ghanaopendata/ghanaian-research-english huggingface dataset:
Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report

Background: Disorders of sex development are anomalies in which the development of urogenital ridge is undif‑ ferentiated for the male and female child. Imaging plays a vital role in investigating the gross anatomy and associated anomalies. Ultrasonography, such as genitography and magnetic resonance, is the primary modality for demonstrat‑ ing internal gonads and genitalia. Early multidisciplinary approach in the management of ambiguous genitalia includ‑ ing early surgical intervention is the predominant practice, with few current considerations on deferral of genital reconstruction until adolescent age. Case presentation: We report the rare case of a 24-year-old adult female from a majority ethnic group of the Volta region, Ghana who was diagnosed and raised as male, now requiring surgical restoration to the female gender. The surgical team decided to assign external genitalia to correspond with the already intact internal organs, thus con‑ structing the vulva. Consent was given by the client and her family members for management and surgical interven‑ tion. The surgery was scheduled and duly performed with a successful outcome. Understanding and consent was sought from the patient for the purpose of using her images for teaching, scientific publication, and demonstrations. Conclusion: The advantages of deferring surgical reconstruction with psychological counseling after early assessment need to be considered to prevent inappropriate gender assignment

Source: UG
Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report

Background: Disorders of sex development are anomalies in which the development of urogenital ridge is undif‑ ferentiated for the male and female child. Imaging plays a vital role in investigating the gross anatomy and associated anomalies. Ultrasonography, such as genitography and magnetic resonance, is the primary modality for demonstrat‑ ing internal gonads and genitalia. Early multidisciplinary approach in the management of ambiguous genitalia includ‑ ing early surgical intervention is the predominant practice, with few current considerations on deferral of genital reconstruction until adolescent age. Case presentation: We report the rare case of a 24-year-old adult female from a majority ethnic group of the Volta region, Ghana who was diagnosed and raised as male, now requiring surgical restoration to the female gender. The surgical team decided to assign external genitalia to correspond with the already intact internal organs, thus con‑ structing the vulva. Consent was given by the client and her family members for management and surgical interven‑ tion. The surgery was scheduled and duly performed with a successful outcome. Understanding and consent was sought from the patient for the purpose of using her images for teaching, scientifc publication, and demonstrations. Conclusion: The advantages of deferring surgical reconstruction with psychological counseling after early assess‑ ment need to be considered to prevent inappropriate gender assignment

Source: UG
Ameliorating acid infertile rice soil with organic residue from nitrogen fixing trees

Residues from two nitrogen fixing trees, Albizia zygia and Gliricidia sepium and one non nitrogen fixing tree Samania dinklagei and their combination with 50% of rice husk, were evaluated for their effect on growth and yield of rice (Oryza sativa) varieties (Rok 10 and Rok 23) grown in an Oxisol collected from a rice paddy in Inland valley swamps of Sierra Leone, West Africa. Ground and dried residues were mixed with soil and labelled with N15 ammonium sulfate (9.855% atom excess) at a rate of 10 mg N kg-1 soil. The 32P isotopic exchange method was used to determine the effect of organic residue incorporation on the bioavailable soil P status at five levels of P application. Albizia zygia and G. sepium had higher quality leaf litter (with relatively lower C/N, lignin/N and cellulose/N ratios) whereas Semania dinklagei and rice husk had high carbon. lignin and polyphenolic contents. Application of organic residue had positive effects on the soil available P status at varying degrees. Higher adsorption capacity, kinetic value and mean solution time of phosphates in solution were obtained with the A. zygia, and G. sepium residues. These values were lower with rice husk and S. dinklagei. Gliricidia sepium and A. zygia contributed more nitrogen derived from organic residue than rice husk and S. dinklagei but the mixture of A. zygia and G. sepium with rice husk enhanced N utilization.

