Solanecio biafrae: An Underutilized Nutraceutically‑Important African Indigenous Vegetable

Solanecio biafrae (Olive and Hierne) C. Jeffrey (1986) (Family: Asteraceae), has synonyms Senecio biafrae Olive and Hierne (1877) and Crassocephalum biafrae (Olive and Hierne) S. Moore (1912). It is a perennial standent, underutilized African indigenous medicinal vegetable. It was first reported and published in Flora of Tropical Africa. Its common names varied from Gnanvule in Cote d’Ivoire to Worowo/bologi in Nigeria. It has alternate, simple, succulent, petiolated, and exauriculate leaves. Its propagation is vegetative by rooting of cuttings. However, there is no report on its propagation by seed. It is ubiquitous in cocoa plots in Nigeria, especially southwest; due to deliberate protection for economic revenue, but this has little‑uncoordinated cultivation indication. These deliberately protected few are exposed to contamination by a chemical used for protecting cocoa plants. It is highly nutritive and rich in protein. It is also medicinally important as a galactagogue and for treatment of diabetes, high blood pressure, and infertility. It has biological activity against Staphylococcus aureus and Escherichia coli. It also has traditional and cultural claims for initiation and rituals. Personal interviews and search of the available literature on S. biafrae in electronic peer‑reviewed English journals using scientific databases such as Google Scholar, Science Direct, PubMed, Scopus, and Web of Science was employed

Knowledge, Attitude, and Practice of Health Workers in a Tertiary Hospital in Ile-Ife, Nigeria, towards Ebola Viral Disease

Background. Health workers are more prone to Ebola viral disease (EVD) than the general population. This study assessed the preparedness of health workers in the control and management of EVD. Methods. A descriptive cross-sectional study. Consenting 400 health workers completed a semistructured questionnaire that assessed participants’ general knowledge, emergency preparedness, and control and management of EVD. Data were analysed using descriptive and inferential statistics. Results. The mean age (SD) was 34.5 ± 8.62 years ranging from 20 to 59 years. Most participants were medical doctors (24.6%) and nurses (52.2%). The majority had practised <10 years (73.8%) and were aware of the EVD outbreak in the West African subregion (85.5%). Colleagues (40%) and radio (37.2%) were their major sources of information. Only 42% had good knowledge while 27% knew that there was no vaccine presently to prevent EVD. About one-quarter (24.2%) had low risk perception. The majority (89%) felt the hospital infection control policy was inadequate to protect against EVD. The only predictor of good knowledge was participants’ occupation. Conclusion. There is knowledge gap and poor infection control preparedness among respondents. Thus, knowledge and practices of health workers towards EVD need improvement

Prevalence of HPV Infection in Racial-Ethnic Subgroups of Head and Neck Cancer Patients

The landscape of HPV infection in racial/ethnic subgroups of head and neck cancer (HNC) patients has not been evaluated carefully. In this study, a meta-analysis examined the prevalence of HPV in HNC patients of African ancestry. Additionally, a pooled analysis of subject-level data was also performed to investigate HPV prevalence and patterns of p16 (CDNK2A) expression amongst different racial groups. Eighteen publications (N = 798 Black HNC patients) were examined in the meta-analysis, and the pooled analysis included 29 datasets comprised of 3,129 HNC patients of diverse racial/ethnic background. The meta-analysis revealed that the prevalence of HPV16 was higher among Blacks with oropharyngeal cancer than Blacks with non-oropharyngeal cancer. However, there was great heterogeneity observed among studies (Q test P&lt;0.0001). In the pooled analysis, after adjusting for each study, year of diagnosis, age, gender and smoking status, the prevalence of HPV16/18 in oropharyngeal cancer patients was highest in Whites (61.1%), followed by 58.0% in Blacks and 25.2% in Asians (P&lt;0.0001). There was no statistically significant difference in HPV16/18 prevalence in non-oropharyngeal cancer by race (P=0.682). With regard to the pattern of HPV16/18 status and p16 expression, White patients had the highest proportion of HPV16/18+/p16+ oropharyngeal cancer (52.3%), while Asians and Blacks had significantly lower proportions (23.0% and 22.6%, respectively) [P &lt;0.0001]. Our findings suggest that the pattern of HPV16/18 status and p16 expression in oropharyngeal cancer appears to differ by race and this may contribute to survival disparities

