The use of wild edible plants in the Jordanian diet

In Jordan, large numbers of wild edible plants are widely distributed throughout the country and consumed in various ways. In this study 56 wild edible plants used in local meals were surveyed to determine the plant parts used, the detailed methods of their preparation and preservation as well as their uses. The study showed that the plants used are either eaten raw, cooked by boiling in water, frying in fat or baking to be served as dishes such as stew, turnovers, stuffed and rolled vegetable foods or as cold or hot drinks for certain occasions and seasons. The study also showed that some of these plants are preserved by sun drying to be used out of season for cooking in main dishes, or as spices and appetizers.     

The status of wild food plants in Bulamogi County, Uganda

We present here an inventory of the edible plants of Bulamogi, Uganda, and related aspects of exploitation of wild food plants (WFPs) by the local community. The edible plants consist of 105 species distributed in 77 genera and 39 families. Most of the edible plants are herbaceous (70.7%) and are cultivated (49.1%). Some introduced food plants have become naturalised and grow wild. Most of the edible plants yield fruits that are consumed as snacks (41.4%). The major food crops of the Balamogi are consumed locally, while few are traded. The proportion of WFPs is only 32.8% of the edible plants. WFPs are infrequently eaten and their consumption is limited to casual encounters, periods of food shortages and as supplements to major food crops. The main reasons for their neglect are the wide variety of introduced cultivated foods and the increasing difficulty of finding WFPs in the wild. Erosion of traditional knowledge about WFPs has also contributed to their declining use.     

Fatty acids profiles of some Spanish wild vegetables

Polyunsaturated fatty acids play an important role in human nutrition, being associated with several health benefits. The analyzed vegetables, in spite of its low fat content, lower than 2%, present a high proportion of polyunsaturated fatty acids of n-3, n-6 and n-9 series, such as α-linolenic, linoleic and oleic acids, respectively. Wild edible plants contain in general a good balance of n-6 and n-3 fatty acids. The present study tries to contribute to the preservation and valorization of traditional food resources, studying the fatty acids profile of 20 wild vegetables by gas-liquid chromatography with flame ionization detection. Results show that species in which leaves are predominant in their edible parts have in general the highest polyunsaturated fatty acid/saturated fatty acid ratios: Rumex pulcher (5.44), Cichorium intybus (5.14) and Papaver rhoeas (5.00). Due to the low n-6/n-3 ratios of the majority of the samples, they can be considered interesting sources of n-3 fatty acids, especially those with higher total fat amount, such as Bryonia dioica, Chondrilla juncea or Montia fontana, with the highest contents of α-linolenic acid (67.78, 56.27 and 47.65%, respectively). The wild asparaguses of Asparagus acutifolius and Tamus communis stand out for their linoleic acid content (42.29 and 42.45%, respectively). All these features reinforce the interest of including wild plants in diet, as an alternative to the variety of vegetables normally used.     

Wild edible plants used by the people of Manang district, Central Nepal

Plant diversity plays an important role in maintaining the world's foods demands. Even today in Manang, a remote, mountainous district within the Annapurna Conservation Area, Nepal, local people gather substantial amounts of wild plants to meet their daily nutritional needs, with several species also used for trade. There has been little documented regarding the use of these wild foods, which play a part in both daily nutrition, and survival during times of famine. Moreover, planning for development, land use, economic growth and biodiversity conservation has not taken them into account. Information about edible wild plant use was gathered by interviewing knowledgeable villagers over a period of five years (2002-2006). In total, 41 plant species were used as sources of fruits, juice, vegetables, and achar (local relish or pickle). Several wild food plants that need intensive processing before consumption were documented, including the calcium oxalate containing Arisaema species. The traditional knowledge of use of wild food plants is decreasing in many parts of the world with the introduction of modern packed food items and Manang is not the exception. The results of this research will help to play a catalytic role to encourage dialogue among the people of Manang, and national and international scientific communities regarding long term bioprospecting research, and shape the creation of a rural livelihood strategy. Analysis of the nutritive and health values of some of these edible plant species may encourage the scientific community to build partnerships with local community to work towards long term sustainable utilization and conservation.     

