Terminalia ivorensis A. Chev. ethanolic stem bark extract protects against gentamicin-induced renal and hepatic damage in rats.

The aim of present study was to investigate the possible protective effects of an ethanolic stem bark extract of Terminalia ivorensis on gentamicin – induced nephrotoxicity and hepatotoxicity in male Sprague-Dawley rats. Groups of animals received either gentamicin alone or in combination with 100, 300 or 1000 mg/kg of extract for a period of 14 days. On the 15th day, the modulatory effect of Terminalia ivorensis was examined by assessing biochemical and renal markers of hepatic and renal damage. Markers of oxidative injury including reduced glutathione, superoxide dismutase, catalase and lipid peroxidation were assessed. Histology of the kidneys and the liver were also processed for analysis. The extract at a dose of 100-1000 mg/kg significantly reduced elevations in creatinine, urea and serum enzymes evoked by gentamicin. Additionally, the low levels of reduced glutathione and the antioxidant enzymes from the gentamicin treatment were significantly improved in the extract-treated animals. The results correlated well with the histopathological findings as the extract reversed the severe architectural distortions of the kidneys and liver caused by gentamicin. We conclude from the study that, the ethanolic stem bark extract of Terminalia ivorensis protects the liver and the kidneys against gentamicin-induced renal and hepatic damage

ETHANOL ROOT EXTRACT OF THE AFRICAN APHRODISIAC, MONDIA WHITIE (PERIPLOCACEAE), POSSESES ESTROGENIC ACTIVITY

Objective: To determine the effects of ethanol extract of the dried root Mondia whitie (mondia) on female reproductive system using the chick uterotrophic assay and the rodent estrous cycle studies.Methods: Phytochemical screening was done to detect the presence of secondary metabolites. Using the Chick Oviduct Uterotrophic assay, estrous cyclicity assay in Sprague Dawley rats and serum biochemical analysis, the effects of ethanol root extract of mondia on female reproduction was assessed.Results: Mondia (30-300) mg/kg or estradiol benzoate (0.1-0.8 ug/kg) caused dose dependent increases in chick oviduct of white leghorns. Treatment of rats with Mondia (30-300) mg/kg increased duration of estrous and altered the repeatability of the next cycles. The estrus index ranged between 41.67-49.21 at the doses of mondia used compared with 25 for controls. There were alterations in the lipid profile with reductions in HDL, but increases in VLDL, LDL and triglycerides.Conclusion: Ethanol extract of the dried root Mondia whitie possess estrogen-like activity on the female reproductive systemÂ

HAART therapy in Ghana: comparative assessment of the effectiveness of different HAART combinations at Komfo Anokye teaching hospital.

Objective: Although all marketed antiretrovirals (ARVs) have proven efficacy, genetic differences can result in varied effectiveness. This study was conducted to determine the effectiveness of different Highly Active Antiretroviral Therapy (HAART) combinations among patients attending HIV clinic at a Major Teaching Hospital in Ghana. Methods: The study was a retrospective study involving 500 patients at an HIV clinic in the Ashanti Region of Ghana. Results: Twelve major antiretroviral combinations for HAART were prescribed at the study center. The most prescribed drug combinations were AZT+3TC+EFV and AZT+3TC+NVP. The study identified that HAART, irrespective of the kind of drug combination used, was effective at increasing CD4 count within the first 6 mo of therapy initiation in the study population. However, the magnitude of the increases differed from combination to combination. All HAART combinations with zidovudine as one of the drugs resulted in higher CD4 counts compared with combinations containing stavudine. HAART with nevirapine also resulted in a higher CD4 count than those with efavirenz. However, efavirenz-based combinations appeared to be more effective in critically ill patients and patients with mean CD4+T helper cells count below 100 cell/mm3. More importantly, efavirenz was common among all HAART combinations that resulted in treatment failure. Conclusion: There was significant variation in response to different HAART combination among Ghanaian HIV patients. However, there was no statistically significant difference in mean CD4 count between the two most predominately used HAART i.e. AZT+3TC+EFV and AZT+3TC+NVP

