Evaluation of the anti-inflammatory properties of the hexane extract of Hydrocotyle bonariensis Comm. Ex Lam. leaves

This study investigates the anti-inflammatory properties of Hydrocotyle bonariensis Comm. Ex Lam, a medicinal plant used by indigenous traditional healers to manage chronic inflammatory diseases especially rheumatism and arthritis. The hexane extract of H. bonariensis leaves was evaluated for the presence and concentration of phytochemicals. It was subjected to heat-induced albumin denaturation and human red blood cell (HRBC) membrane stabilization assays. The anti-inflammatory properties of the extract were further assessed by employing the formaldehyde induced arthritis animal model assay. The extract was finally subjected to GC/MS analysis for the tentative identification of the phytochemical constituents. Phytochemical analysis of the extract revealed the presence of saponin, phenol, flavonoid, tannin, terpenoid and sterol. This extract showed the ability to inhibit thermally-induced protein denaturation and stabilize HRBC membrane in concentration dependent manner. In the formaldehyde induced arthritis model, the paw measurements of the rats were taken, their hematological parameters were determined, and their liver function tests (aspartate aminotransferase and alanine aminotransferase activities) were also carried out. Results from the animal model indicated that oral administration of the hexane extract of H. bonariensis leaf at a dose of 250 mg/kg body weight had potent anti-inflammatory action. The GC/MS analysis suggested a number of anti-inflammatory compounds in the extract among which were: hexadecanoic acid methyl ester, falcarinol and phytol. Consequently, the tentative identification of phytochemicals with anti-inflammatory activity in H. bonariensis affirms the anti-inflammatory property of the plant and the phytochemicals could serve as lead compounds for designing anti-inflammatory drugs.Key words: Hydrocotyle bonariensis, anti-inflammatory, phytochemicals, protein denaturation, membrane stabilization, arthritis

An appraisal of the School Health Programme in primary schools in a rural community in Nigeria

Background: In a developing country with a large population and a high childhood mortality rate, it is important to have a good and properly organized School Health Programme to cater for the health needs of school children.Objectives: This study aimed at assessing the quality and efficacy of the School Health Programme in public primary schools in a rural community in Nigeria.Methods: A cross-sectional study was carried out in all the five public primary schools in Ilishan-Remo, Ogun State. An observational checklist was used, adapted from a similar study by Kuponiyi et al. A scoring system was used to grade the schools as good, fair or poor. Descriptive statistics were generated using SPSS version 21.Results: The public primary schools had good healthful school environments and school feeding services, but poor skill-based health education and school health services.Conclusions: From the assessment of the School Health Programme in these schools, it was seen that overall, the schools had a fair School Health Programme in place, although they were deficient in some vital facilities. It is necessary for all stakeholders in these schools to provide the materials and human resources needed to achieve an effective School Health Programme. Ethiop .J. Health Dev. 2019; 33(3):153-159Key words: School Health Programme; public primary school; rural community; Nigeri

Distributed Denial of Service Attack Challenges in Cloud Computing: A Review

Cloud computing as an ever-evolving technology has appeared to be a new discovery, with a history that can be traced to the 1960s, yet the computing paradigm has not been fully adopted till date. This is due to the security and trust management issues associated with the paradigm. Studies so far have shown remarkable efforts in the area of cloud computing security but has paid little attention to the area of application-based denial of service and its distributed variant. To this end, this paper highlights the Extensive Mark-up Language Denial of Service (XDoS) and the Extensive Mark-up Language Distributed Denial of Service (XDDoS) as one of the security challenges that inhibit the adoption of cloud computing. So many researchers in this field have proposed different solutions to this issues, however, it was observed that there is a need for an efficient and more effective counter-measures solution against XDoS and its distributed variant XDDoS which are application based denial of service that can be found in software as a service (SaaS) cloud computing service model

Assessment of Resident Doctors’ Perception of Postgraduate Medical Education in Nigeria Using the SPEED Tool: A Pilot Study