Social determinants of health inequalities in Bosnia and Herzegovina

OBJECTIVE: To examine the social determinants of inequalities in health in Bosnia and Herzegovina in the post-conflict period, and to test if the relative effects vary across the two entities of the Federation of Bosnia and Herzegovina and the Republika Srpska. STUDY DESIGN: Cross-sectional data come from the first wave of the Bosnia and Herzegovina Household Panel Study conducted in 2001, which collected data from 7482 respondents aged 17 years and older based on over 3000 households. METHODS: Distributions and odds ratios for physical limitations and poor mental well-being were calculated over a number of known social determinants. Multivariate logistic regression and t-tests were used to compare risks across entities within the state of Bosnia and Herzegovina. RESULTS: The prevalence of poor mental well-being and physical limitations was significantly higher in the Republika Srpska. Significant differences in poor mental well-being and physical limitations were observed across most determinants within each entity, but only a few of these relative effects differed between entities. CONCLUSIONS: Efforts to tackle absolute differences in poor health between the entities within Bosnia and Herzegovina should be pursued, along with reducing social inequalities.     

The Gathering and Consumption of Wild Edible Plants in Nhema Communal Area,Midlands Province,Zimbabwe

The study documented 67 wild edible plant species belonging to 45 genera and 30 families. Anacardiaceae and Moraceae were the dominant botanical families with 6 species each. Of the reported food plants, 67.7% were fruits, 14.9% vegetables, and the remainder were edible roots, inner bark, seed kernel, juice, and gum. Of edible plants, 79.1% had multiple uses, which included medicinal and construction timber. Only 20.9% of the species were used exclusively for food. Wild edible plants are a significant contributor to the socioeconomic well-being of the local people as they contribute a recognizable source of income especially for women.     

The gathering and consumption of wild edible plants in Nhema communal area, Midlands Province, Zimbabwe

The study documented 67 wild edible plant species belonging to 45 genera and 30 families. Anacardiaceae and Moraceae were the dominant botanical families with 6 species each. Of the reported food plants, 67.7% were fruits, 14.9% vegetables, and the remainder were edible roots, inner bark, seed kernel, juice, and gum. Of edible plants, 79.1% had multiple uses, which included medicinal and construction timber. Only 20.9% of the species were used exclusively for food. Wild edible plants are a significant contributor to the socioeconomic well-being of the local people as they contribute a recognizable source of income especially for women.     

Did the 1991–1995 Wars in the Former Yugoslavia affect Sex Ratio at Birth?

Proportion of males at birth (commonly referred to as the sex ratio) has been investigated for countries of former Yugoslavia that were affected by the 1991–1995 wars. Number of live births for Slovenia, Croatia, Bosnia and Herzegovina with Serbian Republic, and Serbia and Montenegro were obtained from the official vital statistics data and analysed with the Chi-square test. Results yielded no difference in the sex ratio associated with the war for the entire data set. However, country level data analysis revealed a significant increase in Bosnia and Herzegovina with the Serbian Republic, where proportion of male births during the wartime reached as high as 0.523 (compared to 0.516 in the pre-war and 0.515 in the post-war period). Countries that were involved in either mild or intermediate level of warfare did not exhibit a significant increase in the sex ratio (e.g. Slovenia and Croatia). Although war in Croatia lasted a year longer than in Bosnia and Herzegovina, analysis of the most intensive wartime periods in Croatia did not yield significant change. It seems that a hypothetical threshold of the warfare intensity combined with duration has to be reached (e.g. as in case of Bosnia and Herzegovina), in order for war to influence the sex ratio.     