Prevalence of HPV infection in racial–ethnic subgroups of head and neck cancer patients

The landscape of human papillomavirus (HPV) infection in racial/ethnic subgroups of head and neck cancer (HNC) patients has not been evaluated carefully. In this study, a meta-analysis examined the prevalence of HPV in HNC patients of African ancestry. Additionally, a pooled analysis of subject-level data was also performed to investigate HPV prevalence and patterns of p16 (CDNK2A) expression amongst different racial groups. Eighteen publications (N=798 Black HNC patients) were examined in the meta-analysis, and the pooled analysis included 29 datasets comprised of 3129 HNC patients of diverse racial/ethnic background. The meta-analysis revealed that the prevalence of HPV16 was higher among Blacks with oropharyngeal cancer than Blacks with non-oropharyngeal cancer. However, there was great heterogeneity observed among studies (Q test P<0.0001). In the pooled analysis, after adjusting for each study, year of diagnosis, age, gender and smoking status, the prevalence of HPV16,18 in oropharyngeal cancer patients was highest in Whites (61.1%), followed by 58.0% in Blacks and 25.2% in Asians (P<0.0001). There was no statistically significant difference in HPV16,18 prevalence in non-oropharyngeal cancer by race (P=0.682). With regard to the pattern of HPV16,18 status and p16 expression, White patients had the highest proportion of HPV16,18+/p16+ oropharyngeal cancer (52.3%), while Asians and Blacks had significantly lower proportions (23.0 and 22.6%, respectively) [P<0.0001]. Our findings suggest that the pattern of HPV16,18 status and p16 expression in oropharyngeal cancer appears to differ by race and this may contribute to survival disparities

Staging of Schizophrenia with the Use of PANSS: An International Multi-Center Study

Introduction: A specific clinically relevant staging model for schizophrenia has not yet been developed. The aim of the current study was to evaluate the factor structure of the PANSS and develop such a staging method.Methods: Twenty-nine centers from 25 countries contributed 2358 patients aged 37.21 ± 11.87 years with schizophrenia. Analysis of covariance, Exploratory Factor Analysis, Discriminant Function Analysis, and inspection of resultant plots were performed.Results: Exploratory Factor Analysis returned 5 factors explaining 59% of the variance (positive, negative, excitement/hostility, depression/anxiety, and neurocognition). The staging model included 4 main stages with substages that were predominantly characterized by a single domain of symptoms (stage 1: positive; stages 2a and 2b: excitement/hostility; stage 3a and 3b: depression/anxiety; stage 4a and 4b: neurocognition). There were no differences between sexes. The Discriminant Function Analysis developed an algorithm that correctly classified >85% of patients.Discussion: This study elaborates a 5-factor solution and a clinical staging method for patients with schizophrenia. It is the largest study to address these issues among patients who are more likely to remain affiliated with mental health services for prolonged periods of time.<br /

Comparative Effects of Postharvest Ultraviolet-Light Treatments on Antioxidants Properties, Nutritional and Vitamin D Contents of Some Indigenous Green Leafy Vegetables

