Comparative Evaluation of Nutritive Value of Okro (Abelmoschus esculentus) and Bush Mango (Irvingia gabonensis) Fruits Grown in Nasarawa State, Nigeria

The proximate, mineral and amino acid compositions of okro (Abelmoschus esculentus) pod and bush mango (Irvingia gabonensis) seed were determined using standard analytical techniques. Moisture, ash, crude fat, crude fibre, protein and carbohydrate (by difference) contents (%) of A. esculentus and I. gabonensis were: 25.9 and 2.1, 9.0 and 11.5, 17.2 and 62.0, 4.3 and 0.9, 21.8 and 7.4, and 21.8 and 26.1, respectively. The most abundant minerals were Ca (170.6 and 431.5 mg/100g sample), K (108.5 and 161.0 mg/100g), Mg (83.6 and 171.1 mg/100g) and Na (88.0 and 113.5 mg/100g), respectively. Generally, the two samples were found to be good sources of essential minerals while harmful metals such as Pb and Cd were not at detection limit of AAS. The levels of Na/K and Ca/P ratios were desirable compared with the recommended values. The amino acid profile revealed that samples of A. esculentus and I. gabonensis contained nutritionally useful quantities of most of the essential amino acids with total essential amino acids (TEAA) of 35.4 and 38.1 g/100g crude protein or 40.6 and 47.8% of the total amino acid (TAA), respectively while the limiting amino acids (LAA) were Val and Thr. The calculated isoelectric points (pI) and predicted protein efficiency ratios (P–PER) were 5.1 and 4.8, 2.5 and 4.1 for A. esculentus and I. gabonensis, respectively. However, dietary formula based on these fruits may require amino acids supplementation. Keywords: Abelmoschus esculentus, Irvingia gabonensis, nutritional composition

The Effects of Oral Intraperitoneal and Inhaled Methamphetamine on some Biochemical Parameters using Wistar Albino Rats

Abuse of hard drugs has become a norm for an increasing number of young people globally with methamphetamine currently the second most abused in Nigeria. The need for people to know as much as it is consumed was what inspired this research. With the oral, inhaled and intraperitoneal as the three routes of administration to be investigated, the animals were sequestered into seven groups of five each. Besides the control group, the other six were used to investigate effects of administering low and high doses of methamphetamine. Doses 0.57mg/kg and 14.28mg/kg were administered to the test animals via inhalation, oral and intraperitoneal means for 21 days while their weights were taken four times in a five day interval before sacrifice and biochemical analysis. The highest reductions in weight were recorded in groups orally administered 14.28mg/kg with a reduction percentage of 24.4% while those intraperitoneally administered 14.28mg/kg showed a 15.9% increase in weight. Groups orally and intraperitoneally administered 14.28mg/kg showed significant (p<0.05) elevations in AST levels when compared to the control group. The ALT levels increased significantly (p<0.05) in all test groups when compared to the control. Significant increase (p<0.05) in serum urea levels was recorded in groups intraperitoneally administered as well as those administered 0.57mg/kg via inhalation while all test groups administered 14.28mg/kg showed significant (p<0.05) rise in serum urea levels. Also, the creatinine levels showed significant increase (p<0.05) in groups intraperitoneally administered 14.28mg/kg. The results summarily suggest that the substance; both in low and high doses, can cause serious perturbations to vital organs and expose patrons to a host of health complications notwithstanding route of administration.

The impact of health status and human capital formation on regional performance: Empirical evidence

The purpose of this paper is to analyze the impact of health on growth, assuming that it is a fundamental component of the human capital of a region along with education. Various measures of population health status are used, together with a health index generated by Principal Component Analysis. Potential endogeneity between health and growth is controlled for using instrumental variable regressions and dynamic panel data. The results show a positive effect of a change in health status on regional output and a negative effect of proxy variables for health limitations on regional performance. This corroborates the importance of investing in health along with education with the aim of improving not only the well-being of individuals but the human capital and growth of a region

Incidence and predictors of immune reconstitution inflammatory syndrome in a rural area of Mozambique.