Source: UG
Amelioration of experimental colitis by Na-H exchanger-1 inhibitor amiloride is associated with reversal of IL-1β and ERK mitogen-activated protein kinase

Objective. Na-H exchanger-1 (NHE-1) is induced in experimental colitis. It has not yet been established whether its inhibition ameliorates colitis. The effects of amiloride, an inhibitor of NHE-1, on colitis were examined in this study. Levels of mitogen-activated protein (MAP) kinases ERK, p38 and interleukin 1β which participate in intestinal inflammation were also examined in the colonic smooth muscle of rats with colitis. Material and methods. Colitis was induced in Sprague-Dawley male rats by intrarectal administration of trinitrobenzenesulphonic acid (TNBS) and treated daily with amiloride (3, 5, and 10 mg/kg b.w. (body-weight), orally) starting 1 h before induction of colitis. The animals were sacrificed on day 5 post-TNBS. Controls received phosphate buffered saline in a similar manner. Results. The highest dose of amiloride (10 mg/kg) was lethal. The lowest dose (3 mg/kg) was tolerated and was used in this study. Amiloride significantly reversed the colitis-reduced contractility and induction of MPO activity, NHE-1, IL-1β and ERK, but not of p38 in inflamed colonic smooth muscle. Splenomegaly, increased colonic mass and decreased sodium pump activity were significantly reversed by amiloride treatment. There was no recovery of b.w. loss in the treated colitic animals. Urine output was increased, whereas food and water intake remained unchanged following amiloride treatment. Conclusions. These findings suggest that the beneficial effects of NHE-1 inhibition in experimental colitis are mediated through IL-1β and ERK MAP kinase.

Source: UG
Aminoacyl chain translocation catalysed by a type II thioesterase domain in an unusual non-ribosomal peptide synthetase

Non-Ribosomal Peptide Synthetases (NRPSs) assemble a diverse range of natural products with important applications in both medicine and agriculture. They consist of several multienzyme subunits that must interact with each other in a highly controlled manner to facilitate efficient chain transfer, thus ensuring biosynthetic fidelity. Several mechanisms for chain transfer are known for NRPSs, promoting structural diversity. Herein, we report the first biochemically characterized example of a type II thioesterase (TEII) domain capable of catalysing aminoacyl chain transfer between thiolation (T) domains on two separate NRPS subunits responsible for installation of a dehydrobutyrine moiety. Biochemical dissection of this process reveals the central role of the TEII-catalysed chain translocation event and expands the enzymatic scope of TEII domains beyond canonical (amino)acyl chain hydrolysis. The apparent co-evolution of the TEII domain with the NRPS subunits highlights a unique feature of this enzymatic cassette, which will undoubtedly find utility in biosynthetic engineering efforts.

Source: UG
AMMI Stability Analysis and Estimation of Genetic Parameters for Growth and Yield Components in Cassava in the Forest and Guinea Savannah Ecologies of Ghana

yield stability using the additive main effect andmultiplicative interaction (AMMI) analysis.Highly significant (𝑃 < 0.001) effects of genotype, environment, and genotype ∗ environment interactionwere observed for all traits studied.TheAMMIanalysis of variance indicated that genotype accounted for 51% of the total sum of squares for height at first branching followed by environment (33%) and interaction (15%). For fresh root yield, environment effects accounted for 37% of the total sum of squares, whilst genotype and interaction accounted for 32% and 29%, respectively. Genotypic variances for harvest index (HI), plant height, storage root yield, and dry matter content contributed a greater proportion of the phenotypic variance indicating stronger genetic control. This suggests better chance of progress in the genetic improvement of these traits. Genotype MM96/1751 combined high yield with stability according to the yield stability index ranking across environments. On the other hand genotypes UCC 2001/449 and 96/1708 though high yielding were unstable according to AMMI stability value scores. However they can be tested further in more environments to ascertain their specific adaptability for release to farmers for cultivation to boost cassava production and ensure food security.

Source: UG
AMMI Stability Analysis and Estimation of Genetic Parameters for Growth and Yield Components in Cassava in the Forest and Guinea Savannah Ecologies of Ghana

Twenty cassava genotypeswere arranged in a randomised complete block design with three replications and assessed for growth and yield stability using the additive main effect andmultiplicative interaction (AMMI) analysis.Highly significant (𝑃 < 0.001) effects of genotype, environment, and genotype ∗ environment interactionwere observed for all traits studied.TheAMMIanalysis of variance indicated that genotype accounted for 51% of the total sum of squares for height at first branching followed by environment (33%) and interaction (15%). For fresh root yield, environment effects accounted for 37% of the total sum of squares, whilst genotype and interaction accounted for 32% and 29%, respectively. Genotypic variances for harvest index (HI), plant height, storage root yield, and dry matter content contributed a greater proportion of the phenotypic variance indicating stronger genetic control. This suggests better chance of progress in the genetic improvement of these traits. Genotype MM96/1751 combined high yield with stability according to the yield stability index ranking across environments. On the other hand genotypes UCC 2001/449 and 96/1708 though high yielding were unstable according to AMMI stability value scores. However they can be tested further in more environments to ascertain their specific adaptability for release to farmers for cultivation to boost cassava production and ensure food security.

