Sonographic assessment of liver dimension among school aged children in Calabar, South-South Nigeria

Background: One of the organs readily assessed during abdominal scanning is the liver and this is due to the wide range of diseases associated with changes in liver size. Ultrasound scan remains a very important modality for liver evaluation because it is simple, not expensive, non-invasive and readily available but yet there is no record of ultrasound measurement of liver sizes among school - age children in Calabar.Method: Four hundred and seventy apparently healthy school-age children (3-14 years) were studied. 244(52%) were females, mean age 8.2±1.6 years and 226(48%) were males, mean age 8.0±1.4 years. Liver size of the subjects was measured sonographically in the right midclavicular line to determine anteroposterior (AP) and longitudinal diameters of the liver. Biodata of the subjects (sex, age, height, weight and body mass index (BMI) were evaluated prospectively .The subjects were divided into four groups according to age, sex, height and weight.Results: The mean AP and longitudinal diameter of the liver for males was 102.5±7.3mm and 130.9±7.4mm respectively and that of females was 98.3±6.6mm and 121.0±5.1mm respectively. Age, height and BMI significantly correlated with the longitudinal and AP diameter of the liver (r > 0.5, P < 0.002).Conclusion: School age children in Calabar have a mean AP diameter of liver as 100.3±7.3mm with a range of 75.2-129mm and a mean longitudinal diameter of liver as 125.0±10.4mm with a range of 100 - 158mm.Keywords: liver, sonography, diameter, midclavicular line

Immunization Status of Children with Chronic Neurological Disorders in Enugu, Nigeria

Children with chronic neurological disorders face several issues in common reflecting the chronic nature of the illness, which may put these children at risk of under immunization.  To assess the immunization coverage rates of children with CND seen at University Nigeria Teaching Hospital (UNTH) Enugu. Only 168 children aged 6months-5years who met the selection criteria and attending the Pediatrics Neurology Clinic (subjects) and 171control that matched for age, sex and socioeconomic status attending the General outpatient clinic were examined. Questionnaires were administered to the mothers. Yates chi-squared and fisher’s exact tests were applied at p< 0.05, in this study. Immunized children with CND were 68.5%, while that of the controls were found to be 85.4% at (P=0.001). The antigens coverage was significantly better in the controls than the subjects except for BCG and OPV1 given at birth. The Immunization coverage of children with CNDs is significantly lower than normal children in Enugu, Nigeria. Keywords: Immunization, Chronic neurological disorders(CND),Paediatric neurology clinic(PNC),Children out patient(CHOP)

Phytoremediation of cadmium-polluted soils with Ipomoea asarifolia (Desr.) Roem. & Schult

Phytoremediation is an alternative method for restoring soils polluted with heavy metals which is cost-effective and environment-friendly. The present study evaluated the potential of Ipomoea asarifolia to remediate  soils experimentally-amended with Cadmium. The plant was grown on soils amended with 0, 1500, 2000, and 2500 mg CdCl2 salt. The salt was mixed with small portions of the soils and made upto 3kg salt/soil mixtures each. These were applied into 4 separate polythene-pots labelled; A, B, C and D respectively. Sample A containing 3kg non-amended soil (without Cd) served as the control. The concentrations of Cd applied to the soils were therefore; 0, 306.61, 408.82 and 511.02 mg//kg soils in the samples A-D respectively. Atomic absorption spectrophotometry (AAS) was used to analyse the bioaccumulation of Cd in the plant’s parts, over three harvesting phases of the study period. The results revealed that I. asarifolia is a good phytoaccumulator as it accumulated a total biomass of 0.23 ± 0.63, 272.85 ± 1.99, 377.40 ± 0.63 and 459.48 ± 0.60 mg/kg Cd from the amended soils A-D respectively. The Transportation Indices; RTI and STI for translocation of Cd to the plant’s stems and leaves were both greater than 1 (TI >1), indicating that the plant has a phytoextraction potential for Cadmium. These results therefore, suggest that I. asarifolia could be effective in phytoremediation of Cadmium-polluted environments.Keywords: Heavy metals, cadmium, pollution, phytoremediation, Ipomoea asarifoli

Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

As mortality rates decline, life expectancy increases, and populations age, non-fatal outcomes of diseases and injuries are becoming a larger component of the global burden of disease. The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of prevalence, incidence, and years lived with disability (YLDs) for 328 causes in 195 countries and territories from 1990 to 2016

