Evaluation of some trace elements (zinc, chromium, cadmium and manganese) in patients with active tuberculosis attending central hospital Benin city, Edo state

Throughout the world, tuberculosis (TB) infection is on the increase and it has remained one of the most important causes of death among adults in developing countries. This study evaluated the serum concentrations of some trace elements -Zinc (Zn), Manganese (Mn), Chromium (Cr) and Cadmium (Cd), in 100 blood samples; comprising sixty (60) active TB patients (test subjects) and forty (40) apparently healthy individuals (control). Serum concentrations of the elements were determined with an Atomic Absorption Spectrophotometer, and the results showed significantly (P<0.05) lower concentrations of Zn, Mn and Cr, but significantly (P<0.05) higher levels of Cd in patients with TB than those of the control. In relation to sex, there was no significant difference (P>0.05) in Zn and Mn concentrations in TB patients, but a significant difference (P<0.05) was observed for Cr and Cd in the male and female subjects studied. On age, there was no significant difference (p<0.05) in the concentrations of Mn and Cd across the age groups studied, but an age dependent decrease in Cr and increase in Cd, was observed in both gender. Our results suggest that Zn, Mn and Cr concentrations are reduced in TB patients, while serum Cd level is increased.Key words: Infectious disease, Serum concentration, Tuberculosis, Trace element

Assessment of the activity of glucose-6-phosphate dehydrogenase in patients with type 2 diabetes mellitus in Ekpoma, South-south Nigeria

Glucose-6-phosphate dehydrogenase (G-6-PD) is an enzyme in the  pentose phosphate pathway (PPP) which reduces NADP to NADPH while oxidizing glucose-6-phosphate. In turn, NADPH then provides reducing equivalents needed for the conversion of oxidized glutathione to reduced glutathione, which protects against oxidant injury. The activity of G-6-PD was determined in type 2 diabetes mellitus patients and control subjects using enzymatic colourimetric method. A total of one hundred (100) subjects consisting of sixty (60) diabetes mellitus patients (test) and forty (40) apparently healthy subjects (control) were involved in the study. The mean ± standard deviation of G-6-PD activity in type 2 diabetic patients was 2.53±1.34ì/g Hb while the control was 14.44±3.27µ/g Hb. The resultsshowed that G-6-PD activity in type 2 diabetic patients was significantly lower (p<0.05) compared to the control subjects. This finding therefore suggests that there is a decrease in G-6-PD activity in type 2 diabetic patients. For that reason, monitoring of G-6-PD activity may be an  important tool in preventing diabetic injury due to inappropriate  antioxidation process.Keywords: Glucose-6-phosphate dehydrogenase, glutathione, diabetes mellitus, oxidant, oxidative stres

Evaluation of the comparative efficacy and safety of artemether-lumefantrine, artesunate-amodiaquine and artesunate-amodiaquine-chlorpheniramine (Artemoclo™) for the treatment of acute uncomplicated malaria in Nigerian children.

OBJECTIVE: To evaluate the comparative efficacy and safety of artemether-lumefantrine (AL), artesunate-amodiaquine (ASAQ) and artesunate-amodiaquine-chlorpheniramine (AQC) for the treatment of acute uncomplicated malaria among Southwest Nigerian children. SUBJECTS AND METHODS: One hundred and sixty children aged 6 months to 14 years with acute uncomplicated malaria were randomized to AL (n = 53), ASAQ (n = 53), or AQC (n = 54). Enrollees were seen daily on days 0-3 and then on days 7, 14, 21, 28 and 42 for clinical and parasitological evaluations. Paired samples of genomic DNA at enrolment and at the time of recurrent parasitaemia were genotyped using nested PCR to distinguish between reinfection and recrudescence. Detailed haematological and biochemical evaluations were carried out in a subset of enrollees on days 0, 7 and 28 as part of a safety evaluation. RESULTS: Of the 160 children, 144 (90%) completed the study. The mean fever clearance times and parasite clearance times for AL, ASAQ and AQC were comparable (p = 0.94 and p = 0.122, respectively). On day 14, the adequate clinical and parasitological response (ACPR) for AL and AQC was 100% and for ASAQ it was 90% (p = 0.39). The PCR-uncorrected results on days 28 and 42 and the ACPR-corrected results on day 42 were similar for all drugs (p = 0.62 and p = 0.56, respectively). AQC resulted in the best parasite clearance and haematological recovery on day 2 (p = 0.022 and p = 0.018, respectively). Biochemical parameters were not adversely affected by the three artemisinin-based combination therapies (ACTs) and these were well tolerated. CONCLUSION: The three ACTs were efficacious and safe, but AQC resulted in a better haematological recovery on day 2 and higher cure rates throughout the study period

