Surface water quality contamination source apportionment and physicochemical characterization at the upper section of the Jakara Basin, Nigeria.

The present study investigates the surface water quality of three important tributaries of Jakara Basin, northwestern Nigeria to provide an overview of the relationship and sources of physicochemical and biological parameters. A total of 405 water samples were collected from 27 sampling points and analyzed for 13 parameters: dissolved oxygen (DO), 5-day biochemical oxygen demand (BOD5), chemical oxygen demand (COD), suspended solids (SS), pH, ammonia-nitrogen (NH3NL), dissolved solids (DS), total solids (TS), nitrates (NO3), chloride (Cl), phosphates (PO4), Escherichia coli (E. coli) and fecal coliform bacteria (FCB). Pearson’s product–moment correlation matrix and principal component analysis (PCA) were used to distinguish the main pollution sources in the basin. Four varimax components were extracted from PCA, which explained 84.86, 83.60, and 78.69 % of the variation in the surface water quality for Jakara, Tsakama, and Gama-Kwari Rivers, respectively. Strong positive loading included BOD5, COD, NH3NL, E. coli, and FCB with negative loading on DO attribute to a domestic waste water pollution source. One-way ANOVA revealed that there was no significant difference in the mean of the three water bodies (p > 0.05). It is therefore recommended that the government should be more effective in controlling the point source of pollution in the area

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

The corallivorous invertebrate Drupella aids in transmission of brown band disease on the Great Barrier Reef

Brown band disease (BrB) is an increasingly prevalent coral disease in the Indo-Pacific, but although the macroscopic signs of BrB have been associated with the ciliate Philaster guamensis, many aspects of its ecology remain unknown, particularly how the disease is transmitted among coral colonies. The aim of this study was to assess biotic factors affecting BrB transmission, explicitly testing whether corallivorous species contribute to disease spread. Several fish species were observed feeding on diseased tissue in the field, but did not influence either the progression or transmission rates of BrB on coral colonies in situ. In aquarium-based experiments, the butterflyfish Chaetodon aureofasciatus neither aided nor hindered the transmission of BrB from infected to uninfected corals. In contrast, the coral-feeding gastropod Drupella sp. was a highly effective vector of BrB, infecting more than 40 % of experimental colonies. This study also demonstrated the importance of injury in facilitating BrB infection, supporting the hypothesis that the BrB pathogen invades compromised coral tissue. In conclusion, disturbances and corallivorous activities that injure live corals are likely to contribute to increased occurrence of BrB provided that feeding scars create entry wounds sufficiently extensive to facilitate infection. These findings increase the understanding of the ecology of BrB, enabling better predictions of the prevalence and severity of this disease, and informing strategies for managing the impact of BrB on coral reefs

Microelectrode implantation in motor cortex causes fine motor deficit: Implications on potential considerations to Brain Computer Interfacing and Human Augmentation

Abstract Intracortical microelectrodes have shown great success in enabling locked-in patients to interact with computers, robotic limbs, and their own electrically driven limbs. The recent advances have inspired world-wide enthusiasm resulting in billions of dollars invested in federal and industrial sponsorships to understanding the brain for rehabilitative applications. Additionally, private philanthropists have also demonstrated excitement in the field by investing in the use of brain interfacing technologies as a means to human augmentation. While the promise of incredible technologies is real, caution must be taken as implications regarding optimal performance and unforeseen side effects following device implantation into the brain are not fully characterized. The current study is aimed to quantify any motor deficit caused by microelectrode implantation in the motor cortex of healthy rats compared to non-implanted controls. Following electrode insertion, rats were tested on an open-field grid test to study gross motor function and a ladder test to study fine motor function. It was discovered that rats with chronically indwelling intracortical microelectrodes exhibited up to an incredible 527% increase in time to complete the fine motor task. This initial study defines the need for further and more robust behavioral testing of potential unintentional harm caused by microelectrode implantation