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BACKGROUND: International data on anogenital HPV infection incidence among men are limited. METHODS: Incidence of incident-persistent (IP) anogenital HPV infections was evaluated among 295 men who have sex with men (MSM) and 1576 heterosexual men (HM) aged 16-27 years in the placebo arm of a global, multicenter 4-valent (4v) HPV vaccine trial. We estimated IP incidence (penile/scrotal, perineal/perianal, anal) for 4vHPV and 9-valent (9v) HPV vaccine types and cumulative IP incidence over 36 months. RESULTS: IP infection incidence per 100 person-years (95% CI) among HM for 4vHPV and 9vHPV types was 4.1 (3.5-4.9) and 6.8 (5.9-7.6) at penile/scrotal, and 1.2 (.8-1.6) and 1.9 (1.5-2.4) at perineal/perianal sites, respectively; and among MSM, IP infection incidence was 2.3 (1.3-3.8) and 3.2 (2.0-4.9) at penile/scrotal, 6.8 (4.9-9.2) and 9.0 (6.9-11.6) at perineal/perianal, and 12.0 (9.4-15.1) and 16.8 (13.7-20.2) at anal sites, respectively. Cumulative IP incidence over 36 months (excluding anal canal; any 9vHPV type) was higher among MSM versus HM (24.1% vs 18.4%). CONCLUSIONS: A substantial proportion of unvaccinated men of catch-up vaccination age developed IP 9vHPV-related infections. Gender-neutral vaccination could decrease male HPV infection, contribute to herd protection, and reduce disease burden. Clinical Trials Registration. NCT00090285.

Approximately 60 % of men globally over the age of 50 experience a diminished quality of life as a result of benign prostatic hyperplasia (BPH). Consequently, while the national direct cost for managing BPH is hovering around $4 billion in the USA, the individual direct cost for medications is estimated at $1536 and $425 annually for the USA and Ghana, respectively. Due to the chemotherapeutic drawbacks in BPH treatment, a concerted effort is urgently needed to find new chemotypes with novel mechanism of action to combat the disease. This research aims to employ computational techniques to identify new compounds from ethno-pharmacological plants from Ghana for treating BPH. Altogether, 250 natural products from Croton membranaceus, Heliotropium angiospermum, Annona muricata, Serenoa repens, Cissus quadrangularis, Tribulus terrestrials, Vernonia amagdalina and Momordica foetida from Ghanaian origin were virtually screened against 5alpha reductase 2 (5aR2), a primary drug target implicated in the parthenogenesis of BPH. Out of the 254 compounds docked, three compounds (A, B and C) showed a binding energy lower than testosterone (-10.4 kcal/mol), the main substrate of the target and comparative to finasteride (-11.7 kcal/mol), one of the drugs currently used for treating the disease. Molecular docking and dynamics simulations studies revealed Leu224 to be critical for ligand binding and complex stability. The pharmacological and physicochemical profiles show the compounds to possess good pharmacodynamics with negligible toxicities. While the compounds A, C, G, H, I and J were, respectively, predicted to treat prostate disorders with Pa (0.909, 0.221, 0.743, 0.729, 0.978, and 0.443) and Pi (0.003, 0.132, 0.005,0.005, 0.002, 0.016), that of A, B, D, G, H, I, and J were found to be associated with the inhibition of 5alpha reductase with Pa (0.840, 0.102, 0.097, 0.377, 0.123, 0.909, and 0.201) and Pi (0.001, 0.075, 0.089, 0.003, 0.036, 0.001, and 0.004), respectively. These lead-like compounds possessing plausible chemotherapeutic moieties with putative 5aR2 inhibitory potential need further experimental validation via in vitro studies.

This study investigates the dynamics of land use and land cover (LULC) changes in the Densu Delta wetlands, a critical ecosystem in Ghana. Here, satellite images spanning from 1998 to 2023 were used to analyse the spatio-temporal patterns of LULC changes and their implications for water bodies, wetlands, vegetations, bare lands and urban areas in the Densu Delta wetland. Employing advanced techniques such as Markov chain modelling and artificial neural networks (ANNs), the research assesses and predicts LULC alterations. Significantly, the largest loss of LULC is observed in the Densu Delta wetland, where wetlands transition to waterbody cover type (14.02 km²). Model validation for 2023 attests to the accuracy of the model, boasting a correctness percentage of 70% and a kappa value of 0.74. In-depth analyses explore regional variations in the Densu Delta wetlands, revealing distinct patterns in the rates of LULC change before and after 2013. Notably, urbanization emerges as a prominent factor post-2013, with urban areas experiencing remarkable rates of change in the wetland. Transition matrices underscore the intricate interplay of different land cover classes over the years. Simulated LULC predictions for 2033 and 2043 highlight the urban land cover type as having the highest positive change, recording approximately 0.39% for the Densu Delta wetland. The wetland land cover in the Densu Delta wetland exhibit negative changes of about −0.52%. The synthesis of LULC data enhances our understanding of the complex interactions shaping these critical ecosystems. This research offers valuable insights for sustainable environmental conservation, emphasizing the pivotal role of informed urban planning policies. It also unveils potential challenges posed by climate change, advocating for a holistic approach to preserve these vital wetland ecosystems.