There is limited data on the epidemiology of Immune Reconstitution Inflammatory Syndrome (IRIS) in rural sub-Saharan Africa. A prospective observational cohort study was conducted to assess the incidence, clinical characteristics, outcome and predictors of IRIS in rural Mozambique

Causal mechanisms proposed for the Alcohol Harm Paradox - a systematic review

Background and Aims The Alcohol Harm Paradox (AHP) posits that disadvantaged groups suffer from higher rates of alcohol-related harm compared with advantaged groups, despite reporting similar or lower levels of consumption on average. The causes of this relationship remain unclear. This study aimed to identify explanations proposed for the AHP. Secondary aims were to review the existing evidence for those explanations and investigate whether authors linked explanations to one another. Methods Systematic review. We searched MEDLINE (1946-January 2021), EMBASE (1974 – January 2021) and PsycINFO (1967 – January 2021), supplemented via manual searching of grey literature. Included papers either explored the causes of the AHP or investigated the relationship between alcohol consumption, alcohol-related harm, and socioeconomic position. Papers were set in Organisation for Economic Co-operation and Development high income countries. Explanations extracted for analysis could be evidenced in the empirical results or suggested by researchers in their narrative. Inductive thematic analysis was applied to group explanations. Results Seventy-nine papers met the inclusion criteria and initial coding revealed these papers contained 41 distinct explanations for the AHP. Following inductive thematic analysis, these explanations were grouped into 16 themes within six broad domains: Individual, Lifestyle, Contextual, Disadvantage, Upstream and Artefactual. Explanations related to risk behaviours, which fit within the Lifestyle domain, were the most frequently proposed (n=51) and analysed (n=21). Conclusions While there are many potential explanations for the Alcohol Harm Paradox, most research focuses on risk behaviours while other explanations lack empirical testing

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children &lt;18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p&lt;0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p&lt;0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p&lt;0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

The Analysis of the Contributions of Information and Communication Technology to the Economic Development of Nigeria

The information and communication technology (ICT) revolution has a role and prospect in national development of Nigeria. Over the past decade, new applications of ICT have improved service delivery, transparency, and public access in national development. This paper highlights some of the ways that ICT tools can be used in the sustainable economic development of the society. Effective integration of ICT into the community for information sharing can enable forces which lead to a sustainable economic development. The contributions of ICT in the area of the number of subscribers, employment in the sector and its contributions to the Gross Domestic Product(GDP) were also studied. It was discovered that the sector has contributed and still contributing in no small measure to the economic growth of Nigeria

Perception of safety and consumption of alcoholic beverages during pregnancy

This cross-sectional study of antenatal clinic attendees aimed to determine the proportions of pregnant women that consider different alcoholic beverages safe for their babies; and the proportions that took them in the index pregnancy. Five hundred and six women completed the questionnaires. Mean age was 30.07 ± 5.13 years. Mean parity was 1.44 ± 1.32. 478 (94.5%) were married. Three hundred and eighty-three (75.69%) had tertiary education. These proportions did not consider these alcoholic beverages harmful in pregnancy: palm wine 35.77%, stout 17.03%, beer 14.03%, alcoholic wine 13.83%, ogogoro (distilled fermented palm wine) 13.04% and gin/spirits 9.88%. The proportion that consumed different alcoholic beverages during pregnancy were: palm wine 17.20%, beer 5.33%, alcoholic wine 4.35%, stout 4.15%, ogogoro 1.58% and gin/spirits 0.59%. Pregnant women who considered various alcoholic beverages safe in pregnancy were significantly more likely to consume them during pregnancy. Healthcare providers should assess women’s perception of the safety of different alcoholic beverages and offer counselling to discourage their consumption during pregnancy.Impact Statement What is already known on this subject? Babies exposed to alcohol in pregnancy are at increased risk of developing foetal alcohol spectrum disorders. No safe level of alcohol has been established for pregnancy. The level of alcohol consumption by pregnant women is still high in our practice environment. What do the results of this study add? The perception that a specific alcoholic beverage is safe and not harmful to the foetus, significantly increases the likelihood of the consumption of that alcoholic beverage by a pregnant woman. What are the implications of these findings for clinical practice and/or further research? Healthcare workers will need to enquire about specific alcoholic beverages especially those common within their practice environment. An enquiry should be made on the perception of safety and their consumption during pregnancy. Women who perceive certain alcoholic beverages are more likely to consume them during pregnancy and hence should receive specific counselling on the alcoholic content of these beverages and the risk to their babies to discourage the consumption of that alcoholic beverage during pregnancy