Effect of Chronic Administration of Methanol Extract of Moringa Oleifera on Some Biochemical Indices in Female Wistar Rats

The study was conducted to investigate safety associated with prolonged consumption of Moringa oleifera leaves as beverage. Fourteen rats were used in this study. They were divided into 2 groups each containing 7 rats. Rats in group I received 2ml/kg of corn oil (standard vehicle drug). Animals in groups II were administered with 400mg/kg body of methanolic extract of Moringa oleifera (MEMO) for five weeks respectively. Serum collected was analyzed for alanine aminotransferase (ALT), aspartate aminotransferase (AST), total protein, albumin, globulin, blood urea nitrogen (BUN) and creatinine. There was significant (P<0.05) decrease in serum total protein, albumin, globulin and AST activity. The activity of ALT decreased but not significant. Similarly, 400mg/kg body of MEMO led to significant (P<0.05) decrease in serum BUN and creatinine. All experimental animals that received 400mg/kb of MEMO had significant (P<0.05) decrease in body weight from week to week 4 of the experiment. Taken together, 400mg/kg body of MEMO seemed to be toxic to the liver with apparently no toxicity in the kidney. Hence, prolonged exposure is not advisable as such could portend danger to the liver.Keywords: Moringa oleifera, toxicity, hepatic damage, kidney

Mycoremediation of petroleum hydrocarbon polluted soil by Pleurotus pulmonarius

Mycoremediation of petroleum hydrocarbon polluted soil was investigated using Pleurotus pulmonarius for a period of 62 days. Hydrocarbon (Petrol + diesel + spent petrol engine oil + spent diesel engine oil in ratio 1:1:1:1) polluted soil in 2.5%, 5%, 10% and 20% concentration were inoculated and incubated with pure culture of P. pulmonarius obtained from commercial mushroom laboratory of Federal Institute of Industrial Research Oshodi (F.I.I.R.O.) Lagos Nigeria. Inoculation was done by adding 20 g of vigorously growing spawn of P. pulmonarius. A set of control treatment was used where different concentrations of the petroleum hydrocarbon were added to all soils but no inoculation with the fungus. The results showed that the initial organic matter content of the soil increased with increase in the concentration of petroleum mixture added to the soil.  The highest impact of P. pulmonarius on the organic matter content of the soil was noticed in soil with 10% concentration treatment (68.34%) and the least was in soil with 2.5% treatment concentration (22.12%). The initial nitrogen, potassium and phosphorus contents of the soils samples decreased with increase in the petroleum concentration. The difference was significant at 2.5%, 5%, 10% and 20% concentration of contamination for organic matter, nitrogen, potassium and phosphorus (p<0.05). A significant (p<0.05) reduction in concentration of the heavy metals (manganese, copper, and zinc) after 62 days of incubation with P. pulmonarius suggested that the mushroom is a good agent for heavy metal remediation. The highest reduction of Mn was at 10% concentration (24.00±0.04 to 1.73±0.10), Cu at 10% concentration (37.24± 0.02 to 0.00), and Zn was at 10% concentration (63.03±0.02 to 5.75±0.14). The percentage loss of the TPH due the growth of P. pulmonarius decreased with increase in the concentration of petroleum added to the soil. The percentage loss for 2.5%, 5%, 10% and 20% concentration are 52.60%, 38.71%, 27.20% and 8.31% respectively. Heptane, toluene, octane, M-p xylene, Alpha xylene, nonane, propylbenzene, decane, tridecane, tetradecane, anthracene and pentadecane had high reduction; however, the reduction is more significant (p<0.05) in soil inoculated with P. pulmonarius. Our results suggest that P. pulmonarius can be used to clean soils polluted with moderate level of petroleum products mixtureKey Word: Mycoremediation, petrol, diesel, spent engine oil, P. Pulmonarius, TP

Misconception about ultrasound among Nigerian women attending specialist and tertiary health institutions in Ibadan

Background: In women health, ultrasound is well established as a safe tool, and it is often the first imaging modality employed in the, screening, investigation and treatment of conditions in obstetrics and gynaecology. However, women's misconceptions about health issues, aetiology and treatment of diseases conditions may have negative impact on their health care seeking behaviour. Client's perspective of diagnosis including investigation process is therefore crucial in health care. This study aimed at finding out the misconceptions expressed by clients about ultrasound, and the potential predictors associated with this attitude among women in Nigeria.Method: A descriptive cross-sectional survey was conducted among 3137 women who presented for transabdominal ultrasound scan between August and November 2010 in two referral hospitals in Nigeria. Data were obtained using a questionnaire. Descriptive and multivariate analysis was performed applying logistic regression analysis; predictors of misconceptions  expressed by clients about ultrasound, and misconceptions among women in Nigeria were identified using SPSS Statistics (SPSS Inc, Chicago, IL) version 17 software.Results: The mean age of the women was 33.8 years (standard deviation = 7.9), with 88.8% currently married. More than half of the responders had tertiary education (56.6%), followed by secondary school education  (34.5%), primary education (7.8%) and no formal education (1.1%). There were 59 women who held the misconception that ultrasound was dangerous to health accounting for 1.9% of the study population. The reasons given by this group of women Included; 'ultrasound can kill or destroys the body cells' (35.6%); it can cause cancer (15.3%); 'the radiation is only dangerous to some organs of the body' (6.8%); it can harm or deform the fetus (6.7%); it is only dangerous when exposure is frequent (5.1%); and only dangerous when handled by unskilled medical personnel (1.7%).Conclusion: This study provides insight to the wide range of issues about clients' perception and misconception regarding ultrasound safety. These issues have to be addressed to improve better compliance and patronage about ultrasound scans in Nigeria. We suggest that robust counseling session is imperative to address all the views and possible concerns of clients to improve better service delivery

