AAS Open Research

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EISSN : 25159321
Current Publisher: F1000 Research Ltd (10.12688)
Total articles ≅ 86
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Published: 19 March 2020
AAS Open Research; doi:10.12688/aasopenres

Rodgers Ayebare, Peter Waitt, Stephen Okello, Mubaraka Kayiira, Maureen Atim Ajok, Irene Nakatudde, Nahid Bhadelia, Mohammed Lamorde
Published: 18 March 2020
AAS Open Research, Volume 3; doi:10.12688/aasopenres.13052.1

The emergence of SARS-CoV-2 in China and transmission to more than 80 territories worldwide, including nine countries in Africa, presents a delicate situation for low-resource settings. Countries in Eastern and Central Africa have been on high alert since mid-2018 in anticipation of regional spread of the Ebola virus from the Democratic Republic of Congo. Significant investment has been made to support enhanced surveillance at point of entry and hospitals, infection control practices, clinical case management, and clinical research. With a new threat on the horizon, African countries have an opportunity to leverage the existing capacities for Ebola preparedness to brace for the imminent threat.
Olujide Arije, Temitope Ojo, Rachel Titus, Oluwatoyin Alaba, Abiodun Adegbenro, Fatou Jah, Scott Connolly, Adedeji Onayade
Published: 10 March 2020
AAS Open Research, Volume 3; doi:10.12688/aasopenres.13047.1

Background: Community dialogue around abortion in Nigeria often revolves around legality and morality. Termination of pregnancy is a criminal offense except in instances where the mother’s health is in jeopardy. Young people bear a huge burden of adverse outcomes from induced abortions in Nigeria therefore viable interventions are needed. This study explored adolescents and young people’s perceptions about abortion in three selected states in southwest Nigeria. Methods: This study is part of larger formative audience research (FAR) to gather information about the lives of married and unmarried adolescents and young persons in the study area to support the development of understandable, high-quality, and culturally appropriate radio serial dramas in the local language (Yoruba). We conducted 16 focus group discussion sessions that included questions on abortion among eligible male and female participants aged 15 – 25 years. This section of the discussion guide on abortion consisted of a set of open‐ended questions posed concerning the vignette of a young girl who was seeking to terminate a pregnancy. All discussions where transcribed verbatim and analyzed by thematic content analysis using ATLAS.ti 8 software. Results: Young people indicated that the general public looks unfavorably on abortion. However, personal opinions were likely to be based on whether the person was directly involved, as female participants were more open to the issue than males. Some female participants also indicated that compared with adults, young people had greater negative experiences when procuring abortion ranging from higher cost to stigmatization. Conclusions: In a background of restrictive abortion laws, negative societal perceptions about abortion and adverse outcomes associated with illegal abortion, young people are the most at risk of the harmful outcomes of procuring abortion in Nigeria. More innovative approaches are required to promote healthy sexual and reproductive health (SRH) among young people in Nigeria.
Marlyn C. Faure, Ambroise Wonkam, Jantina De Vries
Published: 21 February 2020
AAS Open Research, Volume 3; doi:10.12688/aasopenres.13045.1

In the context of African genomics research, community engagement has emerged as a powerful means to enhance genomic education of the public and anticipate ethical challenges in relation to increasing genomic research on the African continent. We report our experiences of using narrative genomics, a drama-based community engagement method, to engage scientific and lay communities about ethical and social challenges related to the return of individual genetic research results in genomic research. The method uses set scripts, which audience members act out and thereafter engage in a series of ethical dilemmas presented in the script. In this paper, we describe the steps we took to change the original scripts to make them more suitable for a South African audience. We found the method to be relatively effective at engaging audiences in South Africa. While the changes in the South African versions appear minor, through our experience in trying to change the scripts to make them relatable to a South African audience, we observed that were limits to how much of the script we could change if the narrative was still to be effective as a community engagement method. While this method and the original scripts are incredibly helpful, new scripts must be developed for African audiences, and these could potentially be more impactful as a community engagement tool in different local contexts.
Susan Rudahindwa, Leéon Mutesa, Eugene Rutembesa, Jean Mutabaruka, Annie Qu, Derek E. Wildman, Stefan Jansen, Monica Uddin
Published: 14 January 2020
AAS Open Research, Volume 1; doi:10.12688/aasopenres.12848.2