Background: Obtaining feedback from trainees is important in the evaluation and evolution of Postgraduate Medical Education (PME), and policies made based on their felt needs would go a long way in making residency training a worthwhile experience. This pilot study aimed to assess resident doctors’ perception of the training content, atmosphere, and organization using the Scan of Postgraduate Educational Environment Domains (SPEED) tool. Methodology: This was a cross-sectional study conducted amongst resident doctors at Babcock University Teaching Hospital (BUTH) in Nigeria, between May and August 2019. A self-administered questionnaire was used to collect participants’ sociodemographic data, their perception of PME in their respective departments, as well as the strengths and weaknesses of the training programmes. Validity and reliability indices were assessed, and descriptive, inferential, and correlational analyses were run where appropriate. Results: The mean score for the resident doctors’ perception of training content, atmosphere, and organization was 4.0 ± 0.4, 4.2 ± 0.5 and 3.69 ± 0.60 respectively, out of a maximum of 5, indicating a positive perception of training in BUTH. The major strengths perceived by most residents were good inter-personal relations between residents and their trainers, as well as conducive learning and work environment; while the weaknesses include poor remuneration and limited staffing which hampers rotations. Conclusion: Resident doctors in BUTH mostly had a positive outlook on their training. This study serves as a reference point for local policy change (in BUTH), and a framework from which future studies on PME can emerge

Effects of lipid-lowering agents on plasma lipid profile and apolipoprotein B in patients with type 2 diabetes mellitus

Objectives: Type 2 Diabetes Mellitus (T2DM) accounts for about 90% of all cases of Diabetes Mellitus. Dyslipidaemia has been demonstrated to form a synergy with T2DM as risk factors for cardiovascular events. This study aimed to determine the plasma levels of Lipids and Apolipoprotein B-100 among Type 2 Diabetic patients, assess the effects of Lipid Lowering agents, and to study the relationship, if any, between these lipid parameters and glycemic control.Methods: One hundred and fifty participants consisting of fifty T2DM patients on a lipid-lowering agent, fifty newly diagnosed T2DM patients who are drug naïve (not on any anti-diabetic agent) and fifty apparently healthy non-diabetic controls were recruited for this study. Fasting blood samples were collected from all study participants for determination of Total Cholesterol (TC), LDL-C, Triglycerides(TG), High-Density Lipoprotein (HDL-C) and Apo B-100. Results: The results showed significant increases in plasma TC, LDL-C, TG and Apo B-100 with a remarkable reduction in plasma HDL-C level in the Type 2 Diabetic drug naïve group compared with the treatment and control groups. There was a significant positive  correlation observed between serum Apo B-100 and level of glycaemia in the T2DM drug naïve group.Conclusion: This study further confirms the therapeutic benefits of lipid-lowering agents in reducing Apo B-100 among T2DM patients. Furthermore, maintaining good glycaemic control reduces the risk for the development of dyslipidaemia. Keywords: T2DM, Dyslipidaemia, Cardiovascular Diseases, Apolipoprotein B-100, Nigeria

Career preferences among final year medical students and house officers: A multicentre survey in Southwest Nigeria

Objective: Career preferences of medical trainees have the potential to shape the future of the healthcareworkforce of any nation. This study aimed to determine the factors that influence career choices ofmedical students and house officers (interns) in two institutions located in Southwest Nigeria.Methods: A cross-sectional study was carried out amongst final year medical students and interns in twomedical universities and their corresponding teaching hospitals in Southwest Nigeria. A questionnairewas used to obtain socio-demographic data, career choices, reasons behind career choices and thepresence and influence of mentorship on career choices. Responses were analyzed using the StatisticalPackage for Social Sciences Version 21, and descriptive statistics generated.Results: Obstetrics & Gynecology and Surgical specialties were the most preferred career choices by themedical students, while Surgical and Medical specialties were most preferred by the interns. Personalinterest and other personal reasons were the top motivating factors for the career choices amongst themedical students of both institutions, while personal interest and future job opportunities were the topreasons for the career choices amongst the interns of both institutions. Mentorship was lacking for most ofthe medical students and house officers, except in one of the teaching hospitals, where over half of theinterns had career mentors.Conclusion: Attention should be paid to the reasons behind career choices, in order to channel effortstowards making clinical specialties become attractive to young medical trainees, as the future of the healthworkforce in the nation depends on it.Keywords: Career Choices, Medical Students, House officers, Medical Education, Nigeri