Intestinal Helminthiasis among School Children in Ilie, Osun State, Southwest, Nigeria

A cross sectional study of intestinal helminthiasis among school pupils was undertaken in three primary schools in Ilie in Olorunda Local Government Area of Osun state in order to determine the prevalence and intensity of helminthic infections. The relationship between intestinal helminths and anthropometric indices and the factors that could favour the infection were also studied. Faecal samples from three hundred and four (304) randomly selected out of the four hundred and seven (407) school children in the study area were collected and analysed with the semi-quantitative Kato Katz technique and concentrated method. The intensity of infection was classified into light, moderate or high according to World Health Organisation (WHO) thresholds. The overall prevalence rate was 52.0% while five species of intestinal helminths were identified. Ascaris lumbricoides (36.2%) was the most common, followed by Hookworm (10.5%), Schistosoma mansoni (4%), Strongyloides stercoralis (0.7%) and Hymenolepis nana (0.7%). Multiple helminthic infection were recorded with Ascaris –Hookworm (6.58%) having the highest prevalence among the children. Female (56.6%) were more infected than male (46.4%) and the difference was statistically significant (P=0.0019). Seventeen percent (17%) of the children were below the third percentile for weight (wasted) while fourteen percent (14%) were below the third percentile for height (stunted). There was a relationship between intensity of infection and wasting since there were fewer underweight pupils (13%) with normal stool than those moderately infected (35%) (

Mucosal Healing in Ulcerative Colitis: A Comprehensive Review

Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by periods of remission and periods of relapse. Patients often present with symptoms such as rectal bleeding, diarrhea and weight loss, and may require hospitalization and even colectomy. Long-term complications of UC include decreased quality of life and productivity and an increased risk of colorectal cancer. Mucosal healing (MH) has gained progressive importance in the management of UC patients. In this article, we review the endoscopic findings that define both mucosal injury and MH, and the strengths and limitations of the scoring systems currently available in clinical practice. The basic mechanisms behind colonic injury and MH are covered, highlighting the pathways through which different drugs exert their effect towards reducing inflammation and promoting epithelial repair. A comprehensive review of the evidence for approved drugs for UC to achieve and maintain MH is provided, including a section on the pharmacokinetics of anti-tumor necrosis factor (TNF)-alpha drugs. Currently approved drugs with proven efficacy in achieving MH in UC include salicylates, corticosteroids (induction only), calcineurin inhibitors (induction only), thiopurines, vedolizumab and anti-TNF alpha drugs (infliximab, adalimumab, and golimumab). MH is of crucial relevance in the outcomes of UC, resulting in lower incidences of clinical relapse, the need for hospitalization and surgery, as well as reduced rates of dysplasia and colorectal cancer. Finally, we present recent evidence towards the need for a more strict definition of complete MH as the preferred endpoint for UC patients, using a combination of both endoscopic and histological findings.info:eu-repo/semantics/publishedVersio

Post-doctoral research fellowship as a health policy and systems research capacity development intervention: a case of the CHESAI initiative

BACKGROUND: Building capacity in health policy and systems research (HPSR), especially in low- and middle-income countries, remains a challenge. Various approaches have been suggested and implemented by scholars and institutions using various forms of capacity building to address challenges regarding HPSR development. The Collaboration for Health Systems Analysis and Innovation (CHESAI) – a collaborative effort between the Universities of Cape Town and the Western Cape Schools of Public Health – has employed a non-research based post-doctoral research fellowship (PDRF) as a way of building African capacity in the field of HPSR by recruiting four post-docs. In this paper, we (the four post-docs) explore whether a PDRF is a useful approach for capacity building for the field of HPSR using our CHESAI PDRF experiences. METHODS: We used personal reflections of our written narratives providing detailed information regarding our engagement with CHESAI. The narratives were based on a question guide around our experiences through various activities and their impacts on our professional development. The data analysis process was highly iterative in nature, involving repeated meetings among the four post-docs to reflect, discuss and create themes that evolved from the discussions. RESULTS: The CHESAI PDRF provided multiple spaces for our engagement and capacity development in the field of HPSR. These spaces provided us with a wide range of learning experiences, including teaching and research, policy networking, skills for academic writing, engaging practitioners, co-production and community dialogue. Our reflections suggest that institutions providing PDRF such as this are valuable if they provide environments endowed with adequate resources, good leadership and spaces for innovation. Further, the PDRFs need to be grounded in a community of HPSR practice, and provide opportunities for the post-docs to gain an in-depth understanding of the broader theoretical and methodological underpinnings of the field. CONCLUSION: The study concludes that PDRF is a useful approach to capacity building in HPSR, but it needs be embedded in a community of practice for fellows to benefit. More academic institutions in Africa need to adopt innovative and flexible support for emerging leaders, researchers and practitioners to strengthen our health systemsIS