Smoking behaviour,knowledge and attitudes among Family Medicine physicians and nurses in Bosnia and Herzegovina

Background

Smoking rates among the general population in Bosnia and Herzegovina are extremely high, and national campaigns to lower smoking rates have not yet begun. As part of future activities of the Queen's University Family Medicine Development Program in the Balkans Region, technical assistance may be provided to Bosnia and Herzegovina to develop of national tobacco control strategies. This assistance may focus on training doctors and nurses on smoking cessation strategies with a view to helping their patients to stop smoking. Given this important role that health professionals have, data is needed on smoking rates as well as on smoking behaviour among doctors and nurses in Bosnia and Herzegovina. This study therefore seeks to determine the smoking rates and behaviour of family medicine physicians and nurses in Bosnia and Herzegovina and to determine how well prepared they feel with respect to counselling their patients on smoking cessation strategies.

Methods

The WHO Global Health Professional Survey, a self-administered questionnaire, was distributed to physicians and nurses in 19 Family Medicine Teaching Centres in Bosnia and Herzegovina in June 2002. Smoking rates and behaviour, as well as information on knowledge and attitudes regarding smoking were determined for both physicians and nurses.

Results

Of the 273 physicians and nurses currently working in Family Medicine Teaching Centres, 209 (77%) completed the questionnaire. Approximately 45% of those surveyed currently smoke, where 51% of nurses smoked, compared to 40% of physicians. With respect to knowledge and attitudes, all respondents agreed that smoking is harmful to one's health. However, "ever" smokers, compared to "never" smokers, were less likely to agree that health professionals who smoke were less likely to advise patients to quit smoking than non-smoking health professionals. Less than half of physicians and nurses had received formal training in smoking cessations strategies, but about two thirds of health professionals felt very or somewhat prepared to counsel their patients on how to quit smoking.

Conclusions

Our study indicates that almost half of Family Medicine health professionals in Bosnia and Herzegovina are smokers. This indicates a severe public health problem throughout the country. Steps need to be taken at a national level to address the fight against tobacco.

     

Micronuclei frequencies in peripheral blood lymphocytes of individuals exposed to depleted uranium

One of the negative environmental impacts of the last armed conflict in Bosnia and Herzegovina was the use of radioactive ammunition containing depleted uranium. The United Nations Environment Programme measurements detected higher radioactivity at several examined sites in Bosnia and Herzegovina. One of those places is in the area of Hadzi?i, close to Sarajevo. This research included an evaluation of genetic load in human lymphocytes due to exposure to depleted uranium. The study included individuals who were located in the area of Hadzi?i and who were directly exposed to depleted uranium. The control blood samples were taken from individuals who lived in West Herzegovina which is considered environmentally uncontaminated. The results of the micronucleus cytochalasin-B test in peripheral blood lymphocytes showed increased micronuclei frequencies in the exposed group.     

Alpha-glucosidase inhibitory and antioxidant activities of Vietnamese edible plants and their relationships with polyphenol contents

The prevention and treatment of non-communicable diseases by using the beneficial biological effects of polyphenolic plants have attracted increasing interest from nutritional scientists. The a-glucosidase inhibitory and antioxidant activities of aqueous and methanolic extracts from 28 common Vietnamese edible plants, comprising 4 groups (plants used for making drinks, edible wild vegetables, herbs, and dark green vegetables), were investigated in vitro. The polyphenol contents of these extracts were determined by the Folin-Ciocalteu method and calculated as catechin equivalents. The extracts from plants used for making drinks showed the highest activities for both a-glucosidase inhibition and as antioxidants, followed by edible wild vegetables, herbs, and dark green vegetables. Positive relationships among alpha-glucosidase inhibitory activities, antioxidant activities and polyphenol contents of these 28 edible plants were found in both aqueous and methanolic extracts. Four new promising materials that are similar to or better than guava leaf extract, including Syzygium zeylanicum, Cleistocalyx operculatus, Horsfieldia amygdalina and Careya arborea demonstrated high alpha-glucosidase inhibitory activity (93, 76, 68 and 67%, respectively) at the final concentration of 0.8 mg lyophilized material/mL solution and antioxidant activity (85, 87, 78 and 80%, respectively) at the final concentration of 30 pg lyophilized material/mL solution. These four edible plants contained significantly high polyphenol contents (equivalent to 251.7, 146.6, 136.6 and 168.6 mg of catechin/g dry weight, respectively). Thus, these four materials might be possible new sources of a-glucosidase inhibition and antioxidants suitable for use as functional foods in the future.     

