Drug sensitivity testing to establish resistance to TB drugs takes many months to arrive at. Public health physicians have difficulties with such an approach due to long wait periods and cannot use it to establish com...Drug sensitivity testing to establish resistance to TB drugs takes many months to arrive at. Public health physicians have difficulties with such an approach due to long wait periods and cannot use it to establish community wide prevalence as a way to understand where resistance may be emerging faster and to limit its spread. The objective of this study was to use the dot-blot hybridization technique in the detection of resistance to rifamycin (RIF) and streptomycin (SM) in South- Western Cameroon and to compare the technique with the routine culture and drug susceptibility testing for detecting resistance in a resource poor country, Cameroon. A hospital-based study was conducted at the Regional hospitals of Buea and Limbe and Tiko Central Clinic. Tuberculosis (TB) patients aged 15 to 50 (mean age: 30.50 ± 8.33 standard deviation) were recruited for the study between December 2006 and April 2007. Cultures from 59 patients were tested for rifampicin and streptomycin sensitivity by the modified proportion method and mutational analysis for rpoB codon 516 and rrs codon 513 was performed by the dot-blot hybridization technique. Of the 59 sputum samples collected (36 were males and 23 were females) came from Buea 19 (32.2%), Limbe 20 (33.9%) and Tiko 20 (33.9%) towns respectively. Amplification for the gene showed that there was (59) 100% amplification with primers used for rpoB genes and 43 (72.9%) amplification with primers used for the rrs gene. Mutational analysis demonstrated that resistance to RIF was common in females (52.1%) than males (41.7%) while 6% of the samples were indeterminate. 12 (20.3%) samples showed phenotypic and genotypic resistance to RIF compared to 34 samples (58.1%) for SM. Phenotypic resistance and genotypic susceptibility were found in 5 (8.5%) RIF and 3 (4.7%) SM compared to phenotypic susceptibility and genotypic resistance that were found in 2 (3.5%) RIF and 3(4.7%) SM. Double mutation on rpoB and rrs genes occurred in 8 (13.6%) DNA samples. Resistance to RIF and SM due to mutations on the rpoB and rrs genes respectively in the SW region was found to be high and comparable to the drug susceptibility testing by 92%, (95% CI: 75.7 - 99.1). The Dot-blot technique will be useful in rapidly assessing the effectiveness of national TB control programs in limiting the spread of resistance strains in Cameroon.展开更多
<strong>Background:</strong> <span style="font-family:""><span style="font-family:Verdana;">Infertility is a major reproductive health care problem that affects the wel...<strong>Background:</strong> <span style="font-family:""><span style="font-family:Verdana;">Infertility is a major reproductive health care problem that affects the wellbeing of women. Although views vary between cultures, infertility is seen almost exclusively as a woman’s problem in Africa with secondary infertility being the most prevalent while sexually transmitted infections the most investigated cause of infertility. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">The aim of this study was</span><span style="font-family:Verdana;"> to determine the prevalence of female infertility in the Limbe and Buea Regional hospitals of the Southwest region of Cameroon from 2015-2019.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">A retrospective descriptive design was used which involved studying clinical files of women within the reproductive age group (15 </span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;"> 49) with infertility problems, at the </span><span style="font-family:Verdana;">gynaecological</span><span style="font-family:Verdana;"> and maternity units of the selected hospitals in the Southwest region of Cameroon </span><span style="font-family:Verdana;">over a period of</span><span style="font-family:Verdana;"> five years (2015-2019). Data were collected from all files included in the study.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:""><span style="font-family:Verdana;">A total of 4609 females visited the two hospitals for investigation and 1111 files were identified with infertility giving </span><span style="font-family:Verdana;">prevalence</span><span style="font-family:Verdana;"> of 24 %. Three hundred and </span><span style="font-family:Verdana;">forty</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">three</span><span style="font-family:""><span style="font-family:Verdana;"> (343;31%) presented with primary infertility while seven hundred and </span><span style="font-family:Verdana;">sixty</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">eight</span><span style="font-family:""><span style="font-family:Verdana;"> (768;69%) had secondary infertility. The average age of affected </span><span style="font-family:Verdana;">female</span><span style="font-family:Verdana;"> was 31.5 making age the predisposing factor of infertility because </span><span style="font-family:Verdana;">after</span><span style="font-family:Verdana;"> the peak of 25 years</span></span><span style="font-family:Verdana;">,</span><span style="font-family:""><span style="font-family:Verdana;"> infertility </span><span style="font-family:Verdana;">start</span></span><span style="font-family:Verdana;">ed</span><span style="font-family:""><span style="font-family:Verdana;"> decreasing. Employment with salary and the association between diagnosis and age had a </span><b><span style="font-family:Verdana;">p</span></b><span style="font-family:Verdana;">-value < 0.005 which was considered significant in this study.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">This study found that the prevalence of infertility in Southwest Cameroon is high with secondary infertility being most predominant among infertile women with a prevalence of 69% caused principally by sexually transmitted infection (STIs). Age and occupation were significantly associated with infertility. Routine laboratory screening of women of reproductive age may reduce the high prevalence of infertility in the study area.</span>展开更多
