability and the impacts can be catastrophic for the local populations. One of the factors put forward to explain this variability...The West African Monsoon (WAM) is characterized by strong decadal and multi-decadal variability and the impacts can be catastrophic for the local populations. One of the factors put forward to explain this variability involves the role of atmospheric dynamics, linked in particular to the Saharan Heat Low (SHL). This article addresses this question by comparing the sets of preindustrial control and historical simulation data from climate models carried out in the framework of the CMIP5 project and observations data over the 20<sup>th</sup> century. Through multivariate statistical analyses, it was established that decadal modes of ocean variability and decadal variability of Saharan atmospheric dynamics significantly influence decadal variability of monsoon precipitation. These results also suggest the existence of external anthropogenic forcing, which is superimposed on the decadal natural variability inducing an intensification of the signal in the historical simulations compared to preindustrial control simulations. We have also shown that decadal rainfall variability in the Sahel, once the influence of oceanic modes has been eliminated, appears to be driven mainly by the activity of the Arabian Heat Low (AHL) in the central Sahel, and by the structure of the meridional temperature gradient over the inter-tropical Atlantic in the western Sahel.展开更多
Livestock plays a vital role in the livelihood of many people in Ethiopia. However, a number of challenges hindered the development of the dairy sector along with its commercialization. Advancing commercialization of ...Livestock plays a vital role in the livelihood of many people in Ethiopia. However, a number of challenges hindered the development of the dairy sector along with its commercialization. Advancing commercialization of the rural generations was a foundation of the advancement and poverty reduction policies of Ethiopia. Cross-sectional data from 385 randomly selected households in Eastern Ethiopia were used in this study to assess the commercialization of cow milk producers. Descriptive statistics and the two limit Tobit econometric models were used to analyze the data. The average commercialization index was 0.434, indicating that each household sold 43.4 percent of the milk produced during the survey period. Ownership of improved breed cow, cooperative participation, access to market information, and quantity of milk produce influenced milk commercialization positively, but household size and distance to the nearest market influenced it negatively. The study suggests strengthening policies to improve rural family planning, strengthening farmer cooperatives to reinforce knowledge sharing among farmers for enhancing farmer resource endowment, and promoting improved breed varieties. The commercialization of milk producers will also expand as a result of policies that try to lower the transaction costs of accessing markets, improve the capacity of rural institutions, and encourage value addition and market links among various market players.展开更多
The Sudanian savanna is a key vegetation biome in West Africa providing food and vital ecosystem services. Recently, it has been reported alarming vegetation loss in this biome, calling for more investigation, relevan...The Sudanian savanna is a key vegetation biome in West Africa providing food and vital ecosystem services. Recently, it has been reported alarming vegetation loss in this biome, calling for more investigation, relevant to tackle land degradation and ensure food security. However, vegetation dynamics in this area remains a matter of debate, and one of the main challenges is to document consistently the underlying driving factors. This study aimed at assessing vegetation trends and driving factors from 2000 to 2022. NDVI trend, detected using the Mann-Kendall’s monotonic trend test, was used as proxy to express vegetation dynamics. In addition to the non-parametric Spearman correlation analysis, variables importance scores, derived from Random Forest (RF) classifications, were used to determine key driving factors among climatic, topographic, edaphic, accessibility and demographic factors. During 2000-2022, no significant trends largely characterised the vegetation cover of the study area. However, patterns of strong (weak) browning and strong (weak) greening affected 7.1% (10.6%) and 12.8% (19.1%) of the study area respectively. According to the driving factors analysis, the observed vegetation trends were mainly driven by rainfall dynamics (trend and mean annual), population growth and anthropogenic activities. The results of this study can support the development of efficient strategies for safeguarding vegetation cover in the Sudanian savanna of Burkina Faso.展开更多