Unavailability of Essential Obstetric Care Services in a Local Government Area of South-West Nigeria

This paper reports the findings at baseline in a multi-phase project that aimed at reducing maternal morta-lity in a local government area (LGA) of South-West Nigeria. The objectives were to determine the avail-ability of essential obstetric care (EOC) services in the LGA and to assess the quality of existing services. The first phase of this interventional study, which is the focus of this paper, consisted of a baseline health facility and needs assessment survey using instruments adapted from the United Nations guidelines. Twenty-one of 26 health facilities surveyed were public facilities, and five were privately owned. None of the facilities met the criteria for a basic EOC facility, while only one private facility met the criteria for a comprehensive EOC facility. Three facilities employed a nurse and/or a midwife, while unskilled health attendants manned 46% of the facilities. No health worker in the LGA had ever been trained in lifesaving skills. There was a widespread lack of basic EOC equipment and supplies. The study concluded that there were major deficiencies in the supply side of obstetric care services in the LGA, and EOC was almost non-existent. This result has implications for interventions for the reduction of maternal mortality in the LGA and in Nigeria

Kinetic and isotherm studies on the adsorption–desorption of technical-grade endosulfan in loamy soils under Theobroma cacao L cultivation, Southwestern Nigeria

The fate of pesticides in soils is dependent on the adsorption–desorption kinetics, isotherms and soil types. Interactions of technical-grade endosulfan with top soils (top 0–15 cm) from CRIN, Igba and Sore Bale Theobroma cacao L farms in Southwestern Nigeria were studied using the OECD batch isotherm method. The soils were predominately basic (pH 7.1–8.33), while the orders of the total organic carbon (1.32–2.03%) and clay content (10.92–19.11%) were CRIN > Igba > Sore Bale and Igba > CRIN > Sore Bale, respectively. The adsorption of endosulfan was bi-continuous: initially rapid, followed by a slow process, with pseudo-equilibria and plateaus formed between 120 and 240 min. Endosulfan adsorption by soils was due to their greater affinity for organic matter than clay. The adsorption rates fitted better into a pseudo-second-order model (PSOM) than a pseudo-first-order model (PFOM), with the adsorption (kads) and desorption (kdes) rate constants for both isomers ranging from 7.60 × 10−3 to 11.52 × 10−3 min−1 and 1.39 × 10−3 to 3.42 × 10−3 min−1, respectively (i.e. kads > kdes), while kdes (β-isomer) > kdes (α-isomer) for PFOM, but k2_ads < k2_des for the two isomers in PSOM. Additionally, α-endosulfan was adsorptive, with the β-isomer more prone to leaching; both isomers were moderately leachable according to their FAO mobility rankings. The adsorption model did not fit well into a Langmuir isotherm (R2 ≤ 0.948); however, the desorption model did (R2 ≥ 0.991). Freundlich isotherm plots fitted better (R2 ≥ 0.992) and exhibited non-linear curves of types L and S for the adsorption and desorption processes, respectively. The adsorption/desorption coefficients (Kfads and Kfdes) and strengths of adsorption/desorption (1/nads and 1/ndes) for both isomers were from 1.33 ± 0.10 to 4.81 ± 0.18 μg1−1/n (mL)1/n g−1 and 0.503 to 1.402, respectively, in all soils, with Kfads < Kfdes and 1/nads < 1/ndes. Positive hysteresis was observed. CRIN exhibited the highest hysteresis index. The Kfom values were ≤127.14 ± 6.23 mL g−1, while the values of the standard free energy were ΔG0 = −5.11 to −14.05 kJ mol−1 K−1, depicting a spontaneous physisorption process, driven by van der Waals forces, among others. Endosulfan could easily be leached and contaminate the surface and groundwater owing to its faster PSOM desorption rate constant, but TOM and clay could be used as mitigants to reduce its mobility in soils as they have significant affinity for the pesticide