Mining activities have left huge uncovered slopes, large areas of gangue ground and extensive railings dams. In this paper, we studied some impacts of mining activities upon environment in Panzhihua region, southweste...Mining activities have left huge uncovered slopes, large areas of gangue ground and extensive railings dams. In this paper, we studied some impacts of mining activities upon environment in Panzhihua region, southwestern China. The environmental impacts include ecological destruction, geological disasters, environmental pollution, land damage, solid waste and occupational health effect in study area. The author suggested that local government should take some measure to reduce environmental impact in Pan...展开更多
The ca. 1.5 Ga mafic intrusions in the Zhuqing area, predominantly composed of alkaline gabbroic rocks in the Kangdian region of SW China, occur as dykes or irregular small intrusions hosting Fe–Ti–V mineralization....The ca. 1.5 Ga mafic intrusions in the Zhuqing area, predominantly composed of alkaline gabbroic rocks in the Kangdian region of SW China, occur as dykes or irregular small intrusions hosting Fe–Ti–V mineralization. All of the intrusions that intrude the dolomite or shales of the Mesoproterozoic Heishan Formation of the Huili Group are composed of three cyclic units from the base upward: a marginal cyclic unit, a lower cyclic unit and an upper cyclic unit. The Fe–Ti–V oxide ore bodies are hosted in the lower and upper cyclic units. The textural relationships between minerals in the intrusions suggest that titanomagnetite formed earlier than silicate grains because euhedral magnetite and ilmenite grains were enclosed in clinopyroxene and plagioclase. Both the magnetitess–ilmenitess intergrowths due to subsolidus oxidation–exsolutions and the relative higher V distribution coefficient between magnetite and silicate melts in the gabbros from the Zhuqing area are different from those of other typical Fe–Ti bearing mafic rocks, suggesting that the oxygen fugacity was low in the gabbric rocks from the Zhuqing area. This finding was further confirmed by calculations based on the compositions of magnetite and ilmenite pairs. The clinopyroxene, magnetite and ilmenite in the intrusions from the Zhuqing area had considerably lower Mg O than those of other typical Fe–Ti oxide-rich complexes, suggesting that the titanomagnetite from the intrusion may have crystallized at a relatively late stage of evolution from a more evolved magma. Titanomagnetite first fractionally crystallized and subsequently settled in the lower parts of the magma chamber, where it concentrated and formed Fe–Ti–V oxide ore layers at the bases of the lower and upper cycles. Moreover, the occurrence of multiple Fe-Ti oxide layers alternating with Fe-Ti oxide-bearing silicate layers suggests that multiple pulses of magma were involved in the formation of the intrusions and related Fe-Ti-V oxide deposits in the Zhuqing area.展开更多
文摘Drug sensitivity testing to establish resistance to TB drugs takes many months to arrive at. Public health physicians have difficulties with such an approach due to long wait periods and cannot use it to establish community wide prevalence as a way to understand where resistance may be emerging faster and to limit its spread. The objective of this study was to use the dot-blot hybridization technique in the detection of resistance to rifamycin (RIF) and streptomycin (SM) in South- Western Cameroon and to compare the technique with the routine culture and drug susceptibility testing for detecting resistance in a resource poor country, Cameroon. A hospital-based study was conducted at the Regional hospitals of Buea and Limbe and Tiko Central Clinic. Tuberculosis (TB) patients aged 15 to 50 (mean age: 30.50 ± 8.33 standard deviation) were recruited for the study between December 2006 and April 2007. Cultures from 59 patients were tested for rifampicin and streptomycin sensitivity by the modified proportion method and mutational analysis for rpoB codon 516 and rrs codon 513 was performed by the dot-blot hybridization technique. Of the 59 sputum samples collected (36 were males and 23 were females) came from Buea 19 (32.2%), Limbe 20 (33.9%) and Tiko 20 (33.9%) towns respectively. Amplification for the gene showed that there was (59) 100% amplification with primers used for rpoB genes and 43 (72.9%) amplification with primers used for the rrs gene. Mutational analysis demonstrated that resistance to RIF was common in females (52.1%) than males (41.7%) while 6% of the samples were indeterminate. 12 (20.3%) samples showed phenotypic and genotypic resistance to RIF compared to 34 samples (58.1%) for SM. Phenotypic resistance and genotypic susceptibility were found in 5 (8.5%) RIF and 3 (4.7%) SM compared to phenotypic susceptibility and genotypic resistance that were found in 2 (3.5%) RIF and 3(4.7%) SM. Double mutation on rpoB and rrs genes occurred in 8 (13.6%) DNA samples. Resistance to RIF and SM due to mutations on the rpoB and rrs genes respectively in the SW region was found to be high and comparable to the drug susceptibility testing by 92%, (95% CI: 75.7 - 99.1). The Dot-blot technique will be useful in rapidly assessing the effectiveness of national TB control programs in limiting the spread of resistance strains in Cameroon.