Ultraviolet lamps irradiation has been extensively used in water treatment, surface disinfection, and as a germicidal agent. Yet, activation of some essential reactions in fruits and vegetables occurs at low doses of irradiation, which in turn leads to an improvement of their shelf-life or bioactive compounds. In this study, postharvest effects of ultraviolet irradiation at different wavelengths were investigated on antioxidants properties, nutritional and vitamin D contents of six leafy vegetables. The six vegetables were each subjected to UV-A, B, and C lamps irradiation at wavelengths of 400, 315, and 230 nm respectively in irradiation chambers. The results revealed that ultraviolet irradiation increased the phenolic and flavonoid contents with a better-reducing power ability and antioxidant capacity in tested vegetables. More also, the essential amino acid contents were significantly (P ≤ 0.05) increased. In UV-A treatment, increased nutritional and antioxidant properties were significant (P ≤ 0.05) in M. oleifera leaf extract. On the other hand, a significant (P ≤ 0.05) increase in the level of vitamin D2 and D3 synthesis in the leaves of all the vegetables was observed under UV-B treatment. The results revealed that M. oleifera leaf responds more positively to ultraviolet irradiation than other treated vegetables.  Therefore, this study shows that postharvest treatments with UV-A and B lamps may be a useful biological strategy for enhancing the antioxidant and nutritional quality of vegetables. Keywords: Antioxidant activity, UV-radiation, Vegetables, Bioactive compounds, Vitamin D. DOI: 10.7176/ALST/88-04 Publication date:July 31st 202

Intermittent preventive therapy for malaria with monthly artemether–lumefantrine for the post-discharge management of severe anaemia in children aged 4–59 months in southern Malawi: a multicentre, randomised, placebo-controlled trial

Background Young children with severe malarial anaemia in Africa are at high risk of readmittance to hospital or death within 6 months of discharge. We aimed to assess whether 3 months of chemoprevention with artemether–lumefantrine reduced this risk. Methods We did a randomised, placebo-controlled, multicentre trial in four hospitals in Malawi testing the efficacy and safety of intermittent preventive therapy post-discharge (IPTpd) in children aged 4–59 months admitted for severe malarial anaemia. All convalescent children who had completed a blood transfusion received artemether–lumefantrine at discharge and were randomly assigned by a computer-generated sequence to receive placebo or artemether–lumefantrine at 1 month and 2 months after discharge, providing about 1 month and 3 months of protection, respectively. Patients and study staff were masked throughout the study. The primary endpoint was a composite of all-cause mortality or hospital readmittance because of all-cause severe anaemia or severe malaria between 1 and 6 months after enrolment. This trial is registered, number ISRCTN89727873. Results Of 1414 children enrolled, 708 were assigned to receive placebo and 706 the intervention. By 6 months, 192 children (14%) had died or were readmitted with severe malaria or severe anaemia. 1–6 months after randomisation, 109 primary events occurred in 85 children in the placebo group and 86 in 74 children in the intervention group (adjusted protective efficacy [PE] 31%, 95% CI 5–50; absolute rate reduction 11·7 per 100 children years, 95% CI 1·8–18·9; p=0·024). The protective effect was greatest during the IPTpd period (1–3 months), when 58 primary events occurred in 49 children in the placebo group and 37 in 34 children in the intervention group (PE 41%, 10–62; p=0·01), but was not sustained after the third month (4–6 months, PE 17%, −27 to 45; p=0·395). When episodes in the first month were included—ie, before the first dose of IPTpd, when both groups benefited from the post-treatment prophylactic effect of artemether–lumefantrine provided at discharge—the overall cumulative PE by 6 months was 26% (−2 to 46; p=0·06). Interpretation In areas with intense malaria transmission, chemoprevention with IPTpd given to children with severe malarial anaemia might reduce rates of readmittance to hospital for severe anaemia or malaria. Studies to confirm these findings and to investigate different delivery mechanisms and cost-effectiveness are needed

Noise Measurement, Characterization, and Modeling for Broadband Indoor Power Communication System: A Comprehensive Survey

A thorough study of the literature suggests that greater attention has to be paid to power line noise measurements, characterization, and modeling. Several studies show that significant differences do exist, and the findings are somewhat conflicting. This may be attributed to the diverse environment under investigation, which includes volatile noise sources, differences in electrical grid structure from country to country, topology, and unknown power cable characteristics. An in-depth analysis of the approaches for measuring, characterizing, and modeling noise, as well as the descriptions of relevant components, and the environment needed to carry out the measurements, is presented. This review serves as a roadmap for academics and engineers in the deployment of power line communication systems