Source: UG
Amodiaquine Resistance in Plasmodium Berghei is Associated with Pbcrt His95Pro Mutation, Loss of Chloroquine, Artemisinin and Primaquine Sensitivity, and High Transcript Levels of Key Transporters [Version 2; Referees: 3 Approved]

Background: The human malaria parasite Plasmodium falciparum has evolved drug evasion mechanisms to all available antimalarials. The combination of amodiaquine-artesunate is among the drug of choice for treatment of uncomplicated malaria. In this combination, a short-acting, artesunate is partnered with long-acting, amodiaquine for which resistance may emerge rapidly especially in high transmission settings. Here, we used a rodent malaria parasite Plasmodium berghei ANKA as a surrogate of P. falciparum to investigate the mechanisms of amodiaquine resistance. Methods: We used the ramp up approach to select amodiaquine resistance. We then employed the 4-Day Suppressive Test to measure the resistance level and determine the cross-resistance profiles. Finally, we genotyped the resistant parasite by PCR amplification, sequencing and relative quantitation of mRNA transcript of targeted genes. Results: Submission of the parasite to amodiaquine pressure yielded resistant line within thirty-six passages. The effective doses that reduced 90% of parasitaemia (ED 90) of the sensitive and resistant lines were 4.29mg/kg and 19.13mg/kg respectively. The selected parasite retained resistance after ten passage cycles in the absence of the drug and freezing at -80ºC for one month with ED 90 of 20.34mg/kg and 18.22mg/kg. The parasite lost susceptibility to chloroquine by (6-fold), artemether (10-fold), primaquine (5-fold), piperaquine (2-fold) and lumefantrine (3-fold). Sequence analysis of Plasmodium berghei chloroquine-resistant transporter revealed His95Pro mutation. We found no variation in the nucleotide sequences of Plasmodium berghei multidrug resistance gene-1 (Pbmdr1), Plasmodium berghei deubiquitinating enzyme-1 or Plasmodium berghei Kelch13 domain. However, high mRNA transcripts of essential transporters; Pbmdr1, V-type/H+ pumping pyrophosphatase-2 and sodium hydrogen ion exchanger-1 and Ca 2+/H + antiporter accompanies amodiaquine resistance. Conclusions: The selection of amodiaquine resistance yielded stable “multidrug-resistant’’ parasites and thus may be used to study shared resistance mechanisms associated with other antimalarial drugs. Genome-wide analysis of the parasite may elucidate other functionally relevant genes controlling AQ resistance in P. berghei.

Source: UG
Amodiaquine-artesunate vs artemether-lumefantrine for uncomplicated malaria in Ghanaian children: a randomized efficacy and safety trial with one year follow-up

Abstract Background Artesunate-amodiaquine (AS+AQ) and artemether-lumefantrine (AM-L) are efficacious artemisinin combination therapy (ACT) regimens that have been widely adopted in sub-Saharan Africa. However, there is little information on the efficacy of these regimens on subsequent episodes beyond 28 days, or on the safety of repeated treatments. Methods Children aged six months to 14 years with uncomplicated malaria were randomly assigned to treatment with AS+AQ (n = 116), or AM-L (n = 111). Recruited subjects were followed-up, initially for 28 days, and then monthly for up to one year. All subsequent attacks of uncomplicated malaria after 28 days were treated with the same regimen as at randomization. Investigations aimed at determining efficacy and side effects were conducted. Results Adequate clinical and parasitological response in subjects with evaluable end-points were, 97.1% (100/103) and 98.2% (107/109) on day 14, and 94.2% (97/103) and 95.3% (102/107) on day 28 in the AM-L and AS+AQ groups, respectively. Similar results were obtained after PCR correction. The incidence of malaria attacks in the year following recruitment was similar between the two treatment groups (p = 0.93). There was a high incidence of potentially AQ-resistant parasites in the study area. The incidence of adverse events, such as pruritus, fatigue and neutropaenia were similar in the two treatment groups. No patient showed signs of hearing impairment, and no abnormal neurological signs were observed during one year of follow-up. Other adverse events were mild in intensity and overlapped with known malaria symptomatology. No adverse event exacerbation was observed in any of the subjects who received multiple treatment courses with these ACT regimens during one year follow-up. Conclusion AS+AQ and AM-L were efficacious for treatment of children with uncomplicated malaria in Ghana and drug-related adverse events were rare in treated subjects during one year of follow-up. The high prevalence of potentially AQ resistant parasites raises questions about the utility of AQ as a partner drug for ACT in Ghana. The efficacy of AS+AQ in Ghana requires, therefore, continuous monitoring and evaluation. Trial registration NCT 00406146 http://www.clinicaltrials.gov