Assessment of creatine kinase and lactate dehydrogenase activities of postmenopausal women in Ekpoma, Edo state, Nigeria

Ina bid to investigate the influence of menopausal on coronary heart disease, plasma creatine kinase (CK) and lactate dehydrogenase (LDH) enzymes were analysed on a prospective cohort of 100 women attending Irrua Specialist Teaching Hospital (ISTH), Irrua,  Edo state-Nigeria. They were divided into two groups; postmenopausal women (n = 50) which serve as the test group and the premenopausal women (n = 50) which serves as the control group. The control group were aged 25-40 with a mean age of 34 years, while the postmenopausal women were aged 45 years and above with a mean age of 58 years. Information on menopausal status and other risk factors were obtained while venous blood samples were collected for the analysis of enzyme activities herein studied using standard laboratory procedures. Results which are presented as mean ± standard deviation showed significantly higher (P<0.05) CK and LDH activities in  postmenopausal women (82.88 ± 23.63; 174.28 ± 76.63 respectively)compared to those of premenopausal women (48.40±50.76; 126.44 ± 50.76 respectively). These findings therefore confirmed increase incidence of coronary heart diseases associated with menopause.keywords: Menopause, lactate dehydrogenase, creatine kinase, artherosclerosi

Hepatic Potentials of Xylopia Aethiopica Leaves in Adult Wistar Rats

This study investigates the possible toxic effect of Xylopia aethiopica on liver function via the evaluation of someserum biochemical parameters. The study involved 24 adult rats with weight ranging from 150 to 300g and dividedinto four groups of 6 rats each (A, B, C and D). For 21 days, varying doses of 1.2g/kg, 3.0g/kg and 6.0g/kg per body weight of Xylopia aethiopica  leaves powder were administered daily to test groups B, C and D respectively. Group A however served as control that received normal feed and water only. At the end of the experiment, the animals were sacrificed under light anesthesia to obtain blood samples for the estimation of liver enzyme activities. The results showed that there was a significant increase (P<0.05) in the activities of Aspartate amino transferase (AST) and Alkaline Phosphates (ALP) but a significant decrease (P<0.05) in the levels of total protein, albumin and globulin levels in the test groups as compared to the control. On the other hand, the activities of Gamma glutamyl transferase (GGT) and Alanine amino transferase (ALT) of the test groups were not significantly different (P>0.05) from that of the control.  Therefore,  the observed changes in the parameters accessed, signifies the hepatotoxic impact of Xylopia aethiopica leaves.Keywords: Xylopia aethiopica, hepatoxicity, Herbs, Nigeria