Introduction A major part of diabetes management involves patients’ self-management. Poor self-management increases the risk of complications from the condition. Good self-management requires appropriate and adequate education and caregiver support, typically provided through structured diabetes education programmes. Education on various topics, including self-management, is a key component of diabetes management services in Ghana. However, challenges such as limited knowledge, economic constraints and sociocultural factors hinder self-management practices. We explored the self-management education (SME), practice and support needs of adults with type-2 diabetes (T2D) at the Keta Municipal Hospital.Research design and methods This phenomenological study involved 16 adults living with T2D and two healthcare providers in the Keta Municipality of Ghana. Data were collected through in-depth and expert interviews using interview guides. Interpretative phenomenological analysis was employed to analyse the data using NVivo V.12.Results SME was provided within an hour during the first section of the monthly diabetes clinic covering dietary needs and restrictions, physical exercises, adherence to medication and wound prevention and care. SME needs were individualised SME and extension of education to the general population. The participants practised self-management activities. They attributed their improved practices to both the general group education and the individualised goals and input received during individual counselling sessions. Motivators for self-management were cues from negative health outcomes, wanting to survive the condition for a long time and SME received. Challenges to self-management entailed job roles, insufficient medication dosages and unavailability of medication at the hospital during review visits.Conclusions The study suggests that individualised SME and caregiver support may enhance self-management practices and outcomes. This underscores the significance of considering patient-specific factors and support systems when designing effective diabetes management strategies. The provision of comprehensive SME, including group and individual sessions, along with the utilisation of visual aids, can contribute to improved self-management outcomes.

Groundwater is vital for drinking, agriculture, and domestic use in Sokoban Wood Village, Ghana, but concerns exist about its quality. This study assessed the suitability of 20 groundwater samples for domestic purposes. The study was carried out in 2023. We collected samples from boreholes and hand-dug wells using standard methods, analyzing them for various physicochemical parameters (pH, electrical conductivity, turbidity, nitrates, fluorides, and heavy metals). The microbiological analysis assessed fecal coliforms and E. Coli to identify microbial contamination. Established methodologies were used to evaluate potential health risks (carcinogenic and non-carcinogenic) associated with heavy metals. The Water Quality Index (WQI), Hazard Potential Index (HPI), and Heavy Metal Evaluation Index (HEI) provided a comprehensive water quality evaluation. The results revealed that the water fell below the recommended WHO pH range for drinking water. While most other parameters and heavy metals fell within WHO guidelines, 25 % of the samples contained fecal coliforms and E. Coli, indicating ongoing microbial contamination. The overall cancer risk was low for all age groups. Although some parameters met WHO standards, the WQI classified 20 % of the samples as not of good quality. Despite this, the HPI and HEI (−4.62 and 0.001) suggested generally good water quality based on heavy metal content. In conclusion, despite some positive indicators, acidic water and microbial contamination raise concerns. Regular monitoring and potential treatment measures are crucial to ensure safe drinking water for the Sokoban Wood Village community.

Abstract This study explores the synthesis of nanoparticles through the thermal decomposition of single‐source precursors, a method gaining popularity due to its low cost, minimal environmental toxicity, rapidity, scalability, and the ability to form nanoparticles with few defects. Zinc ethyl carbamate was synthesized and characterized using 1H NMR and infrared spectroscopy. Its purity was confirmed through microelemental analysis and melting point determination. The melting point of the complex was determined to be 165 °C. The thermogravimetric analyses indicated a one‐step decomposition of zinc ethyl carbamate with a decomposition onset of of 200 °C, yielding a stable ZnS residue. Further thermal decomposition led to the formation of wurtzite phase ZnS nanoparticles, as evidenced by XRD. SEM micrographs displayed mixed spherical, and cubic unevenly sized, polydispersed nanoparticles, while EDX revealed approximately a 1 : 1 Zn to S ratio. Estimated band gap from the Tauc's plot gave 3.93 eV and 3.42 eV for the nanoparticles synthesized at 300 and 400 °C respectively. The wide difference in the band gaps may be as a result of the larger particles observed at 400 °C and the deformations in the sample as observed in the SEM.

The national-level land cover database is essential to sustainable landscape management, environmental protection, and food security. In Afghanistan, the existing national-level land cover data from 1972, 1993, and 2010 relied on satellite data from diverse sensors adopted three different land cover classification systems. This inconsistent land cover map across the various years leads to the challenge of assessing landscape changes that are crucial for management efforts. To address this challenge, a 19-year national-level land cover dataset from 2000 to 2018 was developed for the first time to aid policy development, settlement planning, and the monitoring of forests and agriculture across time. In the development of the 19 year span of land cover data products, a state-of-the-art remote sensing approach, employing a harmonized classification scheme was implemented through the utilization of Google Earth Engine (GEE). Publicly accessible Landsat imagery and additional geospatial covariates were integrated to produce an annual land cover database for Afghanistan. The generated dataset bridges historical data gaps and facilitates robust land cover change information. The annual land cover database is now accessible through https://rds.icimod.org/. This repository ensures that the annual land cover data is readily available to all users interested in comprehending the dynamic land cover changes happening in Afghanistan.

