Incidence and risk factors for retinal vein occlusion at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Objective: The objective of the following study is to determine the  incidence of retinal vein occlusion (RVO) and identify the risk factors in RVO in patients presenting to a tertiary hospital in Rivers State.Materials and Methods: The medical records of consecutive patients with RVO who presented to the retina clinic of the eye Department of University of Port Harcourt Teaching Hospital over a 5 year period were retrieved. Information extracted from the data included the demographic data of patients, presenting visual acuity, history of systemic and ocular disease, blood pressure and intraocular pressure. Data was analyzed using the Statistical Package for Social Sciences 20.0. (IBM Corporation and its licensors 1989,2011).Results: Out of the 364 patients seen at the retina clinic during this period, 27 (7.4%) had RVO. Seven patients had bilateral disease. The incidence of RVO in the retinal clinic was 7.4%. Systemic hypertension, diabetes   mellitus, hyperlipidemia and glaucoma were the main risk factors recorded in our patients. Central retinal vein occlusion (CRVO) 20 (74%) was morepredominant than branch retinal vein occlusion (BRVO) 7 (26%). 21 eyes of patients with CRVO had visual acuities of < 3/60, while 7 eyes of patients with BRVO had visual acuities less than 3/60. Vitreous hemorrhage 10 (52.6%) was the most common complication encountered. All cases of non.perfused vein occlusion 4 (14.8%) were seen in patients who had CRVO.Conclusion: The incidence of RV in our hospital is high. RVO is a significant cause of visual impairment, with CRVO being more common. Identifying associated risk factors and treating these could help reduce the incidence of RVO.Key words: Incidence, Port Harcourt, retinal vein occlusion, risk factor

Simple Processing Method for Recycling Poultry Waste into Animal Feed Ingredient

Poultry wastes (PW) namely broiler litter (BL), caged-­‐layer droppings (CLD) and layer litter (LL) were evaluated for nutrient composition and microbial loads in order to select the most suitable for use as a feedstuff. Broiler litter had the highest amount of crude protein (16.8%) and a phosphorus content of 0.49%. There were more bacteria (cfu/g) in all the test materials than fungi. The total heterotrophic bacteria (THB) load was lowest in BL at 2.8 ×106 cfu/g. The total heterotrophic fungi (THF) load of 1.1 × 102 cfu/g was lowest for CLD. Total microbial load (TML) was lower in BL with a value of 1.4 x106 cfu/g. Klebsiella edwardsii was prevalent in all the test materials, while the fungi identified were moulds. Broiler litter also had the least number of identified microorganisms. The crude protein (CP), phosphorus (P) content, and the TML showed BL as the most suitable PW that can be processed as a feedstuff. The processing method developed in this study for recycling poultry litter into feedstuffs potentially useful for integration into animal-­‐feeding systems for non-­‐ruminants is simple, feasible and cheap

Assessment of the water quality parameters in relation to fish community of Osinmo reservoir, Ejigbo, Osun State, Nigeria

Physicochemical indices of water body changed seasonally and this necessitated an investigation to assess the water quality parameters of Osinmo reservoir in relation to its fish species. The water quality parameters were measured using standard methods. Results obtained show that the reservoir is alkaline in nature with dissolved oxygen  concentration (1.8-7.2 mgl-1) and alkalinity (64 CaCO3 mgl-1-108 CaCO3 mgl-1) which were within the optimum range for growth and survival of fish. Four families of fish comprising eight species were encountered. The sex-ratio of five species which were statistically different (P<0.05) indicatedreproductive efficiency populations while other fish species whose sex-ratio differed insignificantly (P>0.05) revealed a growing population. The  well-being of the fish species was adequate as observed in the least meancondition factor of 0.666±0.057 in C. gariepinus and the highest mean of 2.000±0.242 in S. galilaeus. The productivity of the reservoir can be  improved through proper management of the water body.Keywords: Water quality, fish abundance, diversity, fish biometrics, sex-ratio, condition factor