Evaluation of a Five-A-Day Recipe Booklet for Enhancing the Use of Fruits and Vegetables in Low-Income Households

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) needs to evaluate appropriate nutrition education for its at risk audience, including Five-A-Day for Better Health educational material that promotes consumption of five servings a day of fruits and vegetables. An evaluation was conducted of a Five-A-Day recipe booklet for use with mothers having a child or children enrolled in WIC. Three clinic sites in eastern Washington State tested the booklet using a pretest (n = 225)/post-test (n = 167) design and an intervention protocol based on preliminary focus group data. The booklet featured information on fresh produce and was accordingly tested over the summer months. Participants were on average 28 years of age and mostly White (77%). After receiving the booklet, many WIC mothers reported feeling more confident about choosing good quality fresh produce (70%) and storing fruits and vegetables appropriately (68%), and also felt that it was easier to include fruits and vegetables in their family's meals (74%). Many mothers reportedly served more fruits and vegetables to their families after receiving the booklet. Notably, this occurred at numerous meals and snack times with both fruits and vegetables, and was independent of a reported trend to consume more fruits and vegetables in the summer. Mothers also favorably evaluated the format and content of the booklet. However, mothers' barriers related to fruits and vegetables did not change, and their estimated intake of fruits and vegetables decreased slightly over the intervention period. Adjustments to the protocol are suggested that may enhance the booklet's effect on WIC mothers' attitudes and behaviors.     

Post-traumatic stress disorder among family physicians in Bosnia and Herzegovina

BACKGROUND: The traumatic events experienced by thousands of people in Bosnia and Herzegovina during the 1992-1995 conflict may have a lasting effect on the mental health of the country, characterized by high rates of post-traumatic stress disorder (PTSD). A diagnosis of PTSD among family physicians could affect their ability to diagnose and treat patients for depression, anxiety and PTSD. OBJECTIVE: The aim of the present study was to determine the prevalence of PTSD among family medicine physicians in Bosnia and Herzegovina. METHODS: A self-administered questionnaire, including the PTSD Checklist-Civilian Version (PCL-C) which is a validated scale for PTSD screening, was distributed to family medicine residents and specialists in Bosnia and Herzegovina. The prevalence of PTSD was determined, and factors related to PTSD were considered. RESULTS: One hundred and thirty-three (90.5%) of the 147 physicians who were available to be surveyed completed the questionnaire. Of the 88% who had a traumatic experience during the war, 18% met the criteria for PTSD. The likelihood of meeting the criteria for PTSD was not affected by age, sex or whether the physician had worked in a field hospital during the war. However, a positive response to the question "Do you think the traumatic event you experienced during the war still affects you today?" was highly associated with the diagnosis of PTSD (odds ratio 7.26, 95% confidence interval: 1.57-33.60). Also, this question was shown to have a high degree of sensitivity and negative predictive value, and may be of use as a screening tool for ruling out the presence of PTSD after a traumatic war experience.     