Located south of the West Bank, Wadi Al-Samen is considered one of the most important sources of groundwater recharge for the eastern aquifer in Hebron. It is polluted by sewage originating from domestic and industria...Located south of the West Bank, Wadi Al-Samen is considered one of the most important sources of groundwater recharge for the eastern aquifer in Hebron. It is polluted by sewage originating from domestic and industrial consumption in the Hebron area. Water quality assessment is an important criterion for achieving sustainable development. To evaluate water quality, twenty samples were collected from groundwater sources for two seasons and were analyzed for Physical properties (Total dissolved solids (TDS), Electrical conductivity (EC), potential hydrogen (pH), Temperature (T)), Four major cations (Mg<sup>2+</sup>, Ca<sup>2+</sup>, Na<sup>+</sup> and K<sup>+</sup>), and the Major anions (HCO<sup>-</sup>3</sub>, Cl<sup>-</sup>, and SO<sup>2-</sup>4</sub>);geochemical methods such as Piper scheme were used for the sample result analysis. To characterize wastewater components, six samples were collected from the Wadi discharge for two seasons and were analyzed (potential hydrogen (pH), Electrical Conductivity (EC), Total Dissolved Solid (TDS), Total Suspended Solids (TDS), Total Suspended Solids (TSS), Biological Oxygen Demand (BOD<sub>5</sub>), and Chemical Oxygen Demand (COD). The results of nitrate levels showed that 20% of the ground water samples exceeded the standard limit of the World Health Organization (WHO). The quality of drinking water was assessed using the Water Quality Index (WQI), which suggests that 10% of samples are classified from poor to very poor. The abundance of cations from highest to lowest was found to be: Ca;Mg;Na, and for the anions it is HCO<sub>3</sub>;Cl;SO<sub>4</sub>. The dominant hydrochemical facies of 35% of collected aquifer samples reveal that Ca-Mg-Na-Cl-HCO<sub>3</sub> are in the domain. Evaluation of irrigation suitability was performed using parameters of Sodium adsorption ratio (SAR), electric conductivity (EC), and Salinity. The results in both rounds for EC showed that all water sources are suitable for irrigation according to Todd’s classification. SAR was not suitable in three water resources samples. Wilcox analysis for the two seasons revealed that 85% of samples are not appropriate for irrigation uses.展开更多
Flood events occurrences and frequencies in the world are of immense worry for the stability of the economy and life safety. Africa continent is the third continent the most negatively affected by the flood events aft...Flood events occurrences and frequencies in the world are of immense worry for the stability of the economy and life safety. Africa continent is the third continent the most negatively affected by the flood events after Asia and Europe. Eastern Africa is the most hit in Africa. However, Africa continent is at the early stage in term of flood forecasting models development and implementation. Very few hydrological models for flood forecasting are available and implemented in Africa for the flood mitigation. And for the majority of the cases, they need to be improved because of the time evolution. Flash flood in Bamako (Mali) has been putting both human life and the economy in jeopardy. Studying this phenomenon, as to propose applicable solutions for its alleviation in Bamako is a great concern. Therefore, it is of upmost importance to know the existing scientific works related to this situation in Mali and elsewhere. The main aim was to point out the various solutions implemented by various local and international institutions, in order to fight against the flood events. Two types of methods are used for the flood events adaptation: the structural and non-structural methods. The structural methods are essentially based on the implementation of the structures like the dams, dykes, levees, etc. The problem of these methods is that they may reduce the volume of water that will inundate the area but are not efficient for the prediction of the coming floods and cannot alert the population with any lead time in advance. The non-structural methods are the one allowing to perform the prediction with acceptable lead time. They used the hydrological rainfall-runoff models and are the widely methods used for the flood adaptation. This review is more accentuated on the various types non-structural methods and their application in African countries in general and West African countries in particular with their strengths and weaknesses. Hydrologiska Byråns Vattenbalansavdelning (HBV), Hydrologic Engineer Center Hydrologic Model System (HEC-HMS) and Soil and Water Assessment Tool (SWAT) are the hydrological models that are the most widely used in West Africa for the purpose of flood forecasting. The easily way of calibration and the weak number of input data make these models appropriate for the West Africa region where the data are scarce and often with bad quality. These models when implemented and applied, can predict the coming floods, allow the population to adapt and mitigate the flood events and reduce considerably the impacts of floods especially in terms of loss of life.展开更多
Rainfall variability associated with climate change has enormous impacts on ecosystems, agriculture and people in West Africa but few studies have been devoted to it. Monthly rainfall data from 1901 to 2013, provided ...Rainfall variability associated with climate change has enormous impacts on ecosystems, agriculture and people in West Africa but few studies have been devoted to it. Monthly rainfall data from 1901 to 2013, provided by the Global Precipitation Climatology Center dataset, were analyzed using segmentation and empirical modal decomposition (EMD) methods to increase our knowledge on past and recent spatio-temporal rainfall trends and their impacts on the West African region. The results obtained showed that the peak of rainfall during the short rainy season is observed in September in Côte d’Ivoire, Ghana and Liberia. The temporal variability of this rainfall is marked by several breakpoints whose durations range from 2 to 70 years. The periods of change in the rainfall regime, characterized by the appearance of breakpoints, vary from one country to another and are of unequal duration. The main breakpoint appears after 1960. Periods of relative or normal increase or decrease in precipitation are observed before and after 1960. The long-term variability of this rainfall is characterized by a decrease in the amount of rainfall over all West African countries. The results of this study can be used as a tool to help raise awareness among populations for sustainable management of water resources in response to climate change and its adverse effects.展开更多
