The Relationship Between Adverse Childhood Experiences and Diabetes in Central Michigan Adults

Objective: Adverse childhood experiences (ACEs) predispose individuals to poor health outcomes as adults. Although a dose-response relationship between the number of ACEs and certain chronic illnesses has been shown, the impact of ACEs on diabetes is not thoroughly understood. We investigated the prevalence of ACEs in patients with diabetes and the potential relationship to the severity of diabetes.Methods: Patients with diabetes (both type 1 and type 2) or obesity were surveyed from the Endocrinology & Diabetes Center at McLaren Central Michigan in Mount Pleasant, Michigan. A validated, standard ACE questionnaire was administered to quantify the number of adverse childhood events that patients have experienced. A retrospective chart analysis was then conducted, addressing the relationship of ACEs with the severity of disease in the diabetes group and the obesity group. The number of ACEs was correlated with disease comorbidities, complications, and measurable quantities, such as body mass index (BMI) and hemoglobin A1c (HbA1c).Results: ACE scores in both diabetes and obesity groups were shown to have a greater prevalence compared to the general ACE average in Michigan. ACE scores also positively correlated to BMI and HbA1c in the diabetes group. Those with higher ACE scores in the diabetes group were also more likely to have depression and anxiety.Conclusion:ACE screening may lead to a greater understanding of the severity of and progression of diabetes. Ultimately, these results could provide support to potential interventional studies leading to the altered management of diabetes in patients with ACEs, or preventative intervention to children with ACEs.Abbreviations: ACE = adverse childhood experiences; BMI = body mass index; HbA1c = hemoglobin A1c; T1DM = type 1 diabetes mellitus; T2DM = type 2 diabetes mellitus     

Research needs for lion conservation in West and Central Africa

The lion has historically probably been widespread at low densities in West and Central Africa, nowadays they are largely restricted to small isolated populations inside protected areas. The total number is probably between 1200 and 2700, the best possible guesstimate would be 1700. Mankind is the main cause for the suspected decline of lion populations, both inside and outside protected areas. Very little research has been done on West and Central African lions a few examples are summarized here. The international community is slowly becoming aware of threats to lions in the region and some initiatives for lion conservation have started.     

Shifts in Mycobacterial Populations and Emerging Drug-Resistance in West and Central Africa

In this study, we retrospectively analysed a total of 605 clinical isolates from six West or Central African countries (Benin, Cameroon, Central African Republic, Guinea-Conakry, Niger and Senegal). Besides spoligotyping to assign isolates to ancient and modern mycobacterial lineages, we conducted phenotypic drug-susceptibility-testing for each isolate for the four first-line drugs. We showed that phylogenetically modern Mycobacterium tuberculosis strains are more likely associated with drug resistance than ancient strains and predict that the currently ongoing replacement of the endemic ancient by a modern mycobacterial population in West/Central Africa might result in increased drug resistance in the sub-region.     

Three new desmid taxa from West Africa,including two asymmetrical forms

Micrasterias echinata sp. nov., from Sierra Leone, is a species believed to be unique among the symmetrical members of the genus in having all the processes paired about the frontal plane of symmetry, none being in the plane itself. Euastrum bombayense Brandham nom. nov. var. gracile var. nov. and Cosmarium dolabriforme sp. nov., from Nigeria, both show marked asymmetry.     

Ecohealth and Aboriginal Testimony of the Nexus Between Human Health and Place

The spread of industrial civilizations has been particularly traumatic for the last remaining hunter-gatherer societies. Manifestations of this include expatriation from ancestral lands, sickness, poverty, and environmental degradation. Northern Australia has been no exception despite remaining a stronghold of Aboriginal cultures and still containing vast areas of relatively intact landscapes. Most Aboriginal people reside in remote settlements where they remain on the negative extreme of basic indicators such as life expectancy and educational attainment. In addition, biodiversity declines are being documented from loss of Aboriginal fire management and invasion by feral species. There has been little consideration of potential health, social, economic, or environmental benefits of routinely hunting, gathering or being on their land. This reflects a Western philosophical position that segregates land management and health policy, a view at odds with Aboriginal peoples’ testimony of the indivisibility of people and land. Here we report perspectives from Arnhemland gathered through observation and unstructured and semistructured interviews. Themes that emerged included the high level of detailed, complex knowledge of their traditionally owned lands, the perceived urgency about passing this on to younger people, and the need that both land and people have for each other for the well-being of both. Primary motivations for returning to traditional lands were gathering food, escaping from stresses, and educating young people. The many barriers included no transport, family problems, frequent funerals, and other cultural or family obligations. This work forms part of a larger transdisciplinary research program that aims to inform policy about sustainable futures in northern Australia.     

