The practice of hepatocellular cancer surveillance in Nigeria

Background: Hepatocellular cancer is a disease of global and public health importance due to the widespread distribution of risk factors and associated high case fatality. Hepatocellular Cancer (HCC) in Sub-Saharan Africa is commonly seen among the younger age groups (<45 years) who present mostly in the terminal stage, when the disease is not amenable to any curative therapy. Hepatocellular Carcinoma surveillance employs the use of simple, cheap and readily available investigations, to detect early curable cancer in individuals with risk factors for HCC.Objectives:The aim of this study is to assess the practice of hepatocellular cancer screening among physicians.Methodolgy:This is a nationwide online survey carried out among physicians who care for patients with HCC. A questionnaire was sent out via a web link to all consenting doctors in Nigeria. The responses were collated in a cloud-based application and data was analysed using Epi-info version 20.Results:Atotal of 218 respondents, 142 were males (65.1 %) with a mean age of 37.6 ± 5.7 years. The modal age group was 31-40 years 153 (69.5%). The main factors considered as a hindrance to surveillance were; the cost of the tests (57.7%), failure of return of patients (50.5%) and not being aware of a surveillance program (45.2 %). The majority of the respondents were Gastroenterologists and Family Physicians. 54% of the gastroenterologists and 64% of the family physicians have never offered HCC surveillance to their patients.Conclusion:This survey highlights a knowledge gap in HCC surveillance among physicians. There is a need to make HCCsurveillance a daily routine among patients at risk by all physicians. Keywords: Surveillance, Hepatocellular Carcinoma, HBV, HCV, Cancer screening

Cu@Au self-assembled nanoparticles as SERS-active substrates for (bio)molecular sensing

9 pags. 6 figs.Cu0(core)-Au0(shell) (Cu@Au) bimetallic nanoparticles (NPs) synthesized under microwave-assisted heating were interrogated for surface enhanced Raman scattering (SERS)-active substrates. NPs characterization, by XRD, XPS and UV/vis spectroscopy, showed the formation of self-assembled particles with the occurrence of electron transfer from Cu to Au and the absence of CuxO. TEM and AF4 demonstrated NPs with a mean diameter of 4.7 nm. Despite the low LSPR shown by small nanoparticles (<10 nm diameter), our Cu@Au NPs showed enhanced SERS effect, demonstrated by the calculated scattering signal enhancement factor (3 × 105), which may be related to electromagnetic coupling. Selected examples of analytes of interest, including some biomolecules, were studied to demonstrate the versatility of our Cu@Au NPs as SERS-active substrates.Funded by Chief Scientists Office (TCS/16/07), Tenovus Scotland(G15-03) and the University of Aberdeen Development Trust. KCNgratefully acknowledges the University of Aberdeen for theElphinstone PhD scholarship (RG13451-10) and to Postnova Ana-lytics UK for the loan of the AF4 system together with training,support, and advice on the technique. AM Mendez gratefully ac-knowledges CONICYT (National Commission of Scientific andTechnological Research, Chile) for scholarship (21160174). Micro-scopy was performed in the Microscopy and Histology Core Facilityat the University of Aberdeen