Toxicological efects and behavioural and biochemical responses of Oreochromis mossambicus gills and its cholinesterase to copper: a biomarker application

Gills are both morphologically and physiologically complex whereby they perform several functions such as gas exchange, ion and water exchange, acid base balance, nitrogenous waste excretion, and other metabolic transformations. They are one of the frst fsh organs to be exposed to heavy metals in the aquatic environment. The exposure of Oreochromis mossambicus to copper showed deleterious efects to normal fsh behaviours and varying degrees of gill damage when visualized under inverted light microscopy (stained with haematoxylin–eosin), scanning electron microscopy, and transmission electron microscopy. Abnormalities of the nucleus shape, swollen cells, lipid droplet deposition, and an increase in vacuolation on the afected gills were observed with the degree of damage associated with CuSO4 exposure concentration. CuSO4 exposure in O. mossambicus also gave various patterns of inhibitory efects on cholinesterase (ChE) depending on the concentration of exposure and the organs exposed. Copper exposure altered ChE activity extracted from the gills of O. mossambicus with 99.9% of inhibition at the highest exposure concentration of CuSO4 (20 mg/L). Hence, this study suggests the potential of this fsh to become a sentinel species that permits the detection of lower copper contamination levels

A cross sectional study on factors associated with job performance among nurses in a tertiary hospital

Nurses’ job performance is defined as the effectiveness of a person in carrying out his or her duties related to patient care. Aim of this study is to measure job performance among nurses in a tertiary hospital and its associated factors. A cross-sectional study was conducted among nurses selected from four departments, which were Obstetrics & Gynecology (O&G), medical, surgical and Cardiac Care Unit (CCU)/High Dependency Unit (HDU). A Malay validated Six-Dimension Scale of Nursing Performance (6-DSNP) questionnaire was used to measure job performance. Nurses who have one child more compared to other nurses had significantly lower total mean score of job performance by -0.06 (95% CI 0.11, 0.01). Nurses working in medical department [adj.β=0.16 (95% CI 0.01, 0.30)] and CCU/HDU [adj.β= 0.33(95% CI: 0.17, 0.50)] had significantly higher total mean scores of jobs performance compared to O&G department. Effective strategies and re-examining work conditions are imperative for better job performance

Medicinal potentials of Strobilanthes crispus (l.) and Orthosiphon stamineus benth. in the management of kidney stones: a review and bibliometric analysis

Introduction In Malaysia, the consumption of tea made from the leaves of Strobilanthes crispus, Orthosiphon stamineus, and their combination is believed by the local people to alleviate kidney stone disease. Therefore, this review was conducted to validate the traditional claims based on the scientific evidences of kidney stones remedies using S crispus and O stamineus. The scientific progress that has evolved over a period of time will be examined using bibliometric analysis. Methodology The data for S crispus and O stamineus related to kidney stones were searched using the Scopus database. A total of 59 publications from 2009 to 2022 were retrieved and analysed using visualisation of similarities viewer software based on the keywords, authors, countries, institutions, and journals. The World Flora Online was used to confirm the identity of the plant species. Results The publications related to O stamineus (50) were found to be higher than S crispus (9). ‘Strobilanthes crispus, Orthosiphon stamineus, and diuretic’ were identified as the most frequently mentioned keywords. Ahmad, M. and Malaysia were the most productive author and country, respectively. Whereas Université de Metz in France and Universiti Putra Malaysia were identified as the most prominent institutions. A number of isolated compounds, including rosmarinic acid and sinensetin, were identified as diuretic agents. While eupatorine and 3′-hydroxy-5,6,7,4′-tetramethoxyflavone were discovered to prevent the formation of calcium oxalate crystals. Conclusions This study offers fresh insights into S crispus and O stamineus plants as a herbal combination for future studies in the treatment of kidney stones

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

An empirical analysis of Malaysian palm oil export to world main palm oil importing countries : evidence from a panel cointegration model

The paper explores the long-term causal relationships of Malaysian palm oil exports with the real effective exchange rate of the respective importing countries, palm oil consumption, vegetable oil production, and GDP growth. The study applied panel cointegration and causality approaches based on data from 10 main palm oil importing countries between 2004 and 2018. The impacts of economic growth, the effective real exchange rate, and the production of other vegetable oils by the main palm oil importing countries on Malaysian palm oil exports were found to be negative. However, palm oil consumption by the main palm oil importers was found to be a statistically significant positive determinant of Malaysian palm oil exports. This finding indicates that consumption has a direct positive effect on the demand for exports. A panel Granger causality analysis revealed a unidirectional causality between importing countries’ production of other vegetable oils and Malaysian exports of palm oil

Demand for palm oil in the Balkans using autoregressive distributed lag (ARDL)

Demand for edible oils and fats in the Balkan countries shows an increasing trend, including the demand for palm oil. Imports of palm oil for this region are mainly sourced directly from major producing countries, namely Indonesia and Malaysia. The Balkan countries also import palm oil from non-palm oil producing countries like the Netherlands, Germany and Italy. This study differs from existing studies on palm oil demand as it focuses on palm oil demand specifically in the 4 countries of the Balkan Region. Therefore, the quarterly data from from 2008 to 2016 are used to examine the factors affecting demand for palm oil in the Balkans using, this study used autoregressive distributed lag (ARDL). The result of the bound test from 4 Balkan countries only in 3 countries shows that the studied variables and palm oil demand there is a long-run relationship. The countries are Bulgaria, Croatia and Greece. This study also shows that GDP, population and palm oil price have significant influence on the demand for palm oil in the Balkan countries

Saffron (Crocus sativus L.): as an antidepressant

Saffron, Crocus sativus (Iridaceae), is a perennial herb, which earned its popularity as both medicine and spice. It is an inhabitant of different mountainous regions of Asia Minor to Greece, Western Asia, Egypt, and India. The benefits of saffron as an antidepressant are well-documented. Almost 150 volatile and nonvolatile compounds are obtained from the chemical analysis of this plant. Fewer than 50 constituents elucidated and identified so far showed phytochemical characteristics. The major bioactive compounds identified are safranal, crocin, and picrocrocin, which are responsible for its aroma as well as its bitter taste. This review is an attempt to encompass the methods of analysis and pharmacodynamic and pharmacokinetic properties of saffron followed by its efficacious and safe potential