Autosomal and mtDNA Markers Affirm the Distinctiveness of Lions in West and Central Africa

The evolutionary history of a species is key for understanding the taxonomy and for the design of effective management strategies for species conservation. The knowledge about the phylogenetic position of the lion (Panthera leo) in West/Central Africa is largely based on mitochondrial markers. Previous studies using mtDNA only have shown this region to hold a distinct evolutionary lineage. In addition, anthropogenic factors have led to a strong decline in West/Central African lion numbers, thus, the conservation value of these populations is particularly high. Here, we investigate whether autosomal markers are concordant with previously described phylogeographic patterns, and confirm the unique position of the West/Central African lion. Analysis of 20 microsatellites and 1,454 bp of the mitochondrial DNA in 16 lion populations representing the entire geographic range of the species found congruence in both types of markers, identifying four clusters: 1) West/Central Africa, 2) East Africa, 3) Southern Africa and 4) India. This is not in line with the current taxonomy, as defined by the IUCN, which only recognizes an African and an Asiatic subspecies. There are no indications that genetic diversity in West/Central Africa lions is lower than in either East or Southern Africa, however, given this genetic distinction and the recent declines of lion numbers in this region, we strongly recommend prioritization of conservation projects in West/Central Africa. As the current taxonomic nomenclature does not reflect the evolutionary history of the lion, we suggest that a taxonomic revision of the lion is warranted.     

Relationship Between Small-game Hunting and Carnivore Diversity in Central Spain

Small-game hunting plays an important economic role in central Spain and some game species are key food resources for threatened predators. Small carnivores may reduce numbers of important game species. To alleviate predation pressure on game populations, management is often focused on predator control. Control methods can be non-selective, and so could potentially have a negative impact on non-target carnivore species, affecting carnivore guild composition and diversity. Using data on carnivore diversity in 70 quadrants (5 × 5 km) in a large area of central Spain with two main land uses (small-game hunting and a mixture of big-game hunting and forestry), we assessed how game management was related to carnivore diversity. Carnivore species richness was significantly lower in those areas managed for small-game hunting than in areas where other land uses predominated. The apparently least affected species by predator control was the red fox (Vulpes vulpes), the main target species of predator control. Results suggested that low carnivore species richness was linked to small-game hunting activities, which was probably associated with non-selective predator control practices. Therefore, in order to reconcile carnivore conservation and economic goals it is imperative to develop and to evaluate selective predator control techniques.     

New evidence for hybrid zones of forest and savanna elephants in Central and West Africa

The African elephant consists of forest and savanna subspecies. Both subspecies are highly endangered due to severe poaching and habitat loss, and knowledge of their population structure is vital to their conservation. Previous studies have demonstrated marked genetic and morphological differences between forest and savanna elephants, and despite extensive sampling, genetic evidence of hybridization between them has been restricted largely to a few hybrids in the Garamba region of northeastern Democratic Republic of Congo (DRC). Here, we present new genetic data on hybridization from previously unsampled areas of Africa. Novel statistical methods applied to these data identify 46 hybrid samples – many more than have been previously identified – only two of which are from the Garamba region. The remaining 44 are from three other geographically distinct locations: a major hybrid zone along the border of the DRC and Uganda, a second potential hybrid zone in Central African Republic and a smaller fraction of hybrids in the Pendjari–Arli complex of West Africa. Most of the hybrids show evidence of interbreeding over more than one generation, demonstrating that hybrids are fertile. Mitochondrial and Y chromosome data demonstrate that the hybridization is bidirectional, involving males and females from both subspecies. We hypothesize that the hybrid zones may have been facilitated by poaching and habitat modification. The localized geography and rarity of hybrid zones, their possible facilitation from human pressures, and the high divergence and genetic distinctness of forest and savanna elephants throughout their ranges, are consistent with calls for separate species classification.     

