Phytochemistry, antibacterial and anticoagulase activities of Sida acuta against clinical isolates of Staphylococcus aureus

oai:journals.ansfoundation.org:article/20The phytochemical, antibacterial and anticoagulase activities of Sida acuta against clinical isolates of Staphylococcus aureus were investigated. The phytochemistry of the plant leaves revealed that S. acuta is laden with antioxidative compounds with remarkable concentrations of saponins (0.772 mg/100g), flavonoids (0.112 mg/100g), alkaloids (0.076 mg/100g) and tannins (0.0541mg/100g). Their presence conferred a strong bactericidal effect on Staphylococcus aureus SS-1VC, Staph. aureus SS-2VM, Staph. aureus SS-3SW, Staph aureus SS-4OM, Staph. aureus SS-5BC Staph. aureus SS-6AF and Staph. aureus SS-7DS isolated from vaginal candidiosis, vaginal mycosis, septic wound, otitis media, buccal cavity, athletes foot and diarrheic stool respectively. Majority of the bacterium strains screened were sensitive to aqueous and methanol extracts of S. acuta leaves. All the strains were inhibited by the aqueous extract, but more susceptible were strains SS-2VM isolated from vaginal mycoses and SS-3SW from septic wound, which recorded 25mm and 24mm diameter of inhibition zones respectively, after treatment with 8.0mg/ml of the extract. However, much lower concentration (0.5mg/ml) of the extract was required to halt coagulase activity in both strains. The methanol leaf extract exhibited similar but stronger antibacterial and anticoagulase activities against the clinical isolates of Staph. aureus. Marked antibacterial inhibitory effects were observed against most strains tested but SS-6AF and SS-7DS (which exhibited comparatively lower susceptibility), with majority of the strains losing theiranticoagulase producing potential at concentrations as low as 0.5mg/ml of alcoholic extract. The strong anticoagulase activity of S.acuta, and it’s efficacy in inhibiting coagulase elaboration by Staph aureus especially Staph. aureus SS3SW isolated from septic wound forms the basis of it’s use in folk medicine for wound treatment

Petroleum hydrocarbons and limiting nutrients in Macura reptantia, Procambarus clarkii and benthic sediment from Qua Iboe Estuary, Nigeria

The levels of total petroleum hydrocarbons in two commonly consumed benthopelagic shellfishes, Macura reptantia and Procambarus clarkii, harvested from benthic sediment of Qua Iboe Estuary were determined using a gas chromatography with flame-ionization detector. Seventy-two (72) samples each of benthic sediment and the shellfishes were collected monthly between June 2003 and February 2004 covering the peak periods of the wet and dry seasons. Concentrations of hydrocarbons were highly variable and ranged between 5.00 and 232.00 μg/g dry weight of benthic sediment, 3.05 and 11.30 μg/g dry weight of M. reptantia, 1.62 and 9.00 μg/g dry weight of P. clarkii. Pearson’s correlation analysis of total hydrocarbon concentrations in subtidal sediments with levels in the fauna species yielded positive significant (P < 0.05) correlations in M. reptantia (r = 0.737) and P. clarkii (r = 0.924). This is indicative of a long term and chronic accumulation of hydrocarbons in the estuarine ecosystem, reflecting the potential for exposure of the resident biota and the risk to human health

Ecological niche modelling of Hemipteran insects in Cameroon ; the paradox of a vector-borne transmission for Mycobacterium ulcerans, the causative agent of Buruli ulcer

Background: The mode of transmission of the emerging neglected disease Buruli ulcer is unknown. Several potential transmission pathways have been proposed, such as amoebae, or transmission through food webs. Several lines of evidence have suggested that biting aquatic insects, Naucoridae and Belostomatidae, may act as vectors, however this proposal remains controversial. Materials and methods: Herein, based on sampling in Cameroon, we construct an ecological niche model of these insects to describe their spatial distribution. We predict their distribution across West Africa, describe important environmental drivers of their abundance, and examine the correlation between their abundance and Buruli ulcer prevalence in the context of the Bradford-Hill guidelines. Results: We find a significant positive correlation between the abundance of the insects and the prevalence of Buruli ulcer. This correlation changes in space and time, it is significant in one Camerounese study region in (Akonolinga) and not other (Bankim). We discuss notable environmental differences between these regions. Conclusion: We interpret the presence of, and change in, this correlation as evidence (though not proof) that these insects may be locally important in the environmental persistence, or transmission, of Mycobacterium. ulcerans. This is consistent with the idea of M. ulcerans as a pathogen transmitted by multiple modes of infection, the importance of any one pathway changing from region to region, depending on the local environmental conditions

Relationship between age at menopause, obesity, and incident heart failure: The Atherosclerosis Risk in Communities Study

Background The mechanisms linking menopausal age and heart failure (HF) incidence are controversial. We investigated for heterogeneity by obesity on the relationship between menopausal age and HF incidence. Methods and Results Using postmenopausal women who attended the Atherosclerosis Risk in Communities Study Visit 4, we estimated hazard ratios of incident HF associated with menopausal age using Cox proportional hazards models, testing for effect modification by obesity and adjusting for HF risk factors. Women were categorized by menopausal age: \u3c45 years, 45 to 49 years, 50 to 54 years, and ≥55 years. Among 4441 postmenopausal women, aged 63.5±5.5 years, there were 903 incident HF events over a mean follow-up of 16.5 years. The attributable risk of generalized and central obesity for HF incidence was greatest among women who experienced menopause at age ≥55 years: 11.09/1000 person-years and 7.38/1000 person-years, respectively. There were significant interactions of menopausal age with body mass index and waist circumference for HF incidence