AQUEOUS LEAF EXTRACT OF CARICA PAPAYA (CARICACEAE) LINN. CAUSES LIVER INJURY AND REDUCED FERTILITY IN RATS

Objective: Dried Carica papaya (Caricaceae) leaves have been used in traditional medicine as a contraceptive. The objective of the present study was to evaluate the safety of the aqueous leaf extract of Carica papaya and study its effects on fertility in rats.Methods: The aqueous extract of Carica papaya was administered as single doses to Sprague Dawley rats in an acute study. Animals were observed over a 24 h period for various signs of toxicity. In a separate experiment, the extract was administered to different groups of rats daily for 14 d in a sub-acute study. Animals were observed each day and sacrificed on the 15th day. Organs were then harvested for histopathology. Reproductive studies were also carried out in both male and female rats by administration of the extract at different doses. Markers for fertility were assessed in the rats by determination of fertility indices in the female and sperm analysis in the males. Hormonal assays were also performed.Results: In the acute toxicity study, the LD50 (lethal dose) of the aqueous extract was above 5000 mg/kg with no signs of autonomic or other symptoms of toxicity. In the sub-acute study, treatment of rats with extract (10-500 mg/kg; p. o) for 14 d had no effect on the formed elements of blood or haemoglobin. However, the levels of alkaline phosphatase (AP), gamma glutamyl transferase (GGT) and bilirubin (BIL) increased dose-dependently, suggesting a possible damage to the hepato-billiary system. In the reproductive studies in adult male and female rats, administration of the aqueous leaf extract (10-500 mg/kg; p. o) for 14 d to male rats resulted in significant reduction in sperm count, sperm motility, sperm viability and testosterone. Transverse sections of testes exhibited mild to moderate atrophy. Treatment of female rats with the extract also showed reduction in fertility and increases in maternal mortality and embryolethality.Conclusion: The study shows that the aqueous extract of Carica papaya has the potential to cause liver injury and adversely affect reproduction in rats. Keywords; Carica papaya, Fertility, Toxicity, Sperm count, Testosteron

Ethanolic stem bark extract of terminalia ivorensis A. Chev. protects against potassium dichromate–induced nephrotoxicity in rats.

Objective: The plant Terminalia ivorensis is used in traditional medicine as a diuretic and in the management of renal failure. We reported previously that the ethanol stem bark extract of the plant protects against gentamicin-induced renal and hepatic damage in rats. To further elucidate the mechanism of its renoprotective activity, we studied the effects of the extract on Potassium dichromate–induced nephrotoxicity in rats. The present study assessed the effectiveness of the ethanol stem bark extract of Terminalia ivorensis - against renal oxidative injury evoked by potassium dichromate. Methods: Adult Sprague Dawley rats pre-treated with (100–1000 mg/kg p.o. bwt) of Terminalia ivorensis extract for 5 days were challenged with a single dose of Potassium dichromate (20 mg/kg Sc) in the neck region on the 4th day. On the sixth day, renal function and markers of oxidative injury were assessed. Results: Terminalia ivorensis (300–1000 mg/kg p.o) pre-treatment dose dependently prevented decreases in urine output in rats challenged with a nephrotoxic dose of Potassium Dichromate. The extract also protected the rats against Potassium dichromate-induced rise in serum electrolytes, urea and creatinine. Furthermore, it dose dependently prevented Potassium dichromate-induced decrease in renal glutathione (GSH) levels whereas tissue oxidative enzymes Superoxide dismutase (SOD) and catalase were protected from damage. Markers of lipid peroxidation such as level of renal Malondialdehyde (MDA) and myeloperoxidase (MPO) also decreased dose dependently when compare with Potassium dichromate treated groups. The extract also protected the histomorphology of the kidney against Potassium dichromate induced damage. Conclusion: The ethanol stem bark extract of Terminalia ivorensis protects kidney against Potassium dichromate-induced renal damage

Antimicrobial and Anti-Inflammatory Activities of Pterygota macrocarpa and Cola gigantea (Sterculiaceae)

Pterygota macrocarpa and Cola gigantea are African medicinal plants used in traditional medicine for the treatment of sores, skin infections, and other inflammatory conditions including pains. This study therefore aims at investigating the antimicrobial properties of ethanol leaf and stem bark extracts of P. macrocarpa and C. gigantea using the agar diffusion and the micro-dilution techniques and also determining the anti-inflammatory properties of the extracts of these plants in carrageenan-induced foot edema in seven-day old chicks. The minimum inhibitory concentration of both ethanol leaf and bark extracts of P. macrocarpa against the test organisms was from 0.125 to 2.55 mg/mL and that of C. gigantea extracts was 0.125 to 2.75 mg/mL. Extracts with concentration of 50 mg/mL were most active against the test organisms according to the agar diffusion method. All the extracts of P. macrocarpa and C. gigantea at 30, 100, and 300 mg/kg body weight except ethanol leaf extract of C. gigantea exhibited significant anti-inflammatory effects (P ≤ 0.001)

Assessment of knowledge, practices, and barriers to pharmacovigilance among nurses at a teaching hospital, Ghana: a cross-sectional study.