Due to rapid demographic growth, economic and technological changes, urban environments are highly exposed to the impacts of climate change and environmental catastrophes. Despite the pressure to which urban forests a...Due to rapid demographic growth, economic and technological changes, urban environments are highly exposed to the impacts of climate change and environmental catastrophes. Despite the pressure to which urban forests are exposed, they still play important roles through the service they provide: air quality, shade, and reduction of dioxide of carbon. The present study was carried out in the city of Yaoundé, Cameroon, especially in one of its suburb areas, Elig-Effa West, a neighborhood with spontaneous settlements. The study aimed at assessing the plant species diversity, and carbon sequestration potentials of diverse trees recorded using indirect methods. Six sampling plots of 100 × 100 m were established in the study area. Our results recorded a total of 16 species grouped into 12 families. Apocynaceae, Mimosaceae and Moraceae were the most represented families. The most represented species throughout the sampling plots were Mangifera indica, Persea americana, Annona muricata and Psidium gaujava, which are all fruiting trees. Carbon stock for the study area was estimated at 16.08 ± 5.60 tC with an average of 0.23 ± 0.08 tC/ha. The results also showed the species to be considered in a potential restoration program should be first fruiting trees, followed by non-fruiting trees useful to population, especially those that have their trunk peeled, a sign that they are used by the population. Nevertheless, informal settlements contribute to carbon sequestration, that well targeted urban reforestation will substantially improve.展开更多
Worldwide, the demand for agro-organic foods that are healthy, nutritious, and environmentally friendly is increasing dramatically across all nations among consumers. Tomatoes being one of the dietary requirements in ...Worldwide, the demand for agro-organic foods that are healthy, nutritious, and environmentally friendly is increasing dramatically across all nations among consumers. Tomatoes being one of the dietary requirements in almost every meal is not exceptional and its availability in the market all year round is very important to farmers as well as consumers because it is highly demanded as a vegetable par excellence;which is either eaten raw in salads, cooked or processed into liquid ingredients. This study investigates the impact of chicken, goat, and cow manure treatments on tomato plant growth response to height, leaf length, and width, as well as fruit yield. The experimental field trials were conducted over two planting seasons in Mundri West County. It followed a Complete Randomized Design (CRD) approach, consisting of four blocks. Each block contained three treatments replicated four times and a control group. The data of measured parameters from all 16 plots were subjected to one-way Analysis of Variance (ANOVA) using the Gen Stat 14th Edition software. The findings indicate significant differences (P < 0.05) among all the different organic manure applications on tomato plant growth parameters compared to the control group. Chicken manure resulted in the tallest tomato plants (30.1 and 37.9 cm), longest leaves (9.9 and 10.4 cm), and widest leaves (2.1 and 2.5 cm) in both seasons respectively. The study showed plots treated with chicken manure had a highly significant impact (P < 0.05) on the prevalence of aphids (1.0) and white flies (1.4) with the lowest value compared to those with cow and goat manure applied. Additionally, chicken manure led to the highest yields (39.30 and 49.49 tons/ha) in both seasons. Based on these findings, it can be concluded that using chicken manure effectively improves the performance of Rio Grande Tomatoes, and thus, farmers are encouraged to utilize chicken manure to maximize their tomato yields.展开更多
文摘Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test and the 6-minute walk test, is the measure of the patient’s overall functional ability to perform physical activities and tolerate exercise loads. The objective of this study was to assess the impact of cardiac rehabilitation on patients’ physical capabilities and to conduct a thorough comparison of data obtained via exercise testing and the 6-minute walk test before and after the rehabilitation programme. Methods: This was a descriptive and analytical cross-sectional study, conducted from 1 February 2021 to 31 June 2022. Included were heart failure patients who had participated in an outpatient cardiovascular rehabilitation programme. The collected data included anamnestic, clinical, paraclinical data, and the 6-minute walk test. Informed consent was obtained. Data analysis, word processing, and charting were performed using Microsoft Word 2016, Excel 2013, and Sphinx version 5.1.0.2. Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 24.0. Any difference less than 0.05 was considered statistically significant. Results: In a Senegalese study, heart failure patients undergoing rehabilitation in a cardiac unit represented 45.59% of all cases, with a prevalence rate of 3.21%. The average participant was 57.97 years old, with those aged 61 to 70 forming the largest group (35.5%). The study noted a male predominance (sex ratio of 2.1) and identified dyslipidaemia (80.6%) and sedentarism (71%), as prevalent cardiovascular risk factors. All participants initially suffered from NYHA stage 2 or 3 dyspnoea, yet 80.65% showed no symptoms following rehabilitation. Significant improvements were recorded in resting heart rate (from 79 to 67 bpm), and the 6-minute walk test distance (from 328 m to 470 m). Enhanced exercise tolerance and walking test outcomes were particularly notable in patients with LVEF ≥ 50%, women, non-obese individuals, those initially walking less than 300 m, achieving more than 3 METs, and non-smokers. Conclusion: The findings underscore the effectiveness of cardiovascular rehabilitation in improving symptoms, physical capability, and overall quality of life for heart failure patients in Senegal.
文摘Coastal hazards induced by meteo-marine forcing are exacerbated by sea level change along the West African coastline. Changes in sea level are induced by ocean processes such as ocean heat content and river discharge. However, although these processes control largely change in sea level, they remain poorly understood. This study analyzes changes in ocean heat content, river discharge, and sea level and establishes an interconnection between these parameters using several statistical methods over the 1993-2021 period. Results showed a significant correlation between sea level and ocean heat content at 2000 m depth. The yearly minimum value appears in July from Cote d’Ivoire to Benin, whilst this value appears in June in Nigeria. The temporal variability of ocean heat content, river discharge and sea level along the West African coastline exhibits three or four periods interrupted by some breakpoints with unequal duration. The results indicate that the 1993-2000 period was dominated by an increasing ocean heat content along the coastline, while the period after the 2000s exhibits mostly a decreasing trend. Positive and negative trends characterized river discharge and sea level along this coastline. The result of multiple linear regression between sea level, river discharge and ocean heat content is a good approximation of sea level trend along the West African coastline. The results of this study could be used to predict future sea level trends along the coast.
文摘Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was conducted in West Atacora of Benin Republic to assess the drivers of farmers’ perceptions of climate change risk. We used a random sampling technique to select 360 households’ heads who were interviewed regarding different climate change risks perception. Binomial logistic regression was used to assess the drivers of farmers’ perceptions of climate change risks. The results showed that the farmers in drier areas had a higher perception of the global risk of climate change than those in humid areas. The same trend was observed for the seven different individual’s climate change risk investigated. The study identified also membership of farm organizations as main sociodemographic characteristic that explains farmers’ perception of climate change risk perception. These findings are helpful tools to sensitize the local people on climate change risk and cope with the risk in agricultural lands.
文摘Diabetes is a chronic condition that is significantly impacted daily by environment. At least one in five Saudis, suffer from diabetes. “Diabetes is a pandemic of unprecedented magnitude spiraling out of control” (Boulton). Saudi Arabia ranks the second highest in the Middle East, and is the seventh in the world for the prevalence of diabetes (WHO). Diabetes mellitus (DM) has been found to be related to high mortality, morbidity accompanied by poor general health and lower quality of life. Current Saudi diabetes patients’ behaviors, practices, and beliefs regarding foot health problems such as ulcers, are not well investigated. Diabetic patients frequently utilize natural remedies and Herbs for self-medication as a part of complementary and alternative Medicine. Aim of study: To explore the widespread use of the alternative remedies in the local communities of the Western Saudi Arabia, the drives behind using and to focus on the potential adverse effects following their usage. Method: A descriptive, cross-sectional study of 386 diabetic patients with feet problems in Makkah Region, West of Saudi Arabia during the period April - June 2023. Results: Out of the 531 participants, only 386 participants reported diabetic foot disorder (DFD). Most of the participant were above 65 years of age group (24.61 %). Male (52.08%) more than female (47.92%) in the research group. All of the participants had diabetic foot disorders at least once. The prevalence of complementary and alternative medicines (CAM) use among them was 67.88%, as solitary or in combination with hospital medicines. Honey headed the list followed by myrrh and black seeds. Acquaintances advice (59.54%) was the most reason for using the alternative medicine. 60.30% of Diabetic foot patient complained of adverse effects during CAM remedies use. Conclusion: Consumption of CAM remedies among diabetic patients for Diabetic Foot Disorder (DFD) is common. Honey headed the list followed by myrrh and black seeds. Additional wide-scale research is required to establish their actual efficacy, safety and potential adverse out-comes and to generalize the outcomes.
