9 research outputs found
Biochemical Parameters and Air Pollution Tolerance Index of Trees along New Ife Road and Within Forestry Research Institute of Nigeria in Ibadan, Oyo State, Nigeria
Poor air quality is one of the renowned issues instigating health complications in urban areas today due to man’s exposure to various gases. The paper assessed the ambient air along New Ife Road (NIR) and Forestry Research Institute of Nigeria Headquarters (FRIN), Ibadan, Oyo State using Biochemical changes and computed the air pollution tolerance indices from fresh leaf samples of ten (10) similar plant species selected randomly in triplicates in both study locations. Monoon longifolium, Chrysophyllum albidum, Terminalia catappa, Dacryodes edulis and Terminalia ivorensis had tolerant APTI values; Mangifera indica, Psidium guajava, Terminalia ivorensis, Terminalia catappa and Cocos nucifera were intermediate APTI while Mangifera indica, Moringa oleifera and Azadirachta indica were found to be sensitive to air pollution. The APTI values at both locations are not significantly different; therefore NIR and FRIN are rated as areas of high anthropogenic activities. Terminalia ivorensis, (31.58 in NIR) Terminalia catappa (30.56 in FRIN) Dacryodes edulis, (31.15 in NIR and 34.76 in FRIN) (Chrysophyllum albidum (34.78 in NIR and 39.78 in FRIN) and Monoon longifolium (49.83 in NIR and 57.50 in FRIN) were classified as sink of air pollution based on their APTI values which ranged from 30>100 obtained in both locations of study. It is however suggested that these plants identified as sink of air pollutants, should be used for landscaping and planted 50m from the roadside for bio-filtration of the atmosphere
Acute Lassa Virus Encephalitis with Lassa Virus in the Cerebrospinal Fluid but Absent in the Blood: A Case Report with a Positive Outcome
It is rare both to have the central nervous system (CNS) as the main focus in the acute phase of Lassa fever infection without associated bleeding, and to find Lassa virus (LAV) in the cerebrospinal fluid (CSF) but not in the serum. We report the case of a 38-year-old Nigerian woman with mainly CNS manifestation of Lassa fever. She was admitted twice within 11 days because of persistent fever. A clinical diagnosis of acute LAV encephalitis was made because of a high index of suspicion and CNS involvement confirmed by positive reverse transcriptase polymerase chain reaction (RT-PCR) for LAV in the CSF, while her blood was repeatedly negative for LAV by RT-PCR test. She recovered fully following supportive care coupled with treatment with an 18-day course of ribavirin, and suffered no long-term neurological complication or relapse. Post-treatment CSF examination by RT-PCR did not detect LAV
Changes in magnetic properties from solid state to solution in a trinuclear linear copper(II) complex
A linear trinuclear copper(II) complex containing phenoxido- and alkoxido-bridges between the metal centers has been isolated and structurally characterized. The complex cation consists of a linear array of three copper ions, assembled by means of two doubly deprotonated ligands. The octahedral coordination sphere of the two peripheral copper( II) ions is completed by weakly bound methanol molecules, and the square-planar central metal ion is located on an exact, crystallographic inversion center. Temperature-dependent magnetic susceptibility studies reveal the presence of antiferromagnetic exchange coupling between the copper( II) ions in the trinuclear unit along with small intermolecular antiferromagnetic interactions in the low temperature range. The results were fitted in two different ways, (i) taking into account solely the exchange interaction between the adjacent metal centers or, (ii) regarding exchange interactions between both adjacent and non-adjacent copper( II) ions. Solid-state temperature-dependent X-band EPR studies in the range 4.2 - 250 K indicate a doublet ground spin state | 1/2, 1]. In solution, the ground spin state of the complex is found to be a quartet (S = 3/2), suggesting a modi. cation of the exchange coupling interactions between the copper( II) ions. The simulation of the 4.2 K solution spectrum gives rise to the best parameters D > 0.8 cm(-1), g(perpendicular to) 2.04 and g(parallel to) 2.21
Psychiatric Manifestations and Associated Risk Factors among Hospitalized Patients with COVID-19 in Edo State, Nigeria
ABSTRACTObjectiveThe Coronavirus Disease 2019 (COVID-19) has had devastating effects globally. These effects are likely to result in mental health problems at different levels. Although studies have reported the mental health burden of the pandemic on the general population and frontline health workers, the impact of the disease on the mental health of patients in COVID-19 treatment and isolation centres have been understudied in Africa. We estimated the prevalence of depression and anxiety and associated risk factors in hospitalized persons with COVID-19.MethodsA cross-sectional survey was conducted among 489 patients with COVID-19 at the three government designated treatment and isolation centres in Edo State, Nigeria. The 9-item Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) tool were used to assess depression and anxiety respectively. Binary logistic regression was applied to determine risk factors of depression and anxiety.ResultsOf the 489 participants, 49.1% and 38.0% had depressive and anxiety symptoms respectively. The prevalence of depression, anxiety, and combination of both were 16.2%, 12.9% and 9.0% respectively. Moderate-severe symptoms of COVID-19, ≥14 days in isolation, worrying about the outcome of infection and stigma increased the risk of having depression and anxiety. Additionally, being separated/divorced increased the risk of having depression and having comorbidity increased the risk of having anxiety.ConclusionA substantial proportion of our participants experienced depression, anxiety and a combination of both especially in those who had the risk factors we identified. The findings underscore the need to address these risk factors early in the course of the disease and integrate mental health interventions into COVID-19 management guidelines.</jats:sec
Acute Lassa Virus Encephalitis with Lassa Virus in the Cerebrospinal Fluid but Absent in the Blood: A Case Report with a Positive Outcome
Metagenomic sequencing at the epicenter of the Nigeria 2018 Lassa fever outbreak
Supporting data associated with a paper titled "Metagenomic sequencing at the epicenter of the Nigeria 2018 Lassa fever outbreak". It contains metadata of the 120 samples sequenced (Data S1) and Identifiers and Bioproject numbers of the 2012 to 2017 LASV sequences (Data S2)
Perioperative patient outcomes in the African Surgical Outcomes Study: a 7-day prospective observational cohort study
The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications
Background:
The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications.
Methods:
ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery.
Results:
The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784.
Conclusions:
This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance.
© 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran
Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.
BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa
