Evaluation of metabolic syndrome in undergraduate students at the University of Dschang

Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular diseases (CVD), such as obesity, dyslipidemia, high blood pressure, and high blood glucose; it increases morbidity and mortality of CVD. MetS affects both adults and youths, leading to an impaired quality of life and a lowering of life expectancy. This study aimed to assess various aspects of metabolic syndrome, in undergraduate students at the University of Dschang. A questionnaire was distributed to 307 students of both sex; 203 meeting inclusion criteria were selected for anthropometric and blood pressure measurements followed by blood sample collection, for the dosage of biochemical markers (blood glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglyceridemia, and C-reactive protein). Results indicate that the prevalence of metabolic syndrome within the study population was 11.33 %. It has a significant predominance among obese and overweight patients (P˂0.05), compared to normal ones. Elevated blood pressure (OR= 23.4) and low HDL cholesterol levels (OR= 20.4) appeared to be the most determinant components of metabolic syndrome in the study population. We found an increase of metabolic syndrome prevalence with frequent consumption (3 to 4 times per week) of ‘‘Koki’’ (P=0.023), ‘‘Achu’’ (P=0.01), ‘’Corn couscous’’ (P=0.012), Salads (P=0.031), ‘‘Ndolè’’ (P=0.039) and pork (P=0.04). On the contrary, the prevalence of metabolic syndrome decreases significantly, with frequent consumption of green vegetables (P=0.016). Metabolic syndrome is present in undergraduate students of the University of Dschang, as a consequence of excess fat storage. Its main features are elevated blood pressure and low HDL-cholesterol level.Keywords: Obesity; Metabolic syndrome; cardiovascular risk factor; students; University of Dschan

Antidiarrhoeal and antibacterial activity of aqueous and methanolic leaves extracts of Dissotis thollonii Cogn. (Melastomataceae)

Objective: To investigate the phytochemical test and selected pharmacological activities (antidiarrhoeal and antibacterial activity) of the aqueous and methanolic leaves extracts of Dissotis thollonii Cogn. (Melastomataceae) (D. thollonii). Methods: The aqueous and methanolic extracts were evaluated for their antibacterial activities on the in vitro growth of 2 clinical isolates (Staphylococcus aureus and Shigella flexneri), and 5 reference bacteria strains [Escherichia coli ATCC 8739 (E. coli), E. coli ATCC 10536, Salmonella typhi ATCC 6539, Enterobacter aerogenes ATCC 13048 and E. coli ATCC 11775] by determining the minimum inhibitory concentrations (MICs) and bactericidal concentrations using broth microdilution method as well as on the infectious, secretory and osmotic induced diarrhoea models in rats. Results: The aqueous extract inhibited the in vitro growth of all bacteria tested (the 05 reference bacteria strains and the 02 clinical isolates), with MICs values comprised between 32 and 512 μg/mL, whereas the methanolic extract has done the same with the MICs values located between 128 and 512 μg/mL. In vivo, the methanolic and aqueous extracts provoqued at all doses, a significant decrease (P<0.001) in the bacterial load in the faeces of rats, 6 and 7 d of treatment respectively. Infected animals relatively lost weight when treated with the aqueous extract but it remained constant for those treated with the methanolic extract. The results also showed that, the aqueous and methanolic leaves extracts of D. thollonii had, after 6 h of observation, significantly (P<0.001) inhibited in vivo, diarrhoea induced experimentally by castor oil and magnesium sulphate, particularly by prolonging the latency time, reducing the water content of faeces, the frequency of defecation and the number of wet defecation as compared to the negative control which received distilled water and the animals having received 2.5 mg/kg of loperamide used as reference substance. The phytochemical assay revealed the presence of flavonoids, phenols and polyphenols in the leaves extracts of D. thollonii, which are compounds with antidiarrhoeal and antibacterial activities. Conclusions: The leaves of D. thollonii thus have antibacterial and antidiarrhoeal effects, which could result from their activities on blocking the inhibiting effects of the bacterial enzymes, inhibiting the bacterial protein synthesis, allowing the rupture of the lipopolysaccharidic membrane, as well as on inhibiting prostaglandins-E2 synthesis or increasing the hydroelectrolytic reabsorption. These results attestted the ethnopharmacological use of D. thollonii leaves in the treatment of diarrhoea and gastro-intestinal infections

A Cross-Sectional Comparative Study of the Performance of the Widal Test and the Typhidot Immunoassay for Typhoid Fever Diagnosis in the West Region of Cameroon

Background. The diagnosis of typhoid fever based on the Widal slide agglutination test remains a major hurdle in developing countries due to varied perceptions of the value of the Widal test in determining clinical decision-making. We undertook a study to evaluate the diagnostic performance of the Widal test and the Typhidot immunoassay in patients suspected of having typhoid fever in the Menoua division, West Region of Cameroon. Methods. Blood and stool samples were collected from 558 consenting febrile patients on the basis of suspicion of typhoid fever. These patients attended three district health services of the Menoua division between April 2018 and September 2019. These patients had clinical symptoms suggestive of typhoid fever as determined by their consultant. Serum was used for the Widal slide agglutination test and for the Typhidot rapid immunoassay test based on manufacturer’s guidelines. A composite reference of fever plus positive coproculture for Salmonella typhi and Salmonella paratyphi was used as the reference. The sensitivity, specificity, and predictive values of the positive and negative tests were calculated as well as Cohen’s kappa for agreement between the two tests. Results. Of 558 patients, 12.90% tested positive for the reference method, 57.17% tested positive for the Widal slide agglutination test, while 15.59% were positive for Typhidot-IgM. The overall sensitivity, specificity, and predictive values of the positive and negative tests were 80.56%, 94.03%, 66.6%, and 97.03% for Typhidot-IgM and 94.44%, 48.35%, 21.32%, and 98.33% for the Widal slide agglutination test, respectively. Cohen’s kappa estimates were 0.1660 (0.121–0.211) and 0.386 (0.312–0.460) for the Widal test and Typhidot immunoassay for 53.6% and 76.16% agreements of all observations, respectively. Conclusion. The Widal test was found to have a lower predictive value for the diagnosis of typhoid fever in our setting. However, the Typhidot test, although better, was not ideal. Diagnosis of typhoid fever should therefore rely on adequate clinical suspicion and a positive Typhidot test to improve the clinical management of typhoid fever in our setting