Adverse Pregnancy Outcomes in Sickle Cell Trait: a Prospective Cohort Study Evaluating Clinical and Haematological Parameters in Postpartum Mothers and Newborns

Background

Sickle cell trait (SCT) is a congenital condition caused by the inheritance of a single allele of the abnormal haemoglobin beta gene, HbS. Carriers of SCT are generally asymptomatic, and they do not manifest the clinical and haematological abnormalities of sickle cell anaemia (SCA). However, there is evidence that they display some symptoms in stressful situations. Pregnancy is a stressful physiological event, and it is not clear if SCT adversely affects pregnancy outcomes, particularly in those from developing countries where people regularly suffer from nutritional insufficiency.

Objective

This study aims to investigate pregnancy outcomes in Sudanese women with SCT. Subjects and methods: Pregnant women with (HbAS, n=34) and without (HbAA, n=60) SCT were recruited during their first trimester at El Obeid Hospital, Kordofan, Western Sudan. Following appropriate ethical approval and informed consent from the participants, detailed anthropometric, clinical, haematological, obstetric, and birth outcome data were registered. In addition, blood samples were collected at enrolment and at delivery.

Results

At enrolment in the first trimester, the SCT group did not manifest SCA symptoms, and there was no difference in the haematological parameters between the SCT and control groups. However, at delivery, the women with SCT, compared with the control group, had lower levels of hemoglobin (Hb, p=0.000), packed cell volume (PCV, p=0.000), mean corpuscular haemoglobin (MCH, p=0.002) and neutrophil counts (p=0.045) and higher mean corpuscular volume (MCV, p=0.000) and platelet counts (p=0.000). Similarly, at delivery, the babies of SCT women had lower birth weight (p=0.000), lower Hb (p=0.045), PCV (p=0.000), MCH (p=0.000), and higher neutrophil (p=0.004) and platelet counts (p=0.000) than the babies of the healthy control group. Additionally, there were more miscarriages, stillbirths, and admissions to the Special Care Baby Unit (SCBU) in the SCT group.

Conclusions

The study revealed that SCT is associated with adverse pregnancy outcomes, including maternal and neonatal anaemia, low birth weight, and increased risk of stillbirth, miscarriage, and admission to SCBU. Therefore, pregnant women with SCT should be given appropriate pre-conceptual advice and multidisciplinary antenatal and postnatal care.

AN ECONOMIC ANALYSIS OF SOME FACTORS AFFECTING IN MARKETING EFFICIENCY OF DRY ONION CROP USING THE TOBIT REGRESSION MODEL

The study was aimed to evaluate the marketing efficiency of dry Onion crop in Salah al-Deen, as estimate the impact of some quality and quantity factors in the efficiency of marketing process of crop using Tobit regression model. The average marketing efficiency of the research sample was 71.3686%. The marketing margins differed according to the marketing channel followed in marketing the crop. The qualitative and quantitative variables in the model are productivity, family size, distance from the market, educational level. The estimated model revealed that a variable productivity is the most important and influential in marketing efficiency, followed by the variable of the distance between the farm and the market, then the variables of family size and educational level, with less influence according to the estimated model values. The Wald statistical test, which follows the chi-square distribution at degree of freedom d.f4, revealed the significant values of the traits of Tobit regression model as a whole 0.0017 <0.05, this means the independent variables included in the model have a statistically significant effect to predict the value of the qualitative dependent variable. The researchers according to the average value of marketing efficiency has concluded the possibility to raise the value of marketing efficiency by 29.36% in the case of efficient use of resources in the marketing process, as well as the difference in the value of the influence of quantitative and qualitative independent factors on marketing efficiency according to the values ​​of their traits, and the increasment in marketing margins according to the different marketing channels followed in marketing the crop. The research recommended the need to work on increase the marketing efficiency and reducing the high marketing margins received by intermediary agents, with need provide marketing services greater than these intermediaries.

Lignocellulolytic enzyme production by aquatic hyphomycetes species isolated from the Nile's delta region

Twenty-six species of aquatic hyphomycetes were isolated from woody sources (unidentified wood segments, leaf skeletons and neck of leaves and bark) in the North River Nile (Delta region). Alatospora acuminata, Anguillospora crassa, Flagellaspora penicillioides, Lunulospra curvula, Tetracladium marchalianum and Triscelophorus monosporus were the most common species. Temperature was the highest physico-chemical parameter affecting the aquatic hyphomycetes occurrence. Twelve species of hyphomycetes, isolated from woody substrates, were screened for their ability to produce extracellular lignocellulolytic enzymes on solid media. The enzymes tested included: endoglucanase, endoxylanase, beta-glucosidase, laccase, peroxidase, polyphenoloxidase, tyrosinase and beta-xylosidase. Three species, A. acuminata, F. penicillioides, T. monosporus, were positive for all tested enzymes. Also, A. longissima was positive for all enzymes except lignin-peroxidase. The ability to produce cellulase was 100% for all species while only, four species were positive for lignin-peroxidase. The ability of the species to produce other lignocellulotic enzyme ranged from 50% to 83%. Freshwater hyphomycetes have been shown to produce a rich array of enzymes able to degrade the polysaccharides of plant debris.