Small and medium-sized businesses (SMEs) are essential to South Africa's development and economic progress. Information technology (IT) expenditures have become crucial for SMEs to stay competitive in the quickly changing digital market. The purpose of this study is to examine the variables affecting IT investments in South African SMEs. The paper provides a thorough examination of the literature, the technique used, the findings, and a discussion of the implications through a conceptual study. The study's findings were derived from an analysis of 15 of the best and most relevant journal articles out of a total of 200 that were obtained and evaluated through Google Scholar that are related to factors impacting IT investments in South African SMEs. The objective was to aggregate the views of many scholars on the issues affecting IT investments in South African SMEs from their writings. The study's findings indicates that financial constraints, perceived return on investment (ROI), industry-specific factors, technological complexity and skills, perceived risk, outside influences, organisational culture, and leadership are among the factors that affect IT investments in South African SMEs. With regards to the study's findings, it is recommended that SMEs should work to understand and address the factors influencing information technology investments in South Africa so they can make informed IT investment decisions, and policymakers should foster an environment that encourages the uptake of technology and the expansion of this industry.

Large, severe wildfires continue to burn in frequent-fire adapted forests but the mechanisms that contribute to them and their predictability are important questions. Using a combination of ground based and remotely sensed data we analyzed the behavior and patterns of the 2020 Creek Fire where drought and bark beetles had previously created substantial levels of tree mortality in the southern Sierra Nevada. We found that dead biomass and live tree densities were the most important variables predicting fire severity; high severity fire encompassed 41% of the area and the largest high severity patch (19,592 ha) comprised 13% of total area burned. Areas with the highest amounts of dead biomass and live tree densities were also positively related to high severity fire patch size indicating that larger, more homogenous conditions of this forest characteristic resulted in adverse, landscape-scale fire effects. The first two days of the Creek Fire were abnormally hot and dry but weather during the days of the greatest fire growth was largely within the normal range of variation for that time of year with one day with lower windspeeds. From September 5 to 8th the fire burned almost 50% of its entire area and fire intensity patterns inferred from remotely sensed brightness-temperature data were typical except on September 6th when heat increased towards the interior of the fire. Not only was the greatest heat concentrated away from the fire perimeter, but a significant amount of heat was still being generated within the fire perimeter from the previous day. This is a classic pattern for a mass fire and the high amount of dead biomass created from the drought and bark beetles along with high live tree densities were critical factors in developing mass fire behavior. Operational fire behavior models were not able to predict this behavior largely because they do not include post-frontal combustion and fire-atmosphere interactions. An important question regarding this mass fire is if the tree mortality event that preceded it could have been avoided or reduced or was it within the natural range of variation for these forests? We found that the mortality episode was outside of historical analogs and was exacerbated by past management decisions. The Creek Fire shows us how vulnerable of our current frequent-fire forest conditions are to suffering high tree mortality and offering fuel conditions capable of generating mass fires from which future forest recovery is questionable because of type conversion and probable reoccurring high severity fire.

Boesenbergia rotunda (L.) comprises bioactive compounds with biological and pharmacological properties, especially flavonoid compounds with osteoblastogenesis-stimulating potential. However, the application of B. rotunda in the food and pharmaceutical industry is restricted by its low solubility and stability. Encapsulation becomes an alternative to overcome these restrictions. The purpose study was to encapsulate B. rotunda extract by freeze-drying and to investigate the effects of different wall materials (maltodextrin (MD), gum arabic (GA), and their combination (MDGA)) and extract contents on the physicochemical, bioactive properties and in vitro enhancement of osteogenesis of MC3T3-E1 cells of the obtained encapsulates. The results revealed that encapsulated B. rotunda can reduce cytotoxicity, enhance biological activity, and maintain the stability of bioactive compounds. The MD was a good wall material for yield percentage. However, the values of moisture content Aw, and solubility among all the encapsulated powders were no significant differences, with all encapsulated powders having similar structures based on scanning electron microscopy. Fourier transform infrared spectroscopy confirmed the extract was encapsulated by the selected wall materials. Combining the MD and GA encapsulation agents afforded the best protection of the bioactive compounds, increasing EE (MDGA-7 > MDGA-5), pinostrobin content, TPC, and antioxidant activities (MDGA-5 > MDGA-7). The MDGA-5 and MDGA-7 at 10–50 μg/mL were not toxic to cells and promoted MC3T3-E1 cell viability, while also enhancing the Alkaline phosphatase activity, and promoting matrix mineralization of pre-osteoblast MC3T3-E1 cells after 21 and 28 days. This result showed that MDGA was a suitable wall material for B. rotunda encapsulations and a potential source of bioactive ingredients that could applied in food or pharmaceutical products for osteoporosis prevention.