Prevalence of Vaginal Candidiasis among Pregnant Women with Abnormal Vaginal Discharge in Maiduguri

BACKGROUND: Pregnancy represents a risk factor in the occurrence of vaginal candidiasis. OBJECTIVES: To determine the prevalence and clinical features associated with abnormal vaginal discharge and C. albicans infection in pregnant women.METHODS: High vaginal swab samples and data on epidemiological characteristics were collected from 400 pregnant women with complaints of abnormal vaginal discharge at booking clinic of University of Maiduguri Teaching Hospital. The data was analysed using SPSS 16.0 statistical software.RESULTS: The prevalence of abnormal vaginal discharge in pregnancy was 31.5%. The frequency of abnormal vaginal discharge was 183 (45.8%) among those aged 20-24 years, 291 (72.8%) in multipara, 223 (55.8%) in those with Primary education and 293 (73.2%) in unemployed. Vulval pruritus 300 (75.0%) was significantly related to abnormal vaginal discharge (P<0.001). The prevalence of C. albicans was 41%. The frequencies of Vulval itching, Dyspareunia and vulval excoriation among those with candidiasis were 151 (50.3%), 14 (56.0%) and 75 (75.0%) respectively (P<0.001). CONCLUSION: The prevalence of abnormal vaginal discharge in pregnancy was high in this study and C. albicans was the commonest cause. It is recommended that a pregnant woman complaining of abnormal vaginal discharge be assessed and Laboratory diagnosis done in order to give appropriate treatment. Erratum Note: Ibrahim SM, Mohammed B, Yahaya M, Audu BM, Ibrahim HA on the article ”Prevalence of VaginalCandidiasis among Pregnant Women with Abnormal Vaginal Discharge in Maiduguri” on Page Nig. J. Med2013. 138-142. Should read: Ibrahim SM, Bukar M, Mohammed Y, Audu BM, Ibrahim HM

Prevalence of bacterial vaginosis in pregnant women in Maiduguri, North‑Eastern Nigeria

Objective: This study determined the prevalence and socio‑demographic characteristics of bacterial vaginosis (BV) among pregnant women with abnormal vaginal discharge.Study Design: Descriptive cross‑sectional study.Setting: University of Maiduguri Teaching Hospital.Materials and Methods: Vaginal swab samples and data on epidemiological risk factors were collected from 400 consecutive pregnant women with complaints of abnormal vaginal discharge. The data was analyzed using the SPSS 16.0 statistical software. Association between variables was compared by using the Chi‑square (χ2) and Fisher’s exact tests while P < 0.05 was considered significant at 95.0% confidence level.Result: The prevalence of BV among pregnant women with abnormal vaginal discharge was 17.3%. Age 20‑24 years, multigravidity, lack of western education and unemployment were associated with increased prevalence of BV. Yellowish, watery vaginal discharge (P = 0.001) was associated with BV. Dysuria, dyspareunia and lower abdominal tenderness were associated with BV (P = 0.001). Fifty three (77%) of patients had BV during the second trimester compared to 6 (9%) who had it in the 1st trimester of pregnancy (P = 0.012).Conclusion: The high prevalence of BV in this study may necessitate adequate screening of pregnant women with abnormal vaginal discharge in order to give appropriate treatment and avoid complications associated with it.Key words: Bacterial vaginosis, pregnancy, vaginal discharg

Effect of resistance and aerobic exercises on bone mineral density, muscle strength and functional ability in children with hemophilia