文摘Several cardiac outcomes have been reported with West Nile-encephalitis;however, the underlying pathophysiology remains complex. We present a 42-year-old female, with multiple sclerosis, whose neurological symptoms and respiratory decline were finally explained by the diagnosis of West Nile-encephalitis. During her admission, the isolated peaked T-waves indicated the underlying stress-induced cardiomyopathy. The absence of all other causes of hyperacute T-waves, their subsequent resolution with the resolution of infection and improvement in wall motion abnormalities, further supported the association. This case highlights the importance of considering hyperacute T-waves in an approach towards the diagnosis of WNV-encephalitis related atypical variant of stress-induced cardiomyopathy.
文摘The West African Monsoon (WAM) is characterized by strong decadal and multi-decadal variability and the impacts can be catastrophic for the local populations. One of the factors put forward to explain this variability involves the role of atmospheric dynamics, linked in particular to the Saharan Heat Low (SHL). This article addresses this question by comparing the sets of preindustrial control and historical simulation data from climate models carried out in the framework of the CMIP5 project and observations data over the 20<sup>th</sup> century. Through multivariate statistical analyses, it was established that decadal modes of ocean variability and decadal variability of Saharan atmospheric dynamics significantly influence decadal variability of monsoon precipitation. These results also suggest the existence of external anthropogenic forcing, which is superimposed on the decadal natural variability inducing an intensification of the signal in the historical simulations compared to preindustrial control simulations. We have also shown that decadal rainfall variability in the Sahel, once the influence of oceanic modes has been eliminated, appears to be driven mainly by the activity of the Arabian Heat Low (AHL) in the central Sahel, and by the structure of the meridional temperature gradient over the inter-tropical Atlantic in the western Sahel.
文摘Livestock plays a vital role in the livelihood of many people in Ethiopia. However, a number of challenges hindered the development of the dairy sector along with its commercialization. Advancing commercialization of the rural generations was a foundation of the advancement and poverty reduction policies of Ethiopia. Cross-sectional data from 385 randomly selected households in Eastern Ethiopia were used in this study to assess the commercialization of cow milk producers. Descriptive statistics and the two limit Tobit econometric models were used to analyze the data. The average commercialization index was 0.434, indicating that each household sold 43.4 percent of the milk produced during the survey period. Ownership of improved breed cow, cooperative participation, access to market information, and quantity of milk produce influenced milk commercialization positively, but household size and distance to the nearest market influenced it negatively. The study suggests strengthening policies to improve rural family planning, strengthening farmer cooperatives to reinforce knowledge sharing among farmers for enhancing farmer resource endowment, and promoting improved breed varieties. The commercialization of milk producers will also expand as a result of policies that try to lower the transaction costs of accessing markets, improve the capacity of rural institutions, and encourage value addition and market links among various market players.
