Phytochemical, antifungal and acute toxicity studies of Mitracarpus scaber Zucc. whole plant extracts

Mitracarpus scaber have been reported in the treatment of various ailments such as ulcer, cancer, skin diseases etc. It is therefore important to investigate these plant parts to ascertain their therapeutic potentials. The Mitracarpus scaber whole plant was extracted with water and methanol, screened for their phytochemical properties and antifungal effects. The plant samples were also investigated for alkaloid, flavonoids, saponins, tannins and phenolic contents using quantitative techniques. The antifungal activities of the plant samples were tested against Candida albicans, Trichophyton mentagrophytes, Microsporum auduounii and Aspergillus flavus. The Minimum Inhibitory Concentration (MIC) and Minimum Fungicidal Concentration (MFC) of the extracts were also determined. Flavonoid, steroid, triterpenes, tannins, carbohydrate, glycoside, phenols were detected in both extracts while anthraquinones was absent. Alkaloid was detected in the aqueous extract but absent in methanol extract. Quantitatively, the phenols (97.0 mg/g) was the highest phytochemical detected in the plant while the lowest was alkaloid (9.2 mg/g). Toxicity of the samples was expressed as LD50, it was found above 5000 mg/kg and did not cause mortality in all the tested rats. Aqueous extract only showed inhibition on Candida albicans and Trichophyton mentagrophytes with no inhibition on Microsporum auduounii and Aspergillus flavus while ethanol extract only showed inhibition on Candida albicans with no inhibition on Microsporum auduounii, Trichophyton mentagrophytes and Aspergillus flavus at the lowest concentration 12.5 mg/ml. The aqueous extract has MIC and MFC of 12.5 mg/ml and 25 mg/ml respectively against Candidaalbicans and Trichophyton mentagrophytes. Thus, the traditional claims of the uses of the plants as antifungal agents were therefore supported

NON-FUNCTIONING OVARIAN FIBROMA WITH EXTENSIVE CALCIFICATION: CASE REPORT

A case of a non-functioning ovarian fibroma with extensive calcification in a young Ugandanfemale is described. Ovarian fibromas occasionally may be bilateral and associated withbenign ascites and pleural effusion called Meigs' syndrome or related to a rare hereditarycondition known as Gorlin's syndrome. Rarely if functioning, the tumour may producehormones to cause diabetes mellitus or hypoglycaemia or secrete carbohydrate antigen 125to clinically simulate ovarian carcinoma

Pharmacognostic, elemental and acute toxicity study of Fadogia agrestis root

An aphrodisiac is a type of food or drink that has the effect of making those who eat or drink it more aroused in a sexual way. Aphrodisiacs can be categorized according to their mode of action into three groups: substances that increase libido (i.e. sexual arousal), substances that increase sexual potency (i.e. effectiveness of erection) and substances that increase sexual pleasure. Fadogia agrestis (Schweing. Ex. Hiern), Rubiacea (Hausa: Bakin gagai; English name: Black aphrodisiac) is an erect shrub 1-3 feets high. Fadogia agrestis is a medicinal plant widely used for its reported antibacterial and aphrodisiac activities. The aim of this work is to carry out pharmacognostic standardization and safety profile on Fadogia agrestis root. Chemomicroscopic, physicochemical, elemental, phytochemical and acute toxicity studies were carried out using standard methods. The results obtained also provided scientific basis for the use of in folklore medicine. Chemomicroscopic characters present include; cellulosecell wall, lignified cell wall, tannins, starch, calcium oxalate and cutin. The physicochemical parameters evaluated include: moisture content (7.0%), total ash (10.5%), water soluble ash (4.1%), acid insoluble ash (8.33%), ethanol extract (15.0%), and water extractive value (12.0%). The quantitative phytochemical analysis showed that alkaloids (84.0 mg/g) was the highest phytochemical detected in the stem bark while the lowest was saponins (4.0 mg/g).LD50 of both extracts was above 5000 mg/kg and did not cause mortality in all the tested rats. The results of this investigation may be useful for deriving doses that are safe for human consumption of F. agrestis root.&nbsp

Predictors for anastomotic leak, postoperative complications, and mortality after right colectomy for cancer: Results from an international snapshot audit

Background: A right hemicolectomy is among the most commonly performed operations for colon cancer, but modern high-quality, multination data addressing the morbidity and mortality rates are lacking. Objective: This study reports the morbidity and mortality rates for right-sided colon cancer and identifies predictors for unfavorable short-term outcome after right hemicolectomy. Design: This was a snapshot observational prospective study. Setting: The study was conducted as a multicenter international study. Patients: The 2015 European Society of Coloproctology snapshot study was a prospective multicenter international series that included all patients undergoing elective or emergency right hemicolectomy or ileocecal resection over a 2-month period in early 2015. This is a subanalysis of the colon cancer cohort of patients. Main Outcome Measures: Predictors for anastomotic leak and 30-day postoperative morbidity and mortality were assessed using multivariable mixed-effect logistic regression models after variables selection with the Lasso method. Results: Of the 2515 included patients, an anastomosis was performed in 97.2% (n = 2444), handsewn in 38.5% (n = 940) and stapled in 61.5% (n = 1504) cases. The overall anastomotic leak rate was 7.4% (180/2444), 30-day morbidity was 38.0% (n = 956), and mortality was 2.6% (n = 66). Patients with anastomotic leak had a significantly increased mortality rate (10.6% vs 1.6% no-leak patients; p 65 0.001). At multivariable analysis the following variables were associated with anastomotic leak: longer duration of surgery (OR = 1.007 per min; p = 0.0037), open approach (OR = 1.9; p = 0.0037), and stapled anastomosis (OR = 1.5; p = 0.041). Limitations: This is an observational study, and therefore selection bias could be present. For this reason, a multivariable logistic regression model was performed, trying to correct possible confounding factors. Conclusions: Anastomotic leak after oncologic right hemicolectomy is a frequent complication, and it is associated with increased mortality. The key contributing surgical factors for anastomotic leak were anastomotic technique, surgical approach, and duration of surgery