Background: Pharmacovigilance may be defined as the continuous monitoring of the reaction between a drug agent or combination of drugs a patient took and steps taken to prevent any associated risk. Clinical trials conducted before drug approval cannot uncover every aspect of the health hazards of approved drugs. People with carefully selected characteristics are monitored for the safety and efficacy of the drug; hence, common adverse drug reactions (ADRs) following proper use of the medication can be detected. This calls for continuous monitoring of drugs to report any undocumented ADRs during the clinical trial. The study aimed to assess the knowledge, practice, and barriers to pharmacovigilance among nurses at a teaching hospital. Methods: The study was a descriptive cross-sectional study, and a stratified sampling technique was used to select 125 nurses within the three units: medical, surgical, and pediatric wards. A structured questionnaire was developed and used for data collection based on the study's objectives and reviewed literature. Results: The majority (67.2%) of the respondents were females, and 32.8% were males. Most (71.2%) of the nurses had low knowledge of ADR reporting procedures. Also, 84.8% of the nurses knew the purpose of reporting ADRs. The purpose of ADR reporting, as perceived by respondents, was to identify safe drugs (80.8%) and calculate the incidence of ADR (75.2%). Additionally, among the nurses who reported having nursed a patient with ADRs, 52.54% stated they reported the case, while 47.46% did not report it. The most cited reason for not reporting ADRs was that nurses considered the reaction normal and commonly associated with that medicine (35.7%). In comparison, 28.5% of the nurses said they did not know they were supposed to report the adverse drug reaction. There was no statistically significant difference between ranks of nurses, ward, attending in-service training, and pharmacovigilance practice. Conclusion: In conclusion, nurses in this study had inadequate knowledge of pharmacovigilance and its reporting procedure. The study found that most nurses fear that reporting ADRs may be wrong because most of the nurses in the study did not have any form of pharmacovigilance training

Assessment of knowledge, practices, and barriers to pharmacovigilance among nurses at a teaching hospital, Ghana : a cross‑sectional study

Acknowledgements We would like to thank all the nurses at the various units who participated in the study. Funding The authors did not receive any specific funding for the study. The study was funded by the researchers.Peer reviewedPublisher PD

Season, storage and extraction method impact on the phytochemical profile of Terminalia ivorensis

Acknowledgements The authors would like to thank the laboratory technical staff of the School of Pharmacy and Life Sciences, Robert Gordon University (especially Stephen Williamson and Chris Fletcher) and University of Aberdeen, the Analytical Department of Rowett Institute (especially Gary J. Duncan) for their support. Funding Ghana Education Trust Fund (GETFund) for providing funding for the studies.Peer reviewedPublisher PD

Pterygota macrocarpa and Cola gigantea (Sterculiaceae)

Pterygota macrocarpa and Cola gigantea are African medicinal plants used in traditional medicine for the treatment of sores, skin infections, and other inflammatory conditions including pains. This study therefore aims at investigating the antimicrobial properties of ethanol leaf and stem bark extracts of P. macrocarpa and C. gigantea using the agar diffusion and the micro-dilution techniques and also determining the anti-inflammatory properties of the extracts of these plants in carrageenan-induced foot edema in seven-day old chicks. The minimum inhibitory concentration of both ethanol leaf and bark extracts of P. macrocarpa against the test organisms was from 0.125 to 2.55 mg/mL and that of C. gigantea extracts was 0.125 to 2.75 mg/mL. Extracts with concentration of 50 mg/mL were most active against the test organisms according to the agar diffusion method. All the extracts of P. macrocarpa and C. gigantea at 30, 100, and 300 mg/kg body weight except ethanol leaf extract of C. gigantea exhibited significant anti-inflammatory effects (P ≤ 0.001)