Ophthalmic manifestations in patients with intracranial tumours

Introduction L’étude a pour but d’apprécier les manifestations ophtalmologiques des patients présentant des tumeurs cérébrales au Nigéria dans un hôpital tertiaire. Méthode Il s’agit d’une étude rétrospective avec une revue des tumeurs cérébrales dans le Neurosurgical Unit of Obafemi Awolowo University Teaching Hospitals Complex, Ile- Ife de janvier 2003 à décembre 2007. L’analyse des données, diagnostique, acuité visuelle, et prise en charge, ont été analysées selon la fréquence en utilisant avec la version 1 11 SPCS . L’acuité visuelle a été classifiée selon celle de l’OMS. Résultat Sur un total de 94 patients, 88 patients ont été revus. Il s’agissait de 53 patients de sexe masculin et 35 de sexe féminin. La moyenne d’âge était de 36.2 plus ou moins 20 ans. 14 patients ont été pris en charge par les ophtalmologistes. La répartition des tumeurs était la suivante: méningiomes, 36,4 %, craniopharyngiomes, 13,6 % et gliomes, 9,1 %. 67,9 % des patients se plaignaient de troubles visuels à l’admission dont 46,6 % avec une baisse importante et 12,5 % une vision double. Il a été objectivé une artrophie optique dans 23,9 % . 46 malades (52 %) étaient aveugles et 14 (16 %) avaient un trouble visuelimportant. Conclusion Les troubles visuels sont des manifestations cliniques fréquentes de présentation des tumeurs cérébrales. Une information médicale précoce est requise

BIOCHEMICAL CHANGES IN STREPTOZOTOCIN-INDUCED DIABETIC RATS AFTER TREATMENT WITH ETHANOLIC LEAF EXTRACT OF Croton Zambesicus (Müll. Arg.)

Objective: This study was designed to evaluate the effect of ethanolic leaf extract of C. zambesicus on total protein (TP), albumin (ALB), globulin (GLO), lactate dehydrogenase (LDH) and glucose-6-phosphate dehydrogenase (G6PDH) in streptozotocin (STZ) induced diabetic rats. Methods: Seventy adult male wistar rats were divided into seven groups (n=10). Group A, control rats; Group B, untreated diabetic rats; Group C, diabetic rats in which C. zambesicus therapy started 2 weeks prior to induction of diabetes; Group D, diabetic rats administered orally with C. zambesicus leafextract for 2 weeks after the initial four weeks of diabetic induction; Group E, diabetic rats administered orally with C. zambesicus leaf extract for 4 weeks after the initial four weeks of diabetic induction; Group F, normal rats administered orally with C. zambesicus leaf extract for four weeks; Group G, diabetic rats administered with glimepiride (2 mg/kg/day) for four weeks after the initial four weeks of diabetic induction. At the end of the experimental period, the animals were weighed and sacrificed. Serum was obtained for TP, ALB, LDH and G6PDH analysis using respective diagnostic kits. Results: The results showed an improvement in protein metaboloites (TP, ALB, GLO) whiles the LDH and G6PDH in the extract and glimepiride treated groups were restored near normal level when compared with normal control (group A). Conclusion: In conclusion, this study showed that C. zambesicus leaf extract exerts positive effects on serum levels of TP, ALB, GLO, LDH and G6PDH in diabetic rats. Thus, ethanolic leaf extract of Croton zambesicus can be adopted in the management of diabetes mellitus

N-nitrosodiethylamine induced redox imbalance in rat liver: Protective role of polyphenolic extract of Blighia sapida arilli

a b s t r a c t Aim: This study investigates the reactive oxygen species detoxification potentials of polyphenolic extract of Blighia sapida arilli in the liver of N-nitrosodiethylamine-treated rats. Methods: Male rats, weighing 158 AE 2.9 g were completely randomized into 7 groups (AeG) of five rats each. Rats in C, D, E and F were administered orally once daily at 24 h interval for 7 days with 1000, 250, 500 and 1000 mg/kg body weight of polyphenolic extract of B. sapida arilli respectively. Group G was given 100 mg/kg body weight of vitamin C. On the sixth day, group B, D, E, F and G were administered with 100 mg/kg body weight N-nitrosodiethylamine (NDEA). Group A, which served as the control was treated like the test groups except, that the animals received distilled water only. Results: Reactive oxygen species detoxifying enzymes (superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase and glucose 6-phosphate dehydrogenase) activities were significantly (P < 0.05) induced by B. sapida arilli. These inductions significantly (P < 0.05) attenuated the decrease in reactive oxygen species detoxifying enzymes mediated by NDEA treatment and compared favourably with vitamin C. NDEA-mediated elevation in the concentrations of oxidative stress biomarkers; malondialdehyde, conjugated dienes, lipid hydroperoxides, protein carbonyl and percentage DNA fragmentation were significantly (P < 0.05) lowered by polyphenolic extract of B. sapida arilli. Conclusion: Overall, the results obtained from this study revealed that the polyphenolic extract from B. sapida arilli enhanced the detoxification of reactive oxygen species in NDEA-treated rats. The polyphenols also prevented the peroxidation of lipid, oxidation of proteins as well as fragmentation of DNA component in the liver of rats and hence gave the evidence of possible prophylactic potentials of B. sapida arilli

Effect of Xylopia aethiopica, Fiscus mucuso and Anthocleista vogelli extracts on some Biochemical Parameters following ethanol-Induced Toxicity.