文摘<strong>Background:</strong> <span style="font-family:""><span style="font-family:Verdana;">Infertility is a major reproductive health care problem that affects the wellbeing of women. Although views vary between cultures, infertility is seen almost exclusively as a woman’s problem in Africa with secondary infertility being the most prevalent while sexually transmitted infections the most investigated cause of infertility. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">The aim of this study was</span><span style="font-family:Verdana;"> to determine the prevalence of female infertility in the Limbe and Buea Regional hospitals of the Southwest region of Cameroon from 2015-2019.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">A retrospective descriptive design was used which involved studying clinical files of women within the reproductive age group (15 </span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;"> 49) with infertility problems, at the </span><span style="font-family:Verdana;">gynaecological</span><span style="font-family:Verdana;"> and maternity units of the selected hospitals in the Southwest region of Cameroon </span><span style="font-family:Verdana;">over a period of</span><span style="font-family:Verdana;"> five years (2015-2019). Data were collected from all files included in the study.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:""><span style="font-family:Verdana;">A total of 4609 females visited the two hospitals for investigation and 1111 files were identified with infertility giving </span><span style="font-family:Verdana;">prevalence</span><span style="font-family:Verdana;"> of 24 %. Three hundred and </span><span style="font-family:Verdana;">forty</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">three</span><span style="font-family:""><span style="font-family:Verdana;"> (343;31%) presented with primary infertility while seven hundred and </span><span style="font-family:Verdana;">sixty</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">eight</span><span style="font-family:""><span style="font-family:Verdana;"> (768;69%) had secondary infertility. The average age of affected </span><span style="font-family:Verdana;">female</span><span style="font-family:Verdana;"> was 31.5 making age the predisposing factor of infertility because </span><span style="font-family:Verdana;">after</span><span style="font-family:Verdana;"> the peak of 25 years</span></span><span style="font-family:Verdana;">,</span><span style="font-family:""><span style="font-family:Verdana;"> infertility </span><span style="font-family:Verdana;">start</span></span><span style="font-family:Verdana;">ed</span><span style="font-family:""><span style="font-family:Verdana;"> decreasing. Employment with salary and the association between diagnosis and age had a </span><b><span style="font-family:Verdana;">p</span></b><span style="font-family:Verdana;">-value < 0.005 which was considered significant in this study.</span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">This study found that the prevalence of infertility in Southwest Cameroon is high with secondary infertility being most predominant among infertile women with a prevalence of 69% caused principally by sexually transmitted infection (STIs). Age and occupation were significantly associated with infertility. Routine laboratory screening of women of reproductive age may reduce the high prevalence of infertility in the study area.</span>
基金This study is granted by China Postdoctoral Science Foundation "environmental geochemical principles and techniques for assessing disturbed soil by mining activity" and China Land and Resources Ministry Special Project (No.30302408)"regional geochemical
文摘Mining activities have left huge uncovered slopes, large areas of gangue ground and extensive railings dams. In this paper, we studied some impacts of mining activities upon environment in Panzhihua region, southwestern China. The environmental impacts include ecological destruction, geological disasters, environmental pollution, land damage, solid waste and occupational health effect in study area. The author suggested that local government should take some measure to reduce environmental impact in Pan...
基金supported by the National Natural Science Foundation of China(Grants 41403044,41273049,41572074)
文摘The ca. 1.5 Ga mafic intrusions in the Zhuqing area, predominantly composed of alkaline gabbroic rocks in the Kangdian region of SW China, occur as dykes or irregular small intrusions hosting Fe–Ti–V mineralization. All of the intrusions that intrude the dolomite or shales of the Mesoproterozoic Heishan Formation of the Huili Group are composed of three cyclic units from the base upward: a marginal cyclic unit, a lower cyclic unit and an upper cyclic unit. The Fe–Ti–V oxide ore bodies are hosted in the lower and upper cyclic units. The textural relationships between minerals in the intrusions suggest that titanomagnetite formed earlier than silicate grains because euhedral magnetite and ilmenite grains were enclosed in clinopyroxene and plagioclase. Both the magnetitess–ilmenitess intergrowths due to subsolidus oxidation–exsolutions and the relative higher V distribution coefficient between magnetite and silicate melts in the gabbros from the Zhuqing area are different from those of other typical Fe–Ti bearing mafic rocks, suggesting that the oxygen fugacity was low in the gabbric rocks from the Zhuqing area. This finding was further confirmed by calculations based on the compositions of magnetite and ilmenite pairs. The clinopyroxene, magnetite and ilmenite in the intrusions from the Zhuqing area had considerably lower Mg O than those of other typical Fe–Ti oxide-rich complexes, suggesting that the titanomagnetite from the intrusion may have crystallized at a relatively late stage of evolution from a more evolved magma. Titanomagnetite first fractionally crystallized and subsequently settled in the lower parts of the magma chamber, where it concentrated and formed Fe–Ti–V oxide ore layers at the bases of the lower and upper cycles. Moreover, the occurrence of multiple Fe-Ti oxide layers alternating with Fe-Ti oxide-bearing silicate layers suggests that multiple pulses of magma were involved in the formation of the intrusions and related Fe-Ti-V oxide deposits in the Zhuqing area.