文摘The Sudanian savanna is a key vegetation biome in West Africa providing food and vital ecosystem services. Recently, it has been reported alarming vegetation loss in this biome, calling for more investigation, relevant to tackle land degradation and ensure food security. However, vegetation dynamics in this area remains a matter of debate, and one of the main challenges is to document consistently the underlying driving factors. This study aimed at assessing vegetation trends and driving factors from 2000 to 2022. NDVI trend, detected using the Mann-Kendall’s monotonic trend test, was used as proxy to express vegetation dynamics. In addition to the non-parametric Spearman correlation analysis, variables importance scores, derived from Random Forest (RF) classifications, were used to determine key driving factors among climatic, topographic, edaphic, accessibility and demographic factors. During 2000-2022, no significant trends largely characterised the vegetation cover of the study area. However, patterns of strong (weak) browning and strong (weak) greening affected 7.1% (10.6%) and 12.8% (19.1%) of the study area respectively. According to the driving factors analysis, the observed vegetation trends were mainly driven by rainfall dynamics (trend and mean annual), population growth and anthropogenic activities. The results of this study can support the development of efficient strategies for safeguarding vegetation cover in the Sudanian savanna of Burkina Faso.
文摘Located south of the West Bank, Wadi Al-Samen is considered one of the most important sources of groundwater recharge for the eastern aquifer in Hebron. It is polluted by sewage originating from domestic and industrial consumption in the Hebron area. Water quality assessment is an important criterion for achieving sustainable development. To evaluate water quality, twenty samples were collected from groundwater sources for two seasons and were analyzed for Physical properties (Total dissolved solids (TDS), Electrical conductivity (EC), potential hydrogen (pH), Temperature (T)), Four major cations (Mg<sup>2+</sup>, Ca<sup>2+</sup>, Na<sup>+</sup> and K<sup>+</sup>), and the Major anions (HCO<sup>-</sup>3</sub>, Cl<sup>-</sup>, and SO<sup>2-</sup>4</sub>);geochemical methods such as Piper scheme were used for the sample result analysis. To characterize wastewater components, six samples were collected from the Wadi discharge for two seasons and were analyzed (potential hydrogen (pH), Electrical Conductivity (EC), Total Dissolved Solid (TDS), Total Suspended Solids (TDS), Total Suspended Solids (TSS), Biological Oxygen Demand (BOD<sub>5</sub>), and Chemical Oxygen Demand (COD). The results of nitrate levels showed that 20% of the ground water samples exceeded the standard limit of the World Health Organization (WHO). The quality of drinking water was assessed using the Water Quality Index (WQI), which suggests that 10% of samples are classified from poor to very poor. The abundance of cations from highest to lowest was found to be: Ca;Mg;Na, and for the anions it is HCO<sub>3</sub>;Cl;SO<sub>4</sub>. The dominant hydrochemical facies of 35% of collected aquifer samples reveal that Ca-Mg-Na-Cl-HCO<sub>3</sub> are in the domain. Evaluation of irrigation suitability was performed using parameters of Sodium adsorption ratio (SAR), electric conductivity (EC), and Salinity. The results in both rounds for EC showed that all water sources are suitable for irrigation according to Todd’s classification. SAR was not suitable in three water resources samples. Wilcox analysis for the two seasons revealed that 85% of samples are not appropriate for irrigation uses.
文摘Flood events occurrences and frequencies in the world are of immense worry for the stability of the economy and life safety. Africa continent is the third continent the most negatively affected by the flood events after Asia and Europe. Eastern Africa is the most hit in Africa. However, Africa continent is at the early stage in term of flood forecasting models development and implementation. Very few hydrological models for flood forecasting are available and implemented in Africa for the flood mitigation. And for the majority of the cases, they need to be improved because of the time evolution. Flash flood in Bamako (Mali) has been putting both human life and the economy in jeopardy. Studying this phenomenon, as to propose applicable solutions for its alleviation in Bamako is a great concern. Therefore, it is of upmost importance to know the existing scientific works related to this situation in Mali and elsewhere. The main aim was to point out the various solutions implemented by various local and international institutions, in order to fight against the flood events. Two types of methods are used for the flood events adaptation: the structural and non-structural methods. The structural methods are essentially based on the implementation of the structures like the dams, dykes, levees, etc. The problem of these methods is that they may reduce the volume of water that will inundate the area but are not efficient for the prediction of the coming floods and cannot alert the population with any lead time in advance. The non-structural methods are the one allowing to perform the prediction with acceptable lead time. They used the hydrological rainfall-runoff models and are the widely methods used for the flood adaptation. This review is more accentuated on the various types non-structural methods and their application in African countries in general and West African countries in particular with their strengths and weaknesses. Hydrologiska Byråns Vattenbalansavdelning (HBV), Hydrologic Engineer Center Hydrologic Model System (HEC-HMS) and Soil and Water Assessment Tool (SWAT) are the hydrological models that are the most widely used in West Africa for the purpose of flood forecasting. The easily way of calibration and the weak number of input data make these models appropriate for the West Africa region where the data are scarce and often with bad quality. These models when implemented and applied, can predict the coming floods, allow the population to adapt and mitigate the flood events and reduce considerably the impacts of floods especially in terms of loss of life.