Dietary Fibre,Coronary Heart Disease and Diabetes Mellitus

Two rural settled Fulani villages in northeast Nigeria were surveyed for dietary practices and use of edible wild plants (n = 100 adult subjects). Dietary patterns and medical data were obtained for children under 5, pregnant and lactating women and the elderly. A diversified diet was maintained at both geographical locations through hunting, gathering, agriculture, horticulture, animal husbandry, food exchanges and cash purchases. Edible wild plants associated with children included fruits of baure (Ficus sycomorus), faru (Lannea schiniperi), giginya (Gardenia aqualla), kokiya (Strychnos spinosa) and nunu (Parinari curatellitolia). Leaves of shiwaka (Veronia colorate) were consumed by lactating women to stimulate breastmilk production. Generally, fruits of baure (Ficus sycomorus) were eaten to counter stomach pain; fruits of kisni (Bridelia ferruginea) were eaten to treat diarrhea; and bark of kuka (Adansonia digitata) was consumed for weight gain. Food storage was more important during wet seasons than dry because of local and regional flooding. Adult Fulani men rode to distant markets on bicycles, while women walked to market and in some instances expended 3200 kcal/day engaging in this activity.     

Food-related behaviors during drought: a study of rural Fulani, northeastern Nigeria

Two rural settled Fulani villages in northeast Nigeria were surveyed for dietary practices and use of edible wild plants (n = 100 adult subjects). Dietary patterns and medical data were obtained for children under 5, pregnant and lactating women and the elderly. A diversified diet was maintained at both geographical locations through hunting, gathering, agriculture, horticulture, animal husbandry, food exchanges and cash purchases. Edible wild plants associated with children included fruits of baure (Ficus sycomorus), faru (Lannea schiniperi), giginya (Gardenia aqualla), kokiya (Strychnos spinosa) and nunu (Parinari curatellitolia). Leaves of shiwaka (Veronia colorate) were consumed by lactating women to stimulate breastmilk production. Generally, fruits of baure (Ficus sycomorus) were eaten to counter stomach pain; fruits of kisni (Bridelia ferruginea) were eaten to treat diarrhea; and bark of kuka (Adansonia digitata) was consumed for weight gain. Food storage was more important during wet seasons than dry because of local and regional flooding. Adult Fulani men rode to distant markets on bicycles, while women walked to market and in some instances expended 3200 kcal/day engaging in this activity.     

Childhood malnutrition during the Bosnian conflict: Four linked cross-sectional studies

In the first years of the Bosnia conflict (1992–1995), a number of small local studies failed to confirm the expected widespread malnutrition that was the basis of humanitarian appeals. At the request of relief agencies, four population surveys from 1994 to 1997 measured childhood malnutrition during and immediately after the conflict as well as potential risk factors. The four surveys visited a random sample of clusters from population registers in Bosnia and Herzegovina (BiH) and the Republica Srpska (RS). All surveys measured mid-upper arm circumference (MUAC) in children 6–59 months old in 31 BiH clusters and in 10 RS clusters (last three surveys). An administered questionnaire documented potential risk factors, including breastfeeding, receipt of food aid and socio-economic variables. Analysis relied on a cluster-adjusted multivariate Mantel–Haenszel procedure. In BiH, the proportion of children with MUAC less than 125 mm increased between 1994 and 1997: 5.5%, 6.8%, 14.2% and 8.6% (χ²?=?23.2; 2 d.f.); using z-scores (>?2SD), the increase was 2.8%, 5.6%, 7.5% and 5.7% (χ²?=?11.9; 2 d.f.). In the third year of life, the risk of malnutrition was significantly higher in children from households receiving food aid (OR_a?=?2.38, 95% CI_ca?=?1.36–4.15), whereas in the fourth year of life the risk of malnutrition was higher among children in male-absent households (OR_a?=?4.42, 95% CI_ca?=?1.99–9.83). The risk of malnutrition was not related to ethnicity, sex of the child or urban/rural residence. The increased childhood malnutrition between 1994 and 1997 confirms increased vulnerability of some segments of the Bosnian population over the last years of the war, despite the humanitarian aid programme.     