Quality of life and sex-differences in a South-Eastern Nigerian stroke sample

BackgroundQuality of Life (QOL) studies in stroke among Africans are rather few and mainly from South-Western Nigeria. Hardly is there any from the other regions of this vast nation. Reports on gender influences on stroke survivors’ QOL have also been contradictory.ObjectivesThis study set out to provide preliminary data on the QOL of stroke survivors in South-Eastern Nigeria and also investigate sex-differences in the QOL.MethodsOne hundred and three volunteering stroke survivors (53 males, 50 females) were recruited from various settings. The Stroke-Specific Quality of Life (SS-QOL) scale was used to assess participants’ QOL. Participants mean QOL score in the overall and individual domains were presented as percentages of Maximum Possible Scores (MPS) while sex-differences across domains were investigated with Mann-Whitney U test statistics at 0.05 alpha level.ResultsParticipants mean scores in the vision (12.44 ± 3.56), thinking (11.50 ± 3.71), mood (18.55 ± 4.81) and language (19.04 ± 6.81) domains were above 70 percent of MPS while mean score in the social role (11.82 ± 4.75) was below 50% of MPS. Overall QOL score was slightly below 70% of the MPS. No significant sex-difference was found in all the SS-QOL domains (p<0.05).ConclusionsQOL seems to be affected, albeit not too severely, among stroke survivors from South-Eastern Nigeria. The effect is however similar for survivors of both gender. Social and family roles and physical functioning seem to be areas requiring keener clinicians’ attention.Key words: Stroke, Quality of life, Sex-differences, South-Eastern Nigeria

Plasma Renal Functions amongst 'Petrol Station' Attendants in Owerri, South-East Nigeria

This study assesses the renal function of individuals who are occupationally exposed to ‘petrol’ vapour. It is a cohortstudy of 100 individuals comprising 50 ‘petrol station’ attendants (test) in Owerri, Imo State, Nigeria, and 50 apparently healthy individuals who are ‘non-petrol station’ attendants (control). Information on demographic and health profiles were obtained, and venous blood samples were collected for the analysis of plasma creatinine, Na+, K+, Cl- and HCO3 using standard laboratory procedures. Results showed that plasma creatinine (1.17±0.30), K+ (3.77 ± 0.55) and HCO3 - (28.52±2.72) concentrations amongst ‘petrol station’ attendants to be significantly higher  (P<0.05) compared to those of the control (0.87±0.18; 3.64±0.21 and 26.92±2.46 respectively). On the other hand,  plasma Na+ (131.70±4.16) and Cl- (97.43±3.48) amongst ‘petrol station’ attendants were significantly lower compared to the control subjects (136.70±4.86 and 100.28±2.24 respectively). There was also a significant increase   (p<0.05) in plasma creatinine, K+ and HCO3 - , and a significantly lower Na+ and Cl- amongst ‘petrol station’ with 3– 6 years exposure when compared with those exposed for <1-2 years. These findings therefore, suggests that renal function impairment and nephrotoxicity, are associated with exposure to ‘petroleum’ vapours and its impact is time dependent.Keywords: Renal/Kidney failure, Nephrotoxicity, Petroleum vapour, Owerri

Comparative effects of clinic- and virtual reality-based McKenzie extension therapy in chronic non-specific low-back pain

Purpose. The study compared the influence of Clinic-based McKenzie Therapy (CbMT) and a Virtual Reality Game (VRG) version on pain intensity, back extensor muscles endurance, activity limitation, participation restriction, fear avoidance belief, kinesiophobia, and general health status of patients with chronic non-specific low-back pain. Methods. This quasi-experimental study involved 46 patients (CbMT: n = 24; VRG: n = 22) with ‘directional preference’ for extension, randomized into CbMT or VRG group. Treatment was applied thrice weekly for 8 weeks. Outcomes were assessed at the end of the 4th and 8th week. Data analysis employed descriptive and inferential statistics of independent t-test, Mann-Whitney U test, repeated measure ANOVA, Friedman’s ANOVA, and ANCOVA. The significance level was set as = 0.05. Results. There were no significant differences in the treatment outcomes (mean change) across the groups (p > 0.05), except for kinesiophobia, where VRG led to a significantly higher decline in mean rank at week 4 (28.3 vs. 19.1; p = 0.018) and 8 (28.7 vs. 18.7; p = 0.009), and vitality (a general health status item) at week 4 (27.6 vs. 19.8; p = 0.042) and 8 (28.1 vs. 19.3; p = 0.042). ANCOVA showed that significant baseline parameters were not significant predictors of vitality (F = 1.986; p = 0.070) or kinesiophobia (F = 0.866; p = 0.563) outcomes. Conclusions. The VRG mode of McKenzie therapy is comparable with the clinic-based approach in most outcomes. VRG has a superior effect on kinesiophobia, but may take a higher toll on vitality/energy