Source: UG
Amoebae as Potential Environmental Hosts for Mycobacterium ulcerans and Other Mycobacteria, but Doubtful Actors in Buruli Ulcer Epidemiology

The Bacteriology Department aims to improve the quality of life first for Ghanaians and the world at large by conducting research into bacterial diseases of public health importance to Ghana and globally. In addition to working on enteric pathogens and sexually transmitted diseases, the department’s current main focus is on the two most important mycobacterial diseases of public health importance to Ghana, namely Buruli ulcer (BU) and tuberculosis (TB).

Source: UG
Amphibole as a witness of chromitite formation and fluid metasomatism in ophiolites

Here we present new occurrences of amphibole in a suite of chromitites, dunites, and harzburgites from the mantle sequence of the Lycian ophiolite in the Tauride Belt, southwest Turkey. The amphibole occurs both as interstitial grains among the major constituent minerals and as inclusions in chromite grains. The interstitial amphibole shows generally decreasing trends in Na2O and Al2O3 contents from the chromitites (0.14–1.54 wt% and 0.04–6.67 wt%, respectively) and the dunites (0.09–2.37 wt%; 0.12–11.9 wt%) to the host harzburgites (<0.61 wt%; 0.02–5.41 wt%). Amphibole inclusions in chromite of the amphibole-bearing harzburgites are poorer in Al2O3 (1.12–8.86 wt%), CaO (8.47–13.2 wt%), and Na2O (b.d.l.–1.38 wt%) than their counterparts in the amphibole-bearing chromitites (Al2O3 = 6.13–10.0 wt%; CaO = 12.1–12.9 wt%; Na2O = 1.11–1.91 wt%). Estimated crystallization temperatures for the interstitial amphibole grains and amphibole inclusions range from 706 to 974 °C, with the higher values in the latter. A comparison of amphibole inclusions in chromite with interstitial grains provides direct evidence for the involvement of water in chromitite formation and the presence of hydrous melt/fluid metasomatism in the peridotites during initial subduction of Neo-Tethyan oceanic lithosphere. The hydrous melts/fluids were released from the chromitites after being collected on chromite surfaces during crystallization. Different fluid/wall rock ratios are thought to have controlled the crystallization and composition of the Lycian amphibole and the extent of modification of the chromite and pyroxene grains in the peridotites. Considering the wide distribution of podiform chromitites in this ophiolite, the link between chromitite formation and melt/fluid metasomatism defined in our study may be applicable to other ophiolites worldwide.

Source: UG
Amplification of GTP-cyclohydrolase 1 gene in Plasmodium falciparum isolates with the quadruple mutant of dihydrofolate reductase and dihydropteroate synthase genes in Ghana

