Diabetes is the most common metabolic disorder worldwide and is a major public health problem. Its frequency increases every day in all countries. However, in developing African countries, few people have access to drugs. In addition, in Africa, traditional beliefs induce people to use medicinal plants whenever they have health problems. Thus, many people in these developing countries use plants for the treatment of diabetes. Yet, few studies are focused on the knowledge and attitudes of the users on medicinal plants in Africa in general and in Senegal in particular. Hence we undertook this survey on the use of medicinal plants for the treatment of diabetes in Senegal in order to make recommendations which could contribute to the increase of the value of herbal medicines in developing countries. We did a cross-sectional survey by direct interview at a university teaching hospital, in Dakar with a representative sample of 220 patients. Forty-one plants were used by the patients and the two most frequently cited were Moringa oleifera Lam (65.90%) and Sclerocarya birrea (A. Rich) Hochst (43.20%). Patients gave several reasons for using medicinal plants (traditional treatment: 40%, efficacy: 32%, low cost: 20%). The principal suppliers of plants were tradesmen in the market (66.8%) and traditional therapists (5%). Sixty-five per cent of patients think that medicinal plants are efficient for the treatment of diabetes and 20% have reported adverse effects which could be caused by medicinal plants. In conclusion, many people in our study think that medicinal plants are efficient for the treatment of diabetes, which requires research work by scientists in developing countries in this field in order to prove their efficacy and innocuousness.

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Abstract. We used the General Ensemble biogeochemical Modeling System (GEMS) to simulate responses of natural and managed ecosystems to changes in land use and land cover, management, and climate for a forest/savanna transitional zone in central Ghana. Model results show that deforestation for crop production during the 20th century resulted in a substantial reduction in ecosystem carbon (C) stock from 135.4 Mg C ha −1 in 1900 to 77.0 Mg C ha −1 in 2000, and in soil organic C stock within the top 20 cm of soil from 26.6 Mg C ha −1 to 21.2 Mg C ha −1 . If no land use change takes place from 2000 through 2100, low and high climate change scenarios (increase in temperature and decrease in precipitation over time) will result in losses of soil organic C stock by 16% and 20%, respectively. A low nitrogen (N) fertilization rate is the principal constraint on current crop production. An increase in N fertilization under the low climate change scenario would lead to an increase in the average crop yield by 21% with 30 kg N ha −1 and by 42% with 60 kg N ha −1 (varying with crop species), accordingly, the average soil C stock would decrease by 2% and increase by 17%, in all cropping systems by 2100. The results suggest that a reasonable N fertilization rate is critical to achieve food security and agricultural sustainability in the study area through the 21st century. Adaptation strategies for climate change in this study area require national plans to support policies and practices that provide adequate N fertilizers to sustain soil C and crop yields and to consider high temperature tolerant crop species if these temperature projections are exceeded.

Context: Senegal is among the most endemic countries for viral hepatitis B with 11% of chronic HBV carriers. Students in the health sector are among those most at risk. The objectives of this study were to determine the Knowledge, Attitudes and Practices (KAP) of students at a private university in Dakar regarding viral hepatitis B and to identify associated factors. Methodology: A cross-sectional, descriptive, and analytical study has been conducted among students of the St Christopher Iba Mar Diop School from April 1 to 30, 2019. The questionnaire was self-administered. Chi 2 testing and logistic regression were used to identify factors associated with the level of knowledge, as well as attitudes and practices regarding viral hepatitis B. The data was analyzed using SPSS version 22 software. Results: In total, we interviewed 317 students, which corresponds to a participation rate of 60.5%. The main sources of information were predominately training (85.9%) and the media (68.2%). Jaundice (85.9%), hepatomegaly (79.2%) and fever (78.5%) were the main clinical signs known to students. Blood and sexual transmission routes were cited by more than 80% of the respondents. However, 19.4% of students reported that hepatitis B could be transmitted by the fecal-oral route. People with multiple sexual partners (77.5%) and health workers (76.4%) were the most frequently cited at-risk groups. Incarceration as a risk factor was known by only 38.7% of respondents.

Land Use Land-Cover Change (LULCC), such as deforestation, affects the climate system and land-atmosphere interactions. Using simulations carried out within the LUCID (Land Use and Climate, IDentification of robust Impacts) project framework, we first quantify the role of historical land-cover change induced by human activities on surface climate in West Africa. Focusing on two contrasted African regions, we find that climate responses of land-use changes are small but they are still statistically significant. In Western Sahel, a statistically significant near-surface atmospheric cooling and a decrease in water recycling are simulated in summer in response to LULCC. Over the Guinean zone, models simulate a significant decrease in precipitation and water recycling in autumn in response to LULCC. This signal is comparable in magnitude with the effect induced by the increase in greenhouse gases. Simulated climate changes due to historical LULCC could however be underestimated because: (i) the prescribed LULCC can be underestimated in those regions; (ii) the climate models underestimate the coupling strength between West African surface climate and leaf area index (LAI) and (iii) the lack of interactive LAI in some models. Finally, our study reveals indirect atmospheric processes triggered by LULCC. Over the Western Sahel, models reveal that a significant decrease in solar reflection tends to cool down the surface and thus counteracts the atmospheric feedback. Conversely, over the Guinea zone, models reveal that the indirect atmospheric processes and turbulent heat fluxes dominate the climatic responses over the direct effects of LULCC.