Nigeria Root Vegetables: Production, Utilization, Breeding, Biotechnology and Constraints

This chapter describes the various facets, from agronomy to marketing, of Nigerian root vegetables including garlic, onion, turmeric, ginger and carrot being the world’s most significant and vital root vegetables which have high culinary and medicinal value. The chapter commences with their origin and history, universal spread, production figures, areas under cultivation and goes on to explain the botany, diversity, conservation, production practices, pests and diseases management, utilization, post-harvest technology and their uses as nutraceuticals. This chapter also presents the socio-economic, market analyses, export potential of these crops in Nigeria. It would be an important reference material for researchers, agricultural and food science students at both undergraduate and postgraduate level and policy makers; and be of great interest to experts and industries involved in root vegetables and spices trade. The in-depth information and knowledge about the genetic conservation, socio-economics, production, pests and diseases management and post-harvest technology of root vegetables in Nigeria provided in this chapter would greatly help in efforts towards improving their production and utilization for enhanced nutrition and healthy living

Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents

<p>Abstract</p> <p>Background</p> <p>Early sexual debut among adolescents is associated with considerable negative heath and development outcomes. An understanding of the determinants or predictors of the timing of sexual debut is important for effective intervention, but very few studies to date have addressed this issue in the Nigerian context. The aim of the present study is to examine predictors of adolescent sexual initiation among a nationally representative sample of adolescents in Nigeria.</p> <p>Methods</p> <p>Interviewer-collected data of 2,070 never-married adolescents aged 15–19 years were analysed to determine association between age of sexual debut and demographic, psychosocial and community factors. Using Cox proportional hazards regression multivariate analysis was carried out with two different models – one with and the other without psychosocial factors. Hazard ratio (HR) and 95% confidence interval (CI) were calculated separately for males and females.</p> <p>Results</p> <p>A fifth of respondents (18% males; 22% females) were sexually experienced. In the South 24.3% males and 28.7% females had initiated sex compared to 12.1% of males and 13.1% females in the North (p < 0.001). In the first model, only region was significantly associated with adolescent sexual initiation among both males and females; however, educational attainment and age were also significant among males. In the second (psychosocial) model factors associated with adolescent sexual debut for both genders included more positive attitudes regarding condom efficacy (males: HR = 1.28, 95% CI = 1.07–1.53; females: HR = 1.24, 95% CI = 1.05–1.46) and more positive attitudes to family planning use (males: HR = 1.19, 95% CI = 1.09–1.31; females: HR = 1.18, 95% CI = 1.07–1.30). A greater perception of condom access (HR = 1.42, 95% CI = 1.14–1.76) and alcohol use (HR = 1.90, 95% CI = 1.38–2.62) among males and positive gender-related attitudes (HR = 1.13, 95% CI = 1.04–1.23) among females were also associated with increased likelihood of adolescent sexual initiation. Conversely, personal attitudes in favour of delayed sexual debut were associated with lower sexual debut among both males (males: HR = 0.36, 95% CI = 0.25–0.52) and females (HR = 0.38, 95% CI = 0.25–0.57). Higher level of religiosity was associated with lower sexual debut rates only among females (HR = 0.59, 95% CI = 0.37–0.94).</p> <p>Conclusion</p> <p>Given the increased risk for a number of sexually transmitted health problems, understanding the factors that are associated with premarital sexual debut will assist programmes in developing more effective risk prevention interventions.</p