Development and feasibility testing of an animated cartoon-based self-care application for low-back pain – a pilot study

Objectives: The use of animated cartoons for pain management is an emerging area, however, in no study has it been explored as a digital platform for the rehabilitation of low-back pain (LBP). This study was aimed to develop and evaluate the feasibility of an animated cartoon-based self-care (ACBSC) app for LBP, and to examine the correlation between the app rating parameters and patients’ pain. Methods: This 2-phase study comprised development and feasibility testing components. Development of the ACBSC app was based on Mckenzie’s Mechanical Diagnosis and Therapy (MDT) extension protocol plus back hygiene following standard it-eration and prototyping process. Twenty-eight consecutive patients with chronic non-specific LBP with ‘direction Preference’ for extension based on the MDT screening algorithm participated in the feasibility phase. The participants utilised the car-toon-based app thrice weekly for 2 weeks. Outcomes were assessed in terms of usability, satisfaction and user experience ap-plying the system usability and mobile application rating scales. The Quadruple Visual Analogue Scale (QVAS) was used to assess the participants’ pain intensity. Results: On a unified scale up to 20, functionality (15.4 ± 2.41) and aesthetics 14 ± 2.00 had highest and least objective quality rating on the app parameters. Total objective and subjective quality rating of the app was 16.9 ± 1.97 and 15.6 ± 2.42, respectively. The total impact and usability scores were 24.1 ± 3.39 (out of 30) and 27.8 ± 3.09 (out of 50). Participants re-ported that the cartoon app for back care mostly affected mindfulness/meditation/relaxation (42.9%), increasing happiness/ well-being (46.4%), leading to behavioural changes (60.7%), while targeting physical health (100%). There was no significant correlation between participants’ pain characteristics and app rating parameters (p>0.05). Conclusion: The animated cartoon-based self-care LBP app has moderate to high usability, functionality, aesthetics and quality rating, and may serve as an effective mobile-app for self-management of long-term LBP

Serum testosterone levels of HbSS (sickle cell disease) male subjects in Lagos, Nigeria

<p>Abstract</p> <p>Background</p> <p>Infertility is a major problem in sickle cell disease patients, especially in males. In addition to low serum testosterone, other abnormalities involving the accessory sex organs, such as the seminal vesicles and the prostate gland, as well as marked decrease in ejaculate volume may be observed in male HbSS patients. Hence, the need to study the role of sex hormones as a cause of infertility in male HbSS patients.</p> <p>Methods</p> <p>An unmatched case-control study was performed using seventy-five consenting subjects from Lagos University Teaching Hospital. These included 47 patients with haemoglobin phenotype SS from the Sickle cell clinic and 28 volunteered medical students and members of staff with haemoglobin phenotype AA. Demographic data were obtained using a self-administered questionnaire. A total of 5 mls of blood was collected from each subject between 9.00 am & 11.am, and assayed for serum testosterone concentration.</p> <p>Results</p> <p>The concentrations of serum testosterone in HbSS patients ranged from 0.2 to 4.3 ng/ml with a mean of 1.28 ± 0.72 ng/ml whilst the values in HbAA controls ranged from 1.2 to 6.9 ng/ml with a mean of 2.63 ± 1.04 ng/ml. Seven (25.0%) of the 28 controls had serum testosterone concentration lower than the quoted reference (normal) range whereas 44 (93.6%) of the 47 HbSS subjects had serum testosterone concentration lower than the reference range.</p> <p>Conclusion</p> <p>Overall, subjects with HbSS have significantly lower mean serum testosterone than HbAA controls.</p