Background and purpose: Children with hemophilia are at risk for reduced bone mineral density (BMD), muscle strength and functional ability as a result of reduced leisure-time activity and less involvement in intense activities. So, the purpose of this study was to investigate the effect of resistance and aerobic exercise program on BMD, muscle strength and functional ability in children with hemophilia.Materials and methods: Thirty boys with hemophilia A ranging in age from 10 to 14 years had participated in this study. They were assigned randomly into two equal groups (control and study groups). Control group received a designed physical therapy program and aerobic exercise in the form of treadmill training, while the study group received the same program as the control group in addition to resistance training program in the form of bicycle ergometer training and weight resistance. Both groups received treatment sessions three times per week for three successive months. BMD, muscle strength of knee flexors and extensors and functional ability were evaluated before and after the 3 months of treatment program.Results: There was no significant difference between both groups in the pre-treatment mean values of all measured variables. Significant improvement was observed in BMD, knee extensors and flexors strength, and functional ability in the study group when comparing pre and post treatment measurements. There was a significant improvement in functional ability of the control group. Significant difference was also observed between both groups when comparing the post treatment measurements in favor of the study group.Conclusion: Based on obtained data, it can be concluded that, resistance and aerobic exercise training program is effective in increasing BMD, muscle strength and functional ability in children with hemophilia.Keywords: Hemophilia; Resistance; Aerobic exercise; Bone mineral density; Strength; Functional abilit

Corruption in Nigeria: A call for an aggressive legal solution

Corruption has been an issue which has equally become an obstacle to the achievement of a better, efficient and effective economic development and virile democracy globally. Corruption is not exclusively economic phenomenon but manifest in every facet of our life, in political, the processes and other sectors like industries, banks, government establishments/institutions, law enforcement and judicial system, legislative  assemblies, that is to say in both private and public sectors etc.1 This article will  proffer aggressive legal solution as a panacea to this hydra-headed cankerworm

Biosorption of mercury by capsulated and slime layerforming Gram -ve bacilli from an aqueous solution

The biosorption of mercury by two locally isolated Gram-ve bacilli: Klebsiella pneumoniae ssp. pneumonia (capsulated) and slime layer forming Pseudomonas aeruginosa, was characterized. Mercury adsorption was found to be influenced by the pH value of the biosorption solution, initial metal concentration, amount of the dried biomass and contact time. The optimum biosorption capacity of K. pneumoniae (about 15%) was recorded at pH 5, initial mercury concentration of 0.1 g/L and when contacted for less than 60 min with 1.0 g dried cells/L. While, the highest biosorption capacity of P. aeruginosa (about 25%) was reached at pH 5.8, initial mercury level of 0.15 g/L and for less than 60 min contacted with 1.0 g dried biomass/L. The efficiency average of slime layer forming P. aeruginosa, of high negatively charged components, showed more than 1.5 fold increase as compared to capsulated K. pneumoniae of low negatively charged constituents, under all the tested characteristics of mercury biosorption from aqueous solution.Key words: Biosorption, mercury, Klebsiella pneumoniae, Pseudomonas aeruginosa, capsulated and slime forming bacilli

Full term abdominal pregnancy with live fetus, still an occurrence in contemporary obstetrics practice: a case report

Abdominal pregnancy is an ectopic pregnancy in which the fetus develops in the peritoneal cavity. It is associated with significant morbidity and mortality. Advanced abdominal pregnancyis a rarity and difficult to diagnose pre-operatively. The diagnosis of such condition can be missed pre-operatively despite the use of prenatal ultrasound scan. We present an advanced case of abdominal pregnancy A 38-year-old G4 P30+ A3 was referred to us on 10th June 2015 with history of 9 months amenorrhea and intermittent abdominal pain. She gave a history of vaginal bleeding, severe abdominal pain and fainting attack in the first trimester for which she was managed conservatively in a private hospital. Abdominal examination revealed a uterine size of 38 weeks with the fetus in breech presentation. On pelvic examination the cervix was closed, posterior and un-effaced. Abdominal ultrasound scan revealed a live singleton pregnancy with an average gestational age of 40 weeks in breech presentation. In view of the breech she was planned for lower segmentcaesarean section during which she was found to have an advanced abdominal pregnancy. Conclusion: Advanced abdominal pregnancy is rare and difficult to diagnose pre-operatively. High levelsof suspicion are required to diagnose this entity

Calli Essential Oils Synergize with Lawsone against Multidrug Resistant Pathogens.

