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Noma or cancrum oris is a multi-bacterial and opportunistic infection that destroys soft tissue, as well as muscle and bone, and can be fatal. We present a rare case of Noma in a 32-year-old Malian woman, from whom we isolated an Escherichia coli extended-spectrum beta-lactamase.

A reconnaissance survey and participatory varietal selection trials (PVS) were conducted in four major pearl millet-growing countries of the Sahel between 2001 and 2003. The studies aimed to identify farmers' preferences in improved pearl millet varieties, increase awareness, test new varieties and enhance farmers' access to the improved varieties. Farmers selected five out of 10 tested varieties, with preferred characteristics, namely, maturity cycles of 80–90 d in the Sahel and 90–100 d in the Sudanian agro-ecozones, acceptable grain yield, compact and long (30–100 cm) panicles, a large number of tillers with panicles, adaptation and an acceptable taste. Farmers indicated that their local varieties were of superior adaptation and taste. They mentioned that hindrances to uptake and sustained use of improved varieties were due to lack of awareness, traditional values, seed unavailability, early maturity, bird damage and lack of fertilizer. The strong genotype × environment interactions in the Sahel suggests that breeding should be directed towards producing varieties adapted to specific zones rather than for wide adaptation. Notably, since farmers often cultivate pearl millet without any soil amendments, it may be advisable to disseminate varieties as a package (with fertilizer and agronomic instructions) rather than as varieties alone in a PVS programme, in order to achieve the full potential of improved varieties. The PVS trials are synergistic to plant breeding in identifying varieties suitable for harsh environments, which are difficult to duplicate in the research station. However, in the absence of formal distribution seed systems in the trial countries, village- or community-based seed production of varieties selected by farmers appears critical to the sustainable adoption of selected varieties. [ABSTRACT FROM AUTHOR]

Introduction: The association between HIV and cancer is becoming more and more frequent, given the increased life expectancy of HIV positive patients with triple antiretroviral therapy. This association had not been documented in our service, hence the aim of this work. Our objectives were to describe the epidemiological and clinical characteristics and to determine outcome of patients with both pathologies., Methods: We conducted a retrospective study based on hospitalization records from the infectious diseases department of Point G University Hospital from 2009 to 2014. All patients aged 15 years and older, HIV positive with a diagnosis of cancer were included with usable medical records. Data entry and analysis were done on Epi Info version 3.5.3. The variables studied were sociodemographic, immunological, virological, clinical and outcome., Results: 51 cancer files were collected on 2525 patients (prevalence of 2%), among them 42 had the combination of cancer and HIV (1.7%). The majority were young adults (mean age 40.5 ± 8.9 years), 88.1% of whom were under 50 years of age and the majority were female (54.8%). HIV-1 was the predominant serotype (90.5%). The average CD4 T cell count was 111±106 cells/μl and 77.4% had less than 200 CD4/μl of blood. The majority (83.8%) were on HAART. Cancers classifying AIDS were predominant (90.5%) including Kaposi's disease (71.4%), non-Hodgkin's lymphoma (NHL) (14.3%) and cervical cancer (4.8%). We recorded 69% of deaths. The case-fatality rates were 66.7% for kaposi's disease and NHL (66.7%) and 50% for cervical cancer, respectively., Conclusion: Our study provides an overview of the association between cancer and HIV in the service. Cancers attributable to viral infections are the most numerous. A targeted prevention program and early detection of HIV as part of the test and treat strategy are essential., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)