Sulfadoxine-pyrimethamine (SP) is used as malaria chemoprophylaxis for pregnant women and children in Ghana. Plasmodium falciparum resistance to SP is linked to mutations in the dihydropteroate synthase gene (pfdhps), dihydrofolate reductase gene (pfdhfr) and amplification of GTP cyclohydrolase 1 (pfgch1) gene. The pfgch1 duplication is associated with pfdhfr L164, a crucial mutant for high level pyrimethamine resistance which is rare in Ghana. The presence of amplified pfgch1 in Ghanaian isolates could be an indicator of the evolution of the L164 mutant. This study therefore determined the pfgch1 copy number variations and SP resistance mutations in clinical isolates from Ghana. One hundred and ninety-two (192) blood samples collected from children aged ≤14 years with uncomplicated malaria in 2013–14 and 2015–16 were used. Quantitative real-time polymerase chain reaction (qRT-PCR) was used to detect the pfgch1 copy number and nested PCR-Sanger sequencing used to detect mutations in pfdhps and pfdhfr genes. Twelve parasites (6.3%) harbored double copies of the pfgch1 gene out of the 192 samples. Of the 12, 75% had the pfdhfr I51-R59-N108, 92% had the pfdhps G437 mutant, 8% had the pfdhps E540 and 67% had the SP resistance haplotype IRNG. No L164 was detected in samples with amplified pfgch1. The rare T108 mutant associated with cycloguanil resistance showed predominance (60%) over N108 in the 2015–16 isolates. The observation of parasites with increased copy number of pfgch1 gene is indicative of the future evolution of the rare quadruple pfdhfr mutant, I51-R59-N108-L164, in Ghanaian parasites. Mutant pfdhps isolates also had increased gch1 copy number suggestive that it may also facilitate sulphadoxine resistance. The selection of parasites with pfgch1 gene amplification will enhance the sustenance and persistence of parasites with SP resistance in the country. Policy makers need to begin the search for a replacement chemoprophylaxis drug for malaria vulnerable groups in Ghana.

Source: UG
An Absorptive Capacity Perspective of Organizational Learning Through Social Media: Evidence From the Ghanaian Fashion Industry

The Absorptive Capacity Theory was used as the theoretical lens for this study to help analyze how organizations absorb new knowledge using social media tools and applications. A survey of fashion designers and employees numbering 196 was carried out in 55 fashion firms whereas two fashion firms were used in a case study. Data analysis was performed using Structural Equation Modelling. The findings from the study suggest that Ghanaian fashion designers do not intensively use social media to assimilate knowledge but rather to acquire, transform, and exploit knowledge. The popular social media applications include; Facebook, Twitter, and Instagram. Facebook, for instance, is used daily by most Ghanaians.

Source: UG
An Adjuvant Formulation Containing Toll-Like Receptor 7 Agonist Stimulates Protection Against Morbidity And Mortality Due To Anaplasma Marginale In A Highly Endemic Region Of West Africa.

Efficient cattle production and provision of animal-sourced foods in much of Africa is constrained by vector-borne bacterial and protozoal diseases. Effective vaccines are not currently available for most of these infections resulting in a continuous disease burden that limits genetic improvement. We tested whether stimulation of innate immunity using the Toll-like Receptor (TLR) 7 agonist imiquimod, formulated with saponin and water-in-oil emulsion, would protect against morbidity and mortality due to Anaplasma marginale, a tickborne pathogen of cattle highly endemic in west Africa. In Trial 1, haplotype matched Friesian x Sanga (F1) A. marginale negative calves were allocated to either the experimental group (n = 10) and injected with the synthetic TLR 7 agonist/saponin formulation or to an untreated control group (n = 10). TLR7 agonist/saponin injected calves responded with significantly elevated rectal temperature, enlarged regional lymph nodes, and elevated levels of IL-6 post-injection as compared to control group calves. All calves were then allowed to graze in pasture for natural exposure to tick transmission. All calves in both groups acquired A. marginale, consistent with the high transmission rate in the endemic region. The need for antibiotic treatment, using pre-existing criteria, was significantly lower in the experimental group (odds ratio for not requiring treatment was 9.3, p = 0.03) as compared to the control group. Despite treatment, 6/10 calves in the control group died, reflecting treatment failures that are typical of anaplasmosis in the acute phase, while mortality in the experimental group was 1/10 (odds ratio for survival was 13.5, p = 0.03). The trial was then repeated using 45 Friesian x Sanga calves per group. In Trial 2, the odds ratios for preventing the need for treatment and for mortality in the TLR7 agonist/saponin experimental group versus the control group were 5.6 (p = 0.0002) and 7.0 (p = 0.004), respectively, reproducing the findings of the initial trial. Together these findings demonstrate that innate immune stimulation using a TLR7 agonist formulated with saponin and water-in-oil emulsion provides significant protection against disease caused by tick borne A. marginale in highly susceptible cross-bred cattle, critically important for their potential to increase productivity for small holder farmers in Africa.

Source: UG