Effects of artemether on the plasma and urine concentrations of some electrolytes in rats

This study was carried out to determine the changes in the urine levels of sodium (Na+), potassium (K+), and calcium (Ca 2+) of rats during a week of intramuscular administration of artemether (12.5 to 50.0 mg/kg/day), another one week thereafter and their concentrations in the plasma at the end of the study. At 12.5 and 25.0 mg/kg of artemether, urine Na+ concentration was significantly increased throughout the study (p< 0.05), except on Day 7 (at 12.5 mg/kg) and Day 11 (at 25.0 mg/kg), when it was not significantly different from the control. At 12.5 mg/kg of the drug, urine K+ concentration was significantly increased throughout the study (p< 0.05). Artemether caused no significant changes in urine Ca 2+ concentration in the control rats as well as those that received 12.5 and 25.0 mg/kg of artemether. Progressive and significant reductions in the urine concentrations of all the electrolytes at 50.0 mg/kg of artemether were observed. Their concentrations in the plasma were also significantly reduced at this dose of the drug. A dose-dependent degeneration of the renal tissue of all the experimental rats was also observed. We concluded that high doses of artemether caused progressive degeneration of the renal tissue of rats, inability of the damaged kidneys to concentrate urine, which manifested as excessive water loss and electrolyte depletion

Changes in some biochemical parameters of kidney functions of Plasmodium berghei infected rats administered with some doses of artemether

This study aimed at determining changes in urine concentrations of sodium (Na+) and potassium (K+) of Plasmodium berghei infected rats during a week of intramuscular administration of artemether (12.5 to 50.0 mg/kg/day) and one week thereafter. Their concentrations and that of creatinine and urea in the plasma were also determined at the end of the study. The observed changes were related to the effects of artemether on the kidneys of the rats. The urine levels of the two electrolytes decreased significantly during treatment (P< 0.05). One week post-treatment with 12.5 mg/kg of artemether, the urine concentrations of the electrolytes increased to values that were not significantly different from that of day 0. At 25 and 50 mg/kg, their urine concentrations still remained significantly lower than day 0 values (P< 0.05). Plasma concentrations of the electrolytes one week post-treatment increased, but they were only significant at 25 mg/kg for K+. A significant increase in the plasma level of creatinine was observed at all the doses of the drug at one week post-treatment. A dose-dependent degeneration of the renal tissue of all the experimental rats was also observed. We concluded that high doses of artemether caused progressive degeneration of the renal tissue of P. berghei infected rats

Effects of artemether on biochemical markers of liver function in Plasmodium berghei-infected and non-infected rats

This study aimed at determining changes in plasma activities of some enzymes and concentrations of plasma organic constituents which are often used in the assessment of liver functions in uninfected rats (UNR) and Plasmodium berghei infected rats (INR), following a week of intramuscular administration of artemether (12.5 to 50.0 mg/kg/day). The observed changes were related to the effects of artemether on the liver of the rats. At all the doses tested, the plasma concentrations of total and conjugated bilirubin increased significantly in both INR and UNR. A significant decrease in the plasma concentrations of glucose was also observed in UNR. The levels of cholesterol were significantly higher in INR than UNR. Plasma glutamate oxaloacetate transaminase (GOT) activity was significantly increased in both categories of rats, but more significantly in INR. The activity of plasma glutamate pyruvate transaminase (GPT) increased significantly at 12.5 and 25.0 mg/kg only in UNR, while a significant increase was observed at 50.0 mg/kg in the INR. Photomicrograph of the liver revealed progressive tissue damage which was more pronounced in INR than UNR. We concluded that high doses of artemether are toxic to the liver of both infected and uninfected rats

Multimodal freight transportation: sustainability challenges

Due to globalization in trade, the development of multimodal cargo shipments and the related transport needs have created a range of challenges. Interestingly, sustainability of multimodal freight transportation is still subject to minor consideration, on the grounds that economic interests are frequently positioned much higher than social or environmental objectives. This proposed research plan is needed to assess whether and to what extent the multimodal freight system is achieving the results in the sustainability dimensions: economic, social and environmental. Thus, it will carry out a critical appraisal of the multimodal freight transportation sector to provide an up-to-date knowledge on the sustainability challenges and the potential solutions through doctoral research. This paper structured to present a review of existing literature on freight transportation and multimodal freight transport highlighting the sustainability concerns with multimodal freight transport systems. It also highlights the gaps in knowledge with a justification on the need to address these gaps for the system to function optimally. It also covers the methodology that would be applied and the sources of data that would be reviewed to ensure the aim and objectives are clearly addressed. The paper concludes by discussing the significance of the expected findings in the light of sustainability in multimodal freight transport to the academia, policy makers and the freight transportation industry

General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study

There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)

Fasting Hyperinsulinemia Is a Predictor of Increased Body Weight Gain and Obesity in Pima Indian Children

Hyperinsulinemia is commonly associated with obesity, but it has not been determined which defect comes first. Some have proposed that hyperinsulinemia may precede obesity in populations prone to NIDDM, such as Pima Indians or Pacific Islanders. In contrast, longitudinal studies in adults show that insulin sensitivity and low fasting insulin concentrations are associated with increased weight gain, whereas insulin resistance seems to protect against weight gain. The present study examined whether fasting plasma hyperinsulinemia is a risk factor for weight gain in prepubertal children in the Pima Indian population—a population that is prone to obesity. Fasting plasma insulin concentration was measured in 328 5- to 9-year-old Pima Indian children (147 boys and 181 girls) with normal glucose tolerance. Follow-up weight was obtained an average of 9.3 ± 1.9 years (means ± SD) later at age 15–19 years. Fasting plasma insulin concentration correlated with the rate of weight gain per year in both boys (r = 0.42; P < 0.0001) and girls (r = 0.20; P < 0.01) and was associated with the rate of weight gain, independent of known determinants of weight change, i.e., initial relative weight, change in height, age, and sex. Similar relationships were found between fasting plasma insulin concentration and the change in relative weight and in triceps skinfold thickness—two indicators of obesity. In conclusion, fasting hyperinsulinemia may be a risk factor for the development of obesity in young children