A total of forty rats were divided into eight groups (n= 5). Group A were control rats; Group B 27 were administered with absolute ethanol; Group C were ethanol administered rats treated with 28 Xylopia aethiopica; Groups D were ethanol administered rats treated with Fiscus mucuso, Group 29 E were ethanol administered rats treated with Anthocleista vogelli; Group F were normal rats 30 administered orally with Xylopia aethiopica; Group G were normal rats administered orally with 31 Fiscus mucuso; Group H were normal rats administered orally with Anthocleista vogelli. At the 32 end of the experimental period, the animals were sacrificed and serum was obtained for total 33 protein, uric acid, creatinin, urea, Aspartate aminotrasferase (AST) and Alanine aminotransferase 34 (ALT) analysis using respective research kits. 35 The result showed that Xylopia aethiopica had protective effect on the kidney as compared with 36 Fiscus mucuso and Anthocleista vogelli treated rats. Also, The AST and ALT was lowered with 37 the start of Xylopia aethiopia treatment. The total protein, creatinin and urea were slightly 38 (p> 0.05) affected with ethanol, an effect which was normalized with the start of extract 39 treatment. 4

A Simulation Study of Functional Electrical Stimulation for An Upper Limb Rehabilitation Robot using Iterative Learning Control (ILC) and Linear models

A proportional iterative learning control (P-ILC) for linear models of an existing hybrid stroke rehabilitation scheme is implemented for elbow extension/flexion during a rehabilitative task. Owing to transient error growth problem of P-ILC, a learning derivative constraint controller was included to ensure that the controlled system does not exceed a predefined velocity limit at every trial. To achieve this, linear transfer function models of the robot end-effector interaction with a stroke subject (plant) and muscle response to stimulation controllers were developed. A straight-line point-point trajectory of 0 - 0.3 m range served as the reference task space trajectory for the plant, feedforward, and feedback stimulation controllers. At each trial, a SAT-based bounded error derivative ILC algorithm served as the learning constraint controller. Three control configurations were developed and simulated. The system performance was evaluated using the root means square error (RMSE) and normalized RMSE. At different ILC gains over 16 iterations, a displacement error of 0.0060 m was obtained when control configurations were combined.Comment: 15 pages, 16 Figure

Paediatric brought-in-dead at a tertiary health facility in South western Nigeria: Patterns and drivers

Background: ‘Brought- in-dead’ (BID) refers to the demise of an individual before presentation to a health facility. This study assessed the pattern of paediatric BID cases seen at a tertiary health facility in southwest Nigeria. Method: A cross-sectional, descriptive study was done at the Children Emergency Ward (CEW) of the hospital between January 2014 and December 2018. The patterns of BID cases and presumed causes of death were determined using a standardized checklist adapted from the WHO verbal autopsy instrument. Results: Ninety-eight BID cases were seen during the study, constituting 2.5% of total patients seen during the period. The median (IQR) age of cases was 24.0 (8.75 – 63.0) months and 72.4% were under-fives. Most had symptoms related to the haematologic (36.7%), respiratory (24.5%) or digestive (20.4%) systems. Severe anaemia 31(31.6%), gastroenteritis 19 (19.4) and aspiration 17 (17.3%) were the most common causes of death. The median (IQR) duration of illness before presentation was 3.0 (1.0 – 7.0) days but most presented from 4 – 7 days of illness. A significant relationship was found between the duration of illness and whether or not pre-hospital treatment was received (p < 0.0001). Unprescribed drugs purchased over the counter were the most commonly used treatment in 79.1% of cases (p < 0.0001). Conclusion: This study has highlighted the prevalence and pattern of paediatric BID in a tertiary health facility in southwest Nigeria and the factors that were associated with it. More efforts need to be geared towards community sensitization and pediatric health care to prevent factors drivingits menace