The fallacy of the equity-efficiency trade off: rethinking the efficient health system

In the health systems literature one can see discussions about the trade off between the equity achievable by the system and its efficiency. Essentially it is argued that as greater health equity is achieved, so the level of efficiency will diminish. This argument is borrowed from economics literature on market efficiency. In the application of the economic argument to health, however, serious errors have been made, because it is quite reasonable to talk of both health equity being a desirable output of a health system, and the efficient production of that output. In this article we discuss notions of efficiency, and the equity-efficiency trade off, before considering the implications of this for health systems

Special Considerations in the Care of Women With Advanced Heart Failure

Advanced heart failure (AHF) is associated with increased morbidity and mortality, and greater healthcare utilization. Recognition requires a thorough clinical assessment and appropriate risk stratification. There are persisting inequities in the allocation of AHF therapies. Women are less likely to be referred for evaluation of candidacy for heart transplantation or left ventricular assist device despite facing a higher risk of AHF-related mortality. Sex-specific risk factors influence progression to advanced disease and should be considered when evaluating women for advanced therapies. The purpose of this review is to discuss the role of sex hormones on the pathophysiology of AHF, describe the clinical presentation, diagnostic evaluation and definitive therapies of AHF in women with special attention to pregnancy, lactation, contraception and menopause. Future studies are needed to address areas of equipoise in the care of women with AHF

Impact of COVID-19 on routine malaria indicators in rural Uganda: an interrupted time series analysis.

BACKGROUND: In March 2020, the government of Uganda implemented a strict lockdown policy in response to the COVID-19 pandemic. Interrupted time series analysis (ITSA) was performed to assess whether major changes in outpatient attendance, malaria burden, and case management occurred after the onset of the COVID-19 epidemic in rural Uganda. METHODS: Individual level data from all outpatient visits collected from April 2017 to March 2021 at 17 facilities were analysed. Outcomes included total outpatient visits, malaria cases, non-malarial visits, proportion of patients with suspected malaria, proportion of patients tested using rapid diagnostic tests (RDTs), and proportion of malaria cases prescribed artemether-lumefantrine (AL). Poisson regression with generalized estimating equations and fractional regression was used to model count and proportion outcomes, respectively. Pre-COVID trends (April 2017-March 2020) were used to predict the'expected' trend in the absence of COVID-19 introduction. Effects of COVID-19 were estimated over two six-month COVID-19 time periods (April 2020-September 2020 and October 2020-March 2021) by dividing observed values by expected values, and expressed as ratios. RESULTS: A total of 1,442,737 outpatient visits were recorded. Malaria was suspected in 55.3% of visits and 98.8% of these had a malaria diagnostic test performed. ITSA showed no differences between observed and expected total outpatient visits, malaria cases, non-malarial visits, or proportion of visits with suspected malaria after COVID-19 onset. However, in the second six months of the COVID-19 time period, there was a smaller mean proportion of patients tested with RDTs compared to expected (relative prevalence ratio (RPR) = 0.87, CI (0.78-0.97)) and a smaller mean proportion of malaria cases prescribed AL (RPR = 0.94, CI (0.90-0.99)). CONCLUSIONS: In the first year after the COVID-19 pandemic arrived in Uganda, there were no major effects on malaria disease burden and indicators of case management at these 17 rural health facilities, except for a modest decrease in the proportion of RDTs used for malaria diagnosis and the mean proportion of malaria cases prescribed AL in the second half of the COVID-19 pandemic year. Continued surveillance will be essential to monitor for changes in trends in malaria indicators so that Uganda can quickly and flexibly respond to challenges imposed by COVID-19

Heparan Sulfate Regrowth Profiles Under Laminar Shear Flow Following Enzymatic Degradation

The local hemodynamic shear stress waveforms present in an artery dictate the endothelial cell phenotype. The observed decrease of the apical glycocalyx layer on the endothelium in atheroprone regions of the circulation suggests that the glycocalyx may have a central role in determining atherosclerotic plaque formation. However, the kinetics for the cells’ ability to adapt its glycocalyx to the environment have not been quantitatively resolved. Here we report that the heparan sulfate component of the glycocalyx of HUVECs increases by 1.4-fold following the onset of high shear stress, compared to static cultured cells, with a time constant of 19 h. Cell morphology experiments show that 12 h are required for the cells to elongate, but only after 36 h have the cells reached maximal alignment to the flow vector. Our findings demonstrate that following enzymatic degradation, heparan sulfate is restored to the cell surface within 12 h under flow whereas the time required is 20 h under static conditions. We also propose a model describing the contribution of endocytosis and exocytosis to apical heparan sulfate expression. The change in HS regrowth kinetics from static to high-shear EC phenotype implies a differential in the rate of endocytic and exocytic membrane turnover.National Heart, Lung, and Blood Institute (Grant HL090856-01)Singapore-MIT Allianc