The fast development of multi-drug resistant (MDR) organisms increasingly threatens global health and well-being. Plant natural products have been known for centuries as alternative medicines that can possess pharmacological characteristics, including antimicrobial activities. The antimicrobial activities of essential oil (Calli oil) extracted from the Calligonum comosum plant by hydro-steam distillation was tested either alone or when combined with lawsone, a henna plant naphthoquinone, against MDR microbes. Lawsone showed significant antimicrobial activities against MDR pathogens in the range of 200-300 µg/mL. Furthermore, Calli oil showed significant antimicrobial activities against MDR bacteria in the range of 180-200 µg/mL, Candida at 220-240 µg/mL and spore-forming Rhizopus fungus at 250 µg/mL. Calli oil's inhibition effect on Rhizopus, the major cause of the lethal infection mucormycosis, stands for 72 h, followed by an extended irreversible white sporulation effect. The combination of Calli oil with lawsone enhanced the antimicrobial activities of each individual alone by at least three-fold, while incorporation of both natural products in a liposome reduced their toxicity by four- to eight-fold, while maintaining the augmented efficacy of the combination treatment. We map the antimicrobial activity of Calli oil to its major component, a benzaldehyde derivative. The findings from this study demonstrate that formulations containing essential oils have the potential in the future to overcome antimicrobial resistance

Detection of Optimum pH of Momordica balsamina Seeds Lectin

Background: Lectins are carbohydrate binding proteins of non-immune origin that reversibly and non-enzymatically bind carbohydrates with high specificity for the chemical structure of the glycan array without changing their structure.Objectives: The present study aimed to detect the optimum pH of Momordica balsamina seeds lectin (MbSL).Materials and Methods:A season fresh of Momordica balsamina fruit seeds were brought from urban areas of Sudan (Gadarif and north Kurdofan states), then the lectin was isolated from saline extract by affinity chromatography on alpha agarose lactose matrix then the purified lectin activity was evaluated in different buffers to detect the optimum pH.Results: The activity of the lectin remained stable in the pH range 2-12.Conclusion: A lactose-binding lectin from seeds of Momordica balsamina medicinal plant shares a high degree of similarity with other Cucurbitaceae family lectins in term of their physicochemical features including sugar specificity, effect of pH on lectin stability.Keywords: Momordica balsamina; lectin; seeds; plant lectin; pH; protein

Inducible clindamycin resistance and nasal carriage rates of Staphylococcus aureus among healthcare workers and community members

Background: Nasal carriage of Staphylococcus aureus is becoming an increasing problem among  healthcare workers and community individualsObjectives: To determine the prevalence of methicillin-resistant S. aureus (MRSA) nasal colonization and inducible clindamycin resistance (ICR) of S. aureus among healthcare workers at Soba University Hospital and community members in Khartoum State, Sudan.Methods: Five hundred nasal swabs samples were collected during March 2009 to April 2010. Isolates were identified using conventional laboratory assays and MRSA determined by the disk diffusion method. The D-test was performed for detection of ICR isolates with Clinical Laboratory Standard Institute guidelines.Results: Of the 114 S. aureus isolated, 20.2% represented MRSA. The occurrence of MRSA was  significantly higher among healthcare worker than community individuals [32.7% (18/55) vs. 6.9% (5/59)] (p=0.001). Overall the 114 S. aureus isolates tested for ICR by D-test, 29 (25.4%) yielded inducible resistance. Significantly higher (p=0.026) ICR was detected among MRSA (43.5%) than methicillin-susceptible S. aureus (MSSA) (20.9%).Conclusion: MRSA nasal carriage among healthcare workers needs infection control practice in hospitals to prevent transmission of MRSA. The occurrence of ICR in S. aureus is of a great concern, D- test should be carried out routinely in our hospitals to avoid therapeutic failure.Keywords: S. aureus nasal carriage, healthcare workers, community members, inducible clindamycin resistanc