A Case for Adoption of Industry-Wide Application of Solar Disinfection of Packaged Drinking Water Before Distribution in Nigeria

The study makes a case for adoption of an industry-wide application of solar disinfection (SODIS) in the disinfection of packaged water at the production stage. To do this, 60 samples, comprising 12 brands of bottled water and 18 brands of sachet-packaged water were randomly purchased from street vendors in Nsukka, Enugu State, Nigeria and investigated. One sample was hidden from sunlight while the other sample was exposed to a day of sunlight before the two samples were subjected to microbial analysis for the determination of total coliform (TC) using the method of multiple-tube fermentation technique (MPN). Results show that 63% of packaged water vended in Nsukka is not fit for consumption. The risk of contamination is about 44% higher in sachet water when compared with bottled water (relative risk = 1.44). Exposing packaged water to a day of sunlight reduces the risk of consuming contaminated water by about 97% (relative risk reduction value = 0.97). Advocacy of industry-wide application of SODIS may hold the key to ending widespread contamination of packaged water and the resulting life-threatening illnesses that have decimated the population of developing countries

The Relationship between Selected Anthropometric Indices and Cardiorespiratory Fitness in Apparently Healthy Young Adults in a Nigerian Community

Background and Aim: Cardiorespiratory fitness (CRF) is a useful tool for establishment of baseline fitness status and monitoring of physical activity level. Therefore, it may by extension serve as health risk index. However, studies that have determined the correlation between anthropometric indices and CRF in apparently healthy young adults is difficult to find in other to preempt preventive actions before pathology develops. Materials and Methods: Using a descriptive correlational research design, 325 participants (160 males, 165 females) with mean age of 21.87±2.41 years were sampled. Tape measure, stop watch, metronome, sphygmomanometer, stethoscope, height meter, bathroom weighing scale, modified Borg’s exertion scale and step benches were used to obtain the blood pressure, heart rate, respiratory rate, rate of perceived exertion, height, weight, waist circumference and cardiorespiratory fitness was estimated using the mean heart rate responses of the participants. The data was summarized using frequency count, percentages, range, mean, standard deviation, Independent t-test and Pearson’s Product Moment Correlation at alpha level of 0.05. Results: CRF significantly correlated with post-test systolic blood pressure (p= 0.004), post-test diastolic blood pressure (p= 0.010) and resting heart rate (p= <0.0001) but not with BMI (p= 0.133), waist circumference (p= 0.098), pre-test systolic blood pressure (p= 0.155), pre-test diastolic blood pressure (p= 0.121), resting respiratory rate (p= 0.631), and respiratory rate recovery (p= 0.478). Conclusion: CRF can be used as an index to quantify in apparently healthy participants, level of cardiovascular and respiratory related disease risks. It is necessary to emphasize the importance of physical activity in order to improve one’s cardiorespiratory fitness and minimize the risk of cardiorespiratory associated diseases

Duration of Exposure and Mortality of Different Strains of Prostephanus truncatus (Horn) (Coleoptera: bostrichidae) Exposed to Bifenthrin Insecticide in the Laboratory

The length of exposure time to Bifenthrin on four strains of larger grain borer Prostephanus truncatus Horn (Coloeoptera: Bostrichidae) was studied in the laboratory at 28 -330C and 7