Fibropapillomatosis and the Chelonid Alphaherpesvirus 5 in Green Turtles from West Africa

EcoHealth - Fibropapillomatosis (FP) is a tumorigenic panzootic disease of sea turtles, most common in green turtles (Chelonia mydas). FP is linked to the chelonid alphaherpesvirus 5 (ChAHV5) and...     

On the politics and practice of Muslim fertility: comparative evidence from West Africa

Recent popular works have represented Muslim fertility as dangerously high, both a cause and consequence of religious fundamentalism. This article uses comparative, statistical methods to show that this representation is empirically wrong, at least in West Africa. Although religion strongly inflects reproductive practice, its effects are not constant across different communities. In West African countries with Muslim majorities, Muslim fertility is lower than that of their non-Muslim conationals; in countries where Muslims are in the minority, their apparently higher reproductive rates converge to those of the majority when levels of education and urban residence are taken into account. A similar pattern holds for infant mortality. By contrast, in all seven countries, Muslim women are more likely to report that their most recent child was wanted. The article concludes with a discussion of the relationship between autonomy and fertility desires.     

Chromoblastomycosis-Leprosy Co-Infection in Central West Brazil. Presentation of Three Cases and Literature Review

Mycopathologia - Chromoblastomycosis and leprosy are chronic diseases with high prevalence in tropical and subtropical regions. Brazil is one of the countries with the highest incidence and...     

Herbaceous vegetation of seasonally wet habitats on inselbergs and lateritic crusts in West and Central Africa

Inselbergs, mountain ridges and lateritic crusts are characteristic landscape elements in many tropical regions. They are of great interest from a botanical point of view. Their vegetation is relatively uniform and differs from the surrounding vegetation. The first synopsis of herbaceous vegetation of seasonally wet or inundated habitats on rocks, inselbergs, mountain ridges and lateritic crusts in several bioclimatic zones of tropical West Africa and Atlantic Central Africa is presented. A classification of 43 partial data sets, based on 378 relevés, resulted in four associations and several rankless communities, grouped into four different classes (Drosero-Xyridetea, Afrotrilepidetea pilosae, Lycopodietea cernui andMicrochloetea indicae). Plant communities from Atlantic Central Africa and West Africa are very distinct from a floristic point of view; in an ordination, they are clearly separated. TheDrosero indicae-Utricularietalia subulatae (Drosero-Xyridetea) comprises ephemeral vegetation in rock pools and depressions over lateritic crusts. It contains theEriocaulo pumili-Ophioglossion gomezianum, which combines communities with short-lived plant species in small pools on rock outcrops and in shallow depressions over laterite, and theGenliseo africanae-Sporobolion pauciflori, which colonizes similar habitats but is geographically restricted to few mountains in Guinea, Sierra Leone and Liberia. Mats of monocytyledonous plants (Afrotrilepidetea pilosae, Afrotrilepidetalia pilosae) are very widespread in humid parts of tropical West Africa. They colonize gentle slopes and are often close to communities of theDrosero-Utricularietalia subulatae. Three alliances can be distinguished: West African alliancesCyanotido lanatae-Afrotrilepidion pilosae andSpermacoco hepperanae-Afrotrilepidion pilosae, and an Atlantic Central AfricanOreonesiono testui-Afrotrilepidion pilosae. Small-sacle alterations of the ecological situation often result in a mosaic-like pattern of the plant communities. Especially small inselberg and rock outcrop habitats are often affected by heavy fluctuations of their environmental and climatic conditions. Besides regular short-term dynamics, there are also long-term vegetation dynamics with cycles spanning several years.     

Chromodorid opisthobranch Mollusca from East Africa and the tropical West Pacific

Six species of Hypselodoris and three species of Chromodoris axe described from the coast of East Africa. Three species of Hypselodoris and one species of Chromodoris are new species. Two species of Chromodoris from the tropical West Pacific are also described. The eleven species fall into three groups of similarly coloured species.
Hypselodoris nigrostriata and a new species of Hypselodoris are compared with H. infucata, H. festiva, H. obscura and two unnamed species from the literature. It is concluded that all these are distinct species.
H. nigrolineata and two new species, are compared with H. lineata and H. hilaris and all are considered distinct.
H. regina, Chromodoris quadricolor, C. africana, C. elisabethina, C. magnified and a new species of Chromodoris, are compared with C. westraliensis and two unnamed species from the literature. All these species are considered distinct.
All other names for forms falling into these three colour groups are considered synonyms of one or other of the above named species. Full synonymies are given.