Background: A number of studies have investigated transgenerational effects of parental post-traumatic stress disorder (PTSD) and its repercussions for offspring. Few studies however, have looked at this issue in the African context. Methods: The present study addresses this gap by utilizing a Pearson correlation matrix to investigate symptom severity within the three Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) PTSD symptom domains in mothers exposed to the genocide against the Tutsi in Rwanda (n=25) and offspring (n=25), and an ethnically matched set of controls (n=50) who were outside of Rwanda during the 1994 genocide. All mothers were pregnant with the offspring included in the study during the time of the genocide. Results: Total PTS score was significantly (pNR3C1) locus, an important stress modulating gene, and PTSD symptom domains, finding an association between DNA methylation and re-experiencing among genocide-exposed mothers that exceeded any other observed associations by approximately two-fold. Conclusions: This is the first report, to our knowledge, of a symptom-based analysis of transgenerational transmission of PTSD in sub-Saharan Africa. These findings can be leveraged to inform further mechanistic and treatment research for PTSD.
Jonathan Nsamba, Swaib A Lule, Benigna Namara, Christopher Zziwa, Hellen Akurut, Lawrence Lubyayi, Florence Akello, Josephine Tumusiime, Alison M. Elliott, Emily L. Webb
Published: 9 January 2020
AAS Open Research, Volume 2; doi:10.12688/aasopenres.12947.2

Background: There is limited data from Africa on the effect of pre- and post-natal growth and infant feeding on later body composition. This study's aim was to investigate the effect of birth weight, exclusive breastfeeding and infant growth on adolescent body composition, using data from a Ugandan birth cohort. Methods: Data was collected prenatally from pregnant women and prospectively from their resulting live offspring. Data on body composition (fat mass index [FMI] and fat free mass index [FFMI]) was collected from 10- and 11-year olds. Linear regression was used to assess the effect of birth weight, exclusive breastfeeding and infant growth on FMI and FFMI, adjusting for confounders. Results: 177 adolescents with a median age of 10.1 years were included in analysis, with mean FMI 2.9 kg/m2 (standard deviation (SD) 1.2), mean FFMI 12.8 kg/m2 (SD 1.4) and mean birth weight 3.2 kg (SD 0.5). 90 (50.9%) were male and 110 (63.2%) were exclusively breastfeeding at six weeks of age. Birth weight was associated with FMI in adolescence (regression coefficient β= 0.66 per kg increase in birth weight, 95% confidence interval (CI) (0.04, 1.29), P=0.02), while exclusive breastfeeding (β= -0.43, 95% CI (-1.06, 0.19), P=0.12), growth 0-6 months (β= 0.24 95% CI (-0.43, 0.92), P=0.48) and growth 6-12 months (β= 0.61, 95% CI (-0.23, 1.46), P=0.11) were not associated with FMI among adolescents. Birth weight (β= 0.91, 95% CI (0.17, 1.65), P=0.01) was associated with FFMI in adolescence. Exclusive breastfeeding (β= 0.17, 95% CI (-0.60, 0.94), P=0.62), growth 0-6 months (β= 0.56, 95% CI (-0.20, 1.33), P= 0.10), and growth 6-12 months (β= -0.02, 95% CI (-1.02, 0.99), P=0.97) were not associated with FFMI. Conclusions: Birth weight predicted body composition parameters in Ugandan early adolescents, however, exclusive breastfeeding at six weeks of age and growth in infancy did not.
Malik Orou Seko, Walter Ossebi, Gnamien Sylvain Traoré, Andrée Prisca Ndjoug Ndour, Jasmina Saric, Gilbert Fokou, Daouda Dao, Bassirou Bonfoh
Published: 12 December 2019
AAS Open Research, Volume 2; doi:10.12688/aasopenres.12953.2

Background: In recent years, a profound transformation has been observed in the eating habits of the populations of African cities, induced by accelerated socioeconomic and demographic growth. In Senegal, these changes have manifested in the proliferation of collective informal catering enterprises, such as the ‘dibiteries’, where the roasted meat of sheep is prepared and sold. The rise of the average household income has contributed substantially to increasing levels of meat consumption, leading to the expansion of the dibiteries. The purpose of the current work was to evaluate the managerial performance of these establishments in Dakar, Senegal. Methods: To achieve this, a cross-sectional study was conducted among 152 dibiteries using a questionnaire. Efficiency scores were determined via the data envelopment analysis method. The pure technical scores thereby obtained were subsequently used as dependent variables in a Tobit model to identify the socioeconomic determinants of dibiterie efficiency. Results: The resulting average score of the dibiteries suggests that the majority are operating inefficiently (79.6%). Moreover, it was demonstrated that this inefficiency seems to be related to scale rather than technical issues. However, few of the dibiteries assessed (20.4%) were nevertheless in a situation of constant scale economy. Among the socioeconomic variables tested, experience, leadership (family or individual-run), the ownership status of the restaurant building (own or lease) and the type of workforce (family, recruited, mixed or without) had a significant impact on the efficiency of the establishments. Conclusions: The scale economy and waste reduction in food production can result in economic gains that can in turn be used in the safety of finished products. Indeed, by following best practices, dibiteries can make gains which could be used to invest in good hygiene practices on handwashing, cleaning and disinfecting grilling tools, optimizing work space and training staff.
Eucharia O. Nwaichi, Eka B. Essien, Uzoamaka Chinonso Ibe
Published: 11 December 2019
AAS Open Research, Volume 2; doi:10.12688/aasopenres.12967.2