A Multi-Site Survey Study of Patient Satisfaction with Teledermatology

Introduction. Telemedicine has been of heightened focus due to spikes in usage during the COVID-19 pandemic. Disparities in health care may affect patient satisfaction with this resource depending on factors such as patient race, age, or socioeconomic background. The purpose of this study was to analyze patient satisfaction with teledermatology to identify any differences in satisfaction based on race, age, and income during the COVID-19 pandemic period. Methods. A 21-question, IRB-approved survey was administered to patients at two academic dermatology clinics in Kansas City. Patient satisfaction was measured using a five-point Likert scale. Results. A total of 64 completed surveys were analyzed (17.8% response rate). Most of the participants were female (n = 48, 75%), age 45 to 60 (n = 17, 26.6%), and reported White for race (n = 55, 85.9%). Overall, 73.4% (n = 47) of patients reported being satisfied with their visit. However, only 38.7% (n = 24) of participants were likely to choose a video over an in-person visit. Reasons for low patient satisfaction included concerns regarding ability to perform an accurate physical exam with a video visit (n = 9, 14.1%), receiving inadequate care (n = 4, 6.3%), protected privacy (n = 3, 4.7%), and provider understanding the patient (n = 2, 3.1%). Conclusions. Our findings were similar to prior studies stating no difference in patient satisfaction with regards to age, income, or race and patients reporting high satisfaction with teledermatology appointments despite a preference for in-person dermatology visits. Future studies with a larger diverse cohort of participants are needed to elucidate and address possible disparities associated with teledermatology use

Screening of Locally Available Lemon Grass (Cymbopogon citratus) for Repellency Action against Aedes aegypti

In Nigeria, re-emergence of diseases caused by Aedes mosquito borne pathogens, and challenges associated with existing control tools occur. This necessitates an improved insecticide-based tool for use in Integrated Vector Management. So, repellent action of Cymbopogon citratus essential oil (EO) on Aedes aegypti (Linn.) was tested. The EO from C. citratus plant sourced from Awka, was extracted by hydro distillation, and the phytochemicals analyzed by Gas Chromatography-Mass Spectrometry. Repellent action of the EO on unfed Ae. aegypti was assessed using "WHO arm-in-cage" method. In triplicate, arms of human volunteers were treated with different concentrations (50.0, 25.0, 12.5, 6.25 and 3.125 % v/v) of the EO and submitted to 25-caged, unfed Ae. aegypti for 1 minute in every 30 minutes. β-cedrenes, kaempferol, and thujopsene dominated the 13 phytochemicals identified. The standard (Odomos®) and all EO concentrations recorded 100 % repellency on application. At 30 minutes, EC99.9 value was25.0 %, concentrations ≥ 62.5 % v/v gave 100 % repellency (p > 0.05). At 60 minutes, EC99.9 value was 30.68 %, concentrations ≥ 12.5 % v/v gave 100 % repellency (p > 0.05). At 90 to 120 minutes, 50 % concentration maintained 100 % repellency (p < 0.05), EC99.9 value was 48.79 % at 120 minutes. Recording 120 minutes protection time with no adverse effect, 50 % concentration showed equal potency as Odomos®. Research to isolate the active ingredients in the EO for incorporation into beneficial health and economic products is desirable.

Mobile health use predicts self-efficacy and self-management in adolescents with sickle cell disease

Sickle cell disease (SCD) is associated with significant health challenges that often worsen during adolescence. Living with SCD requires a substantial amount of self-management and mobile health (mHealth) holds considerable promise for assessing and changing behaviors to improve health outcomes. We integrated a mobile app as an adjunct to a group intervention (SCThrive) and hypothesized that more engagement with the mHealth app would increase self-management and self-efficacy for adolescents and young adults (AYA) with SCD. Twenty-six AYA ages 13–21 years (54% female; 46% HbSS genotype; all African-American/Black) received six weekly group sessions (three in-person, three online). Participants were provided with the mobile app (iManage for SCD) to record progress on their self-management goals and log pain and mood symptoms. The Transition Readiness Assessment Questionnaire (TRAQ-5) assessed self-management skills and the Patient Activation Measure (PAM-13) assessed self-efficacy at baseline and post-treatment. Logging on to the app more frequently was associated higher mood ratings (r = .54, CI[.18, .77], p = .006) and lower pain ratings (r = −.48, CI[−.77, −.02], p = .04). Regression analyses demonstrated that after controlling for scores at baseline, the number of logins to the app predicted self-management skills (p = .05, η2 = .17) and possibly self-efficacy (p = .08, η2 = .13). Our study findings indicate that it can be challenging to maintain engagement in mHealth for AYA with SCD, but for those who do engage, there are significant benefits related to self-management, self-efficacy, and managing pain and mood

Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care 2013;36:3821-3842

A healthful eating pattern, regular physical activity, and often pharmacotherapy are key components of diabetes management. For many individuals with diabetes, the most challenging part of the treatment plan is determining what to eat. It is the position of the American Diabetes Association (ADA) that there is not a “one-size-fits-all” eating pattern for individuals with diabetes. The ADA also recognizes the integral role of nutrition therapy in overall diabetes management and has historically recommended that each person with diabetes be actively engaged in self-management, education, and treatment planning with his or her health care provider, which includes the collaborative development of an individualized eating plan (1,2). Therefore, it is important that all members of the health care team be knowledgeable about diabetes nutrition therapy and support its implementation. This position statement on nutrition therapy for individuals living with diabetes replaces previous position statements, the last of which was published in 2008 (3). Unless otherwise noted, research reviewed was limited to those studies conducted in adults diagnosed with type 1 or type 2 diabetes. Nutrition therapy for the prevention of type 2 diabetes and for the management of diabetes complications and gestational diabetes mellitus is not addressed in this review. A grading system, developed by the ADA and modeled after existing methods, was utilized to clarify and codify the evidence that forms the basis for the recommendations (1) (Table 1). The level of evidence that supports each recommendation is listed after the recommendation using the letters A, B, C, or E. A table linking recommendations to evidence can be reviewed at http://professional.diabetes.org/nutrition. Members of the Nutrition Recommendations Writing Group Committee disclosed all potential financial conflicts of interest with industry. These disclosures were discussed at the onset of the position statement development process. Members of this committee, their employers,

Postmodernism, Ethnicity, and Celebrity Culture in Women’s Symbolic Consumption

While postmodernism and celebrity culture are closely linked, research attention on this has not been adequately synthesised with ethnic minority groups. Hence, this paper, which is rooted in an interpretive research paradigm, explores the symbolic consumption of Black African women in the UK with specific reference to celebrity culture. Although the study shows some purchase decisions based on products’ functionality, generally, it shows the robust interplay of personal, cultural, social and commercial factors in the symbolic consumption of these women. This is shown to be linked to the prevalent celebrity culture in the society. They consume to enhance their self-esteem and keep up with the societal trend in the host environment. Hence, the notion of acculturation features prominently in their consumption. The paper extends the discourse on the extant ethnic minority studies and augments the current knowledge about symbolic consumption especially with reference to Black African women

Variants of the FADS1 FADS2 Gene Cluster, Blood Levels of Polyunsaturated Fatty Acids and Eczema in Children within the First 2 Years of Life

Association of genetic-variants in the FADS1-FADS2-gene-cluster with fatty-acid-composition in blood of adult-populations is well established. We analyze this genetic-association in two children-cohort-studies. In addition, the association between variants in the FADS-gene-cluster and blood-fatty-acid-composition with eczema was studied. Data of two population-based-birth-cohorts in The Netherlands and Germany (KOALA, LISA) were pooled (n = 879) and analyzed by (logistic) regression regarding the mutual influence of single-nucleotide-polymorphisms (SNPs) in the FADS-gene-cluster (rs174545, rs174546, rs174556, rs174561, rs3834458), on polyunsaturated fatty acids (PUFA) in blood and parent-reported eczema until the age of 2 years. All SNPs were highly significantly associated with all PUFAs except for alpha-linolenic-acid and eicosapentaenoic-acid, also after correction for multiple-testing. All tested SNPs showed associations with eczema in the LISA-study, but not in the KOALA-study. None of the PUFAs was significantly associated with eczema neither in the pooled nor in the analyses stratified by study-cohort. PUFA-composition in young children's blood is under strong control of the FADS-gene-cluster. Inconsistent results were found for a link between these genetic-variants with eczema. PUFA in blood was not associated with eczema. Thus the hypothesis of an inflammatory-link between PUFA and eczema by the metabolic-pathway of LC-PUFAs as precursors for inflammatory prostaglandins and leukotrienes could not be confirmed by these data