Energy and micronutrient composition of dietary and medicinal wild plants consumed during drought. Study of rural Fulani, northeastern Nigeria

Two rural settled Fulani villages, northeastern Nigeria, were surveyed for dietary practices and use of edible wild plants (n = 100 households). Commonly consumed species of edible wild barks, fruits, leaves, nuts, seeds, and tubers were analyzed for protein, fat, and carbohydrate and for minerals. Kuka bark (Adansonia digitata) given to infants to increase weight gain was high in fat, calcium, copper, iron, and zinc. Cediya (Ficus thonningii), dorowa (Parkia biglobosa) and zogale (Moringa oleifera) were good sources of protein and fat and excellent sources of calcium and iron or copper and zinc. Fruits, leaves, and nuts of aduwa (Balanites aegyptiaca) were widely used during the dry season and during drought. Edible wild species available during the wet season generally were inferior in energy and micronutrient mineral content compared to dry season plants. Fruits commonly eaten by children were poor sources of protein and minerals but rich in carbohydrate and fiber. Tsamiya seeds (Tamarindus indica) were good sources of zinc and used to make dawwa (porridge) commonly consumed during pregnancy. Kirya seeds (Prosopos africana) contained the highest zinc concentrations. Shiwaka leaves (Veronia colorate) consumed by pregnant women to increase breastmilk production and to expel intestinal worms, were high in fiber, phosphorus, magnesium, manganese, and were adequate sources of calcium.     

A comprehensive assessment of medical schools in Bosnia and Herzegovina

OBJECTIVES: To perform internal and external evaluations of all 5 medical schools in Bosnia and Herzegovina against international standards. METHODS: We carried out a 2-stage survey study using the same 5-point Likert scale for internal and external evaluations of 5 medical schools in Bosnia and Herzegovina (Banja Luka, Foca/East Sarajevo, Mostar, Sarajevo and Tuzla). Participants consisted of managerial staff, teaching staff and students of medical schools, and external expert assessors. Main outcome measures included scores on internal and external evaluation forms for 10 items concerning aspects of school curriculum and functioning: 'School mission and objectives'; 'Curriculum'; 'Management'; 'Staff'; 'Students'; 'Facilities and technology'; 'Financial issues'; 'International relationships'; 'Internal quality assurance', and 'Development plans'. RESULTS: During internal assessment, schools consistently either overrated their overall functioning (Foca/East Sarajevo, Mostar and Tuzla) or markedly overrated or underrated their performance on individual items on the survey (Banja Luka and Sarajevo). Scores for internal assessment differed from those for external assessment. These differences were not consistent, except for the sections 'School mission and objectives', 'Curriculum' and 'Development plans', which were consistently overrated in the internal assessments. External assessments was more positive than internal assessments on 'Students' and 'Facilities and technology' in 3 of 5 schools. CONCLUSIONS: This assessment exercise in 5 medical schools showed that constructive and structured evaluation of medical education is possible, even in complex and unfavourable conditions. Medical schools in Bosnia and Herzegovina have successfully formed a national consortium for formal collaboration in curriculum development and reform.     

Cardiovascular Health in St. Louis Bosnian-Americans

In Bosnia and Herzegovina, cardiovascular disease accounts for nearly 50% of deaths. Cardiovascular health of resettled Bosnian-Americans has not been well-characterized. Our study aimed to quantify cardiovascular risk in Bosnian-Americans in St. Louis, the largest non-European center of resettlement. Seven community screenings focused on Bosnian-Americans were held. Cardiovascular risk was calculated to stratify individuals into low (<10%), moderate (10–20%), and high (>20%) risk. Those with self-reported coronary heart disease (CHD) or risk equivalent were considered high-risk. Two-hundred fifty Bosnian-Americans were screened; 51% (n?=?128) consented to the IRB-approved study. Twenty-one percent were smokers, 33% obese, and 33% had hypertension. Excluding risk equivalent individuals, 5.7% of subjects were high-risk, increasing to 26.6% when including high-risk equivalents. Lipid abnormalities include elevated triglycerides (29.0%) and low HDL (50.0%). Compared to general American population studies, Bosnian-Americans have greater ten-year hard CHD risk. A community-based approach identified potential culturally-based lifestyle interventions including diet, exercise, and smoking.