Background: This study evaluated the effect of Beta vulgaris (beetroot) smoothie on some biochemical parameters on dimethyl 2,2-dichlorovinyl phosphate (DDVP, known as dichlorvos)-exposed albino Wistar rats. Methods: A total of 30 rats of both sexes were grouped into five groups of six animals each. Group I served as the negative control and were not exposed to dichlorvos. Group II served as the positive control and were exposed to dichlorvos but received no smoothie. Group III received 500 mg/kg body weight beetroot smoothie and was not exposed to dichlorvos. Groups IV and V were exposed to dichlorvos but received beetroot before and after exposure, respectively. At the end of the 6-week experiment, the animals were euthanized, the blood samples collected for some biochemical assays while the organs (kidney and liver) were harvested and subjected to histopathological examination. Results: From the biochemical assay, it was observed that the beetroot smoothies regulated and significantly reduced the elevated levels of AST, ALT, urea and creatinine observed in the animals that were exposed to dichlorvos. Additionally, the beetroot was able to regenerate the liver and kidney organs that were damaged on exposure to dichlorvos. Conclusion: This study concluded that beetroot smoothie possesses hepato-protective, hepato-curative as well as nephro-curative properties.
Francis Kobia, Jesse Gitaka, Francis Makokha, Moses Kamita, Joshua Kibera, Cynthia Mwenda, Gladys Mucee, Bactrin Kilingo
Published: 3 December 2019
AAS Open Research, Volume 2; doi:10.12688/aasopenres.13027.1

Background: It is projected that by 2030, 70% of all cancer related deaths will occur in low-middle income countries. However, data on the state of cancer in most African countries is scanty. Cancer estimates for Kenya are based on the Nairobi and Eldoret cancer registries, leaving most parts of the country unrepresented. Lacking national coverage, these data do not accurately reflect Kenya’s cancer burden. The paucity of reliable data impedes formulation of effective cancer control strategies and cancer research prioritization. Here, we report the findings of a retrospective study of the cancer state in Meru County, Kenya. Methods: A retrospective analysis of patient files at Meru hospice was carried out. 2349 cancer cases seen at the Meru hospice between 2003 and 2018 were analyzed. Data abstracted from the records included patient age, gender and cancer type. The abstracted data was analyzed by descriptive statistics. Results: Our results indicate that cancer is almost evenly distributed across genders, with men accounting for 49% and women 51%. Stomach cancer rates are strikingly elevated and equal to those in countries with the highest stomach cancer rates globally – making it the commonest cancer in this region (14%). Among men, the most common cancers affect the prostate (18%), stomach (17%), esophagus (14%), head & neck (12%), liver (8%) and colorectum (5%). Among women, the commonest are cancers of the breast (22%), cervix (20%), stomach (11%), esophagus (8%), head & neck (6%) and liver (5%). Breast cancer occurs at a notably early age, with 20% of those affected aged below 40. Lung cancer rates are notably low in this region (1.3%) relative to world estimates. Conclusion: Cancer distribution in Meru is nearly even between sexes. Our analysis suggests that the Meru region is a stomach cancer hotspot and that it also experiences elevated esophageal cancer levels.
Samuel Kekeli Agordzo, Kingsley Badu, Mathew Glover Addo, Christian Kwasi Owusu, Abdul-Hakim Mutala, Austine Tweneboah, Abbas Dawood Ackom, Nana Kwame Ayisi-Boateng
Published: 26 November 2019
AAS Open Research, Volume 2; doi:10.12688/aasopenres.13022.1

Background: Toxoplasma gondii is an obligate, intracellular, apicomplexan parasite that causes toxoplasmosis. Although the global prevalence of toxoplasmosis has been estimated to be approximately 30%, there is limited seroprevalence data in Ghana, with a dearth of information on the impact of T. gondii on haematological parameters in exposed persons. Methods: Questionnaires were administered to 300 consenting individuals to obtain demographic information and assessment of their risk of exposure to T. gondii. Using anti-T. gondii IgG/IgM combo test kits, seropositivity to parasite-specific IgG and/or IgM was determined. A haematological analyser was used to measure haematological parameters. Results: The participants included 58 males and 242 females, and ranged in age from 6 months to 84 years, with a median age of 27 years. There was an overall seroprevalence of 50.3% (n=151), with 49.7% (n=149) of the study participants seropositive for IgG and 1% (n=3) testing positive for IgM. Furthermore, the observed seroprevalence among pregnant women was 56.4% (n=62). With regards to the different communities in which the hospitals were located, a seroprevalence of 55.6% was observed in the rural community, 50.6% in the peri-urban community and 47.1% in the urban community. The study identified cat ownership, contact with cat litter [RR (95% CI: 1.76 (1.23-2.53), 1.66 (1.03-2.67), 1.25(1.00-1.57)] and age (p Conclusions: About half of the study population, including a significant number of women of reproductive age carried antibodies against T. gondii, raising questions about the risk of congenital toxoplasmosis, as well as possible links to anaemia. We, therefore, recommend that screening for Toxoplasma gondii be included in the routine screening of pregnant women seeking antenatal care.