Effects of intrapopulation competition on morphological and agronomic characters of Jute plant (Corchorus olitorius L.)

The effects of population density on some agronomic traits of Corchorus olitorius were investigated by growing the seedlings in a field experiment at densities of 1, 2, 5, 10, 25, 50 and 100 plants per m2during the raining season of 2006, at the Ojo campus of Lagos State University (LASU), Nigeria. The randomized block design (RBD) was the experimental design used, with three replicates. The direct effect of competition was investigated on the following agronomic attributes; final height/plant, number of branches/plant, stem girth/plant, number of leaves/plant, total fresh weight, total dry weight, moisture content, total leaf length, leaf petiole length, leaf area, blade length and blade width. A highly significant effect (p < 0.01) of competition was observed for final plant height and total moisture content/ plant, while significant effect (p < 0.05) was observed for other attributes investigated, except for all leaf parameters where insignificant effect of competition was observed. There was a gradual decline in all attributes except height/plant as population density increased. These observations confirmed theoccurrence of intraspecific competition in population of jute plant

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Case Report: Hepatocelluar Carcinoma In Pregnancy And Postpartum Period: A Study Of 6 Cases In Nigerian Women.

Six Nigerians women with hepatcocelluar carcinoma (HCC) in pregnancy and the postpartum period were studied. Their ages ranged from 22 to 37 year with a mean of 28.2 years. Five (83.3%) of the women presented in the postpartum while 1 (16.7 %) presented during pregnancy.There was co – existing cirrhosis in 5 (83.3%) of them. All the 4 women tested for HBsAg were positive. Rapid tumour growth was observed in 2 women who were breastfeeding their babies while on admission. One of the 6 women had a fresh stillbirth at 32 weeks gestation but the other 5 had normal deliveries. Five out of 6 patients died on admission (after an average of 20 weeks of illness) while 1 patient discharged herself against medical advice. The major causes of death were hepatic failure and intra – peritoneal haemorrhage. This study shows that the pregnant Nigeria with women with HCC may carry her pregnancy to term and have normal delivery. Those women who do not present pregnancy may do so in the postpartum period. It is suggested that breastfeeding may ad rapid HCC growth and rupture. Key Words: Hepatocellular Carcinoma, pregnancy, postpartum period, Breastfeeding Nigerian Journal of Clinical Practice Vol.7(1) 2004: 46-4

Comparative Catalytic Properties of Ni(OH)2 and NiO Nanoparticles Towards the Degradation of Nitrite (NO2 - ) and Nitric Oxide (NO)

Nitrite (NO2 - ) and nitric oxide (NO) have been identified as an environmentally hazardous analytes from discharged industrial effluents. Thus in this study, nickel oxide (NiO) and nickel hydroxide (Ni(OH)2) nanoparticles were synthesized using the complexation-precipitation method and their catalytic properties towards NO2 - and NO investigated. The success of the synthesised nanoparticles was confirmed using characterisation techniques, such as X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM) and the Fourier transformed infrared (FTIR) spectroscopy. The sizes of the synthesized NiO and Ni(OH)2 nanoparticles were estimated to be 5.39 and 5.07 nm respectively. The catalytic behaviour of NiO and Ni(OH)2 nanoparticles towards the oxidative degradation of NO and NO2 - in acidic and neutral media respectively was studied using UV-Vis spectrophotometer. Result indicated that NiO nanoparticles demonstrated better catalytic properties at different reaction time towards NO2 - and NO oxidation compared to Ni(OH)2, while NiO and Ni(OH)2 at nano scale showed enhanced catalysis towards the analytes compared with the bulk Ni salt. The bulk Ni salt did not show any sensing properties towards NO2 - . However in NO, the absorbance intensity due to the generation of nitrate (NO2 - ) was five times higher in the presence of NiO nanoparticles compared with the bulk Ni salt. The improved catalysis of Ni(OH)2 and NiO nanoparticles in this study was attributed to effective pore sizes and large surface area which expose the analytes to more catalytic site. The nanoparticles are simple to prepare, therefore can be used for the fabrication of a simple, portable, miniaturized nitrite and nitric oxide nanosensor for potential clinical and analytical application