Sacubitril/Valsartan Improves Diastolic Function But Not Skeletal Muscle Function in a Rat Model of HFpEF

The angiotensin receptor/neprilysin inhibitor Sacubitril/Valsartan (Sac/Val) has been shown to be beneficial in patients suffering from heart failure with reduced ejection fraction (HFrEF). However, the impact of Sac/Val in patients presenting with heart failure with preserved ejection fraction (HFpEF) is not yet clearly resolved. The present study aimed to reveal the influence of the drug on the functionality of the myocardium, the skeletal muscle, and the vasculature in a rat model of HFpEF. Female obese ZSF-1 rats received Sac/Val as a daily oral gavage for 12 weeks. Left ventricle (LV) function was assessed every four weeks using echocardiography. Prior to organ removal, invasive hemodynamic measurements were performed in both ventricles. Vascular function of the carotid artery and skeletal muscle function were monitored. Sac/Val treatment reduced E/é ratios, left ventricular end diastolic pressure (LVEDP) and myocardial stiffness as well as myocardial fibrosis and heart weight compared to the obese control group. Sac/Val slightly improved endothelial function in the carotid artery but had no impact on skeletal muscle function. Our results demonstrate striking effects of Sac/Val on the myocardial structure and function in a rat model of HFpEF. While vasodilation was slightly improved, functionality of the skeletal muscle remained unaffected.     

Reproductive biology knowledge, and behaviour of teenagers in East, Central and Southern Africa: the Zimbabwe case study

Sexuality in the teenager is often complicated by unplanned/unwanted pregnancy, abortion and the risks of STDs including AIDS. There is therefore a need for improved understanding of factors affecting adolescent sexuality and the implementation of programmes designed to improve their knowledge, risk awareness and subsequent behavioural outcomes. A multicentre study of reproductive health knowledge and behaviour followed by a health education intervention was undertaken amongst teenagers in selected countries of East, Central and Southern Africa. Reported here are findings at baseline derived from the Zimbabwe component on reproductive biology knowledge and behavior. A self-administered questionnaire was used among 1 689 adolescent pupils drawn from rural, urban, co-education, single sex, boarding and day secondary schools in Zimbabwe. Correct knowledge on reproductive biology as measured by the meaning and interpretation of menstruation and wet dreams varied by school from 68 pc to 86 pc, with a significant trend (p < 0,01) based on level of education at baseline. The reported mean age at which menarche took place was 13,5 years +/- 1,3 (mean +/- SD). First coitus was reported to have taken place at the mean age of 12 years for boys and 13,6 years for girls. Seventeen pc of the adolescent pupils reported that they were sexually experienced and 33,2 had relationships. There were misconceptions reported on menstruation with 23 pc reporting that it was an illness. Peers, followed by magazines were the first sources of information on various aspects of reproductive biology, both of which might not provide the correct first information. Among pupils reporting that they were sexually experienced, the largest proportion (56 pc) had unprotected sex. The findings point to the need for targeting the adolescent pupils for information on reproductive biology and increased awareness on the risks of pregnancy, STDs and HIV.     

Water Allocation as a Planning Tool to Minimise Water Use Conflicts in the Upper Ewaso Ng’iro North Basin, Kenya

Inadequate water resources management and a general decline in rainfall have aggravated water scarcity problems in the Upper Ewaso Ng’iro North Basin in Kenya. Furthermore, water use conflicts in the basin have escalated in recent decades due to increased competition for available water resources. Excessive abstraction of the declining river water mainly for irrigation in the Mount Kenya and Nyandarua foot zones often leads to reduced water flow during the dry seasons, greatly affecting downstream water users. Increased water use in the basin coupled with deterioration of the vegetative cover has resulted in reduced water flows in the Ewaso Ng’iro river and its major tributaries. In addition, lack of sufficient knowledge about available water resources and current lack of coordination in water resources management in the basin often result in water deficits which have hampered development in the downstream catchment. The goal of this study was to match the water requirements of various competing sectors in the basin with the available water resources in order to attain both economic and ecological sustainability. To achieve this, GIS techniques were used to quantify the spatial and temporal stream flow. The Water Evaluation and Planning (WEAP) model was applied to evaluate water resources development based on an equilibrium scenario of the current water demand. Water use was simulated for five different sectors (domestic, livestock, wildlife, irrigation and reserve). The analyses revealed that high water demand for irrigation was the main cause of excessive water abstraction particularly in the upstream catchments, giving rise to water shortages and consequently, water use conflicts downstream. The study, therefore, recommends that rainwater harvesting be promoted in the basin in order to improve water availability for productive use.     

Asphyxia of the newborn in east, central and southern Africa

Very scanty information is available in East, Central and Southern Africa on the incidence and risk factors associated with asphyxia of the newborn. A multicentre prospective study involving 4267 deliveries in eight countries was undertaken over a three month period, in maternity units of the central hospitals to determine the incidence; maternal, service and logistic risk factors for asphyxia of the newborn as determined by an abnormally low apgar score. 30% of births were by primigravida mothers, of whom 67% were teenagers. A birth by a teenager had a higher risk for low birth weight. Overall incidence of low birth weight was 13.9%. The overall incidence of asphyxia of the newborn was 22.9% while that associated with low birth weight (i.e. babies weighing less than 2500 grams) was 29.3% compared with 21.5% among the normal birth weight babies. Low birth weight contributed a large proportion of the high neonatal mortality of 15.9% compared to 1.8% for normal birth weight babies by 24 hours after birth. The mean mortality by 24 hours post delivery was 3.8%. Obstetrical complications are important risk factors for asphyxia of the newborn. Among the important risk factors are those associated with prolonged labour and intra partum accidents. The incidence of risk for asphyxia broadly was 21.3%, which is very close to the actual incidence of asphyxia of 22%. Lack of referral contributed to increased risk of asphyxia. In a significant proportion of infants, resuscitation measures taken were inappropriate. The stillbirth rate was 3.0% while the incidence of externally evident congenital malformations was 1.2%. There is urgent need to institute appropriate measures to prevent and manage asphyxia of the newborn in the region. These should include identification of the at risk mother, proper referral and management while adhering to correct established procedures. There is also need to develop appropriate and relevant technologies for perinatal and neonatal care through research undertaken in the region. It is also concluded that the co-operation and joint effort between the obstetricians, paediatricians and the nursing staff who all contributed to the collection of this data is a cost effective approach to research in perinatal health and consequently in instituting interventions.     

Development and evaluation of oil in water nanoemulsions based on polyether silicone as demulsifier and antifoam agents for petroleum

Oil in water (o/w) nanoemulsions were synthesized in order to be evaluated as an alternative to petroleum emulsions destabilization processes and inhibition of foam formed in the crude oil. The nanoemulsions were prepared by the high energy method through High Pressure Homogenizer (HPH), utilizing poly(propylene glycol) (PPG) and xylene solvent as oil phase and different polarity polyether silicone surfactants samples. These nanoemulsions were evaluated in respect to their efficiency in the petroleum demulsification process. The results of these tests showed that nanoemulsions performance on the destabilization of petroleum emulsions is influenced by the utilized surfactant's polarity. The nanoemulsions and pure samples of PPG and xylene solvent were evaluated concerning capacity of formed foam inhibition in petroleum (antifoam test), and the results showed no significant influence of samples on foam stability. Petroleum/saline water added interfacial tension measurements, added or not the nanoemulsions were executed and showed that the additives adsorption in the interface is related to the surfactant's polarity and nanoemulsion drop size. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40889.