文摘Rainfall variability associated with climate change has enormous impacts on ecosystems, agriculture and people in West Africa but few studies have been devoted to it. Monthly rainfall data from 1901 to 2013, provided by the Global Precipitation Climatology Center dataset, were analyzed using segmentation and empirical modal decomposition (EMD) methods to increase our knowledge on past and recent spatio-temporal rainfall trends and their impacts on the West African region. The results obtained showed that the peak of rainfall during the short rainy season is observed in September in Côte d’Ivoire, Ghana and Liberia. The temporal variability of this rainfall is marked by several breakpoints whose durations range from 2 to 70 years. The periods of change in the rainfall regime, characterized by the appearance of breakpoints, vary from one country to another and are of unequal duration. The main breakpoint appears after 1960. Periods of relative or normal increase or decrease in precipitation are observed before and after 1960. The long-term variability of this rainfall is characterized by a decrease in the amount of rainfall over all West African countries. The results of this study can be used as a tool to help raise awareness among populations for sustainable management of water resources in response to climate change and its adverse effects.
文摘Due to rapid demographic growth, economic and technological changes, urban environments are highly exposed to the impacts of climate change and environmental catastrophes. Despite the pressure to which urban forests are exposed, they still play important roles through the service they provide: air quality, shade, and reduction of dioxide of carbon. The present study was carried out in the city of Yaoundé, Cameroon, especially in one of its suburb areas, Elig-Effa West, a neighborhood with spontaneous settlements. The study aimed at assessing the plant species diversity, and carbon sequestration potentials of diverse trees recorded using indirect methods. Six sampling plots of 100 × 100 m were established in the study area. Our results recorded a total of 16 species grouped into 12 families. Apocynaceae, Mimosaceae and Moraceae were the most represented families. The most represented species throughout the sampling plots were Mangifera indica, Persea americana, Annona muricata and Psidium gaujava, which are all fruiting trees. Carbon stock for the study area was estimated at 16.08 ± 5.60 tC with an average of 0.23 ± 0.08 tC/ha. The results also showed the species to be considered in a potential restoration program should be first fruiting trees, followed by non-fruiting trees useful to population, especially those that have their trunk peeled, a sign that they are used by the population. Nevertheless, informal settlements contribute to carbon sequestration, that well targeted urban reforestation will substantially improve.
文摘Worldwide, the demand for agro-organic foods that are healthy, nutritious, and environmentally friendly is increasing dramatically across all nations among consumers. Tomatoes being one of the dietary requirements in almost every meal is not exceptional and its availability in the market all year round is very important to farmers as well as consumers because it is highly demanded as a vegetable par excellence;which is either eaten raw in salads, cooked or processed into liquid ingredients. This study investigates the impact of chicken, goat, and cow manure treatments on tomato plant growth response to height, leaf length, and width, as well as fruit yield. The experimental field trials were conducted over two planting seasons in Mundri West County. It followed a Complete Randomized Design (CRD) approach, consisting of four blocks. Each block contained three treatments replicated four times and a control group. The data of measured parameters from all 16 plots were subjected to one-way Analysis of Variance (ANOVA) using the Gen Stat 14th Edition software. The findings indicate significant differences (P < 0.05) among all the different organic manure applications on tomato plant growth parameters compared to the control group. Chicken manure resulted in the tallest tomato plants (30.1 and 37.9 cm), longest leaves (9.9 and 10.4 cm), and widest leaves (2.1 and 2.5 cm) in both seasons respectively. The study showed plots treated with chicken manure had a highly significant impact (P < 0.05) on the prevalence of aphids (1.0) and white flies (1.4) with the lowest value compared to those with cow and goat manure applied. Additionally, chicken manure led to the highest yields (39.30 and 49.49 tons/ha) in both seasons. Based on these findings, it can be concluded that using chicken manure effectively improves the performance of Rio Grande Tomatoes, and thus, farmers are encouraged to utilize chicken manure to maximize their tomato yields.