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016

BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. METHODS: We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by our estimate of all-age deaths generated from our overall estimation process. For 163 locations, including subnational units in countries with a population greater than 200 million with complete vital registration (VR) systems, our estimates were largely driven by the observed data, with corrections for small fluctuations in numbers and estimation for recent years where there were lags in data reporting (lags were variable by location, generally between 1 year and 6 years). For other locations, we took advantage of different data sources available to measure under-5 mortality rates (U5MR) using complete birth histories, summary birth histories, and incomplete VR with adjustments; we measured adult mortality rate (the probability of death in individuals aged 15-60 years) using adjusted incomplete VR, sibling histories, and household death recall. We used the U5MR and adult mortality rate, together with crude death rate due to HIV in the GBD model life table system, to estimate age-specific and sex-specific death rates for each location-year. Using various international databases, we identified fatal discontinuities, which we defined as increases in the death rate of more than one death per million, resulting from conflict and terrorism, natural disasters, major transport or technological accidents, and a subset of epidemic infectious diseases; these were added to estimates in the relevant years. In 47 countries with an identified peak adult prevalence for HIV/AIDS of more than 0·5% and where VR systems were less than 65% complete, we informed our estimates of age-sex-specific mortality using the Estimation and Projection Package (EPP)-Spectrum model fitted to national HIV/AIDS prevalence surveys and antenatal clinic serosurveillance systems. We estimated stillbirths, early neonatal, late neonatal, and childhood mortality using both survey and VR data in spatiotemporal Gaussian process regression models. We estimated abridged life tables for all location-years using age-specific death rates. We grouped locations into development quintiles based on the Socio-demographic Index (SDI) and analysed mortality trends by quintile. Using spline regression, we estimated the expected mortality rate for each age-sex group as a function of SDI. We identified countries with higher life expectancy than expected by comparing observed life expectancy to anticipated life expectancy on the basis of development status alone. FINDINGS: Completeness in the registration of deaths increased from 28% in 1970 to a peak of 45% in 2013; completeness was lower after 2013 because of lags in reporting. Total deaths in children younger than 5 years decreased from 1970 to 2016, and slower decreases occurred at ages 5-24 years. By contrast, numbers of adult deaths increased in each 5-year age bracket above the age of 25 years. The distribution of annualised rates of change in age-specific mortality rate differed over the period 2000 to 2016 compared with earlier decades: increasing annualised rates of change were less frequent, although rising annualised rates of change still occurred in some locations, particularly for adolescent and younger adult age groups. Rates of stillbirths and under-5 mortality both decreased globally from 1970. Evidence for global convergence of death rates was mixed; although the absolute difference between age-standardised death rates narrowed between countries at the lowest and highest levels of SDI, the ratio of these death rates-a measure of relative inequality-increased slightly. There was a strong shift between 1970 and 2016 toward higher life expectancy, most noticeably at higher levels of SDI. Among countries with populations greater than 1 million in 2016, life expectancy at birth was highest for women in Japan, at 86·9 years (95% UI 86·7-87·2), and for men in Singapore, at 81·3 years (78·8-83·7) in 2016. Male life expectancy was generally lower than female life expectancy between 1970 and 2016, an

Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

BACKGROUND: Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Affairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent with the estimates of the numbers of deaths in the GBD. The present iteration of the GBD, GBD 2017, improves on previous assessments and provides timely estimates of the mortality experience of populations globally. METHODS: The GBD uses all available data to produce estimates of mortality rates between 1950 and 2017 for 23 age groups, both sexes, and 918 locations, including 195 countries and territories and subnational locations for 16 countries. Data used include vital registration systems, sample registration systems, household surveys (complete birth histories, summary birth histories, sibling histories), censuses (summary birth histories, household deaths), and Demographic Surveillance Sites. In total, this analysis used 8259 data sources. Estimates of the probability of death between birth and the age of 5 years and between ages 15 and 60 years are generated and then input into a model life table system to produce complete life tables for all locations and years. Fatal discontinuities and mortality due to HIV/AIDS are analysed separately and then incorporated into the estimation. We analyse the relationship between age-specific mortality and development status using the Socio-demographic Index, a composite measure based on fertility under the age of 25 years, education, and income. There are four main methodological improvements in GBD 2017 compared with GBD 2016: 622 additional data sources have been incorporated; new estimates of population, generated by the GBD study, are used; statistical methods used in different components of the analysis have been further standardised and improved; and the analysis has been extended backwards in time by two decades to start in 1950. FINDINGS: Globally, 18·7% (95% uncertainty interval 18·4–19·0) of deaths were registered in 1950 and that proportion has been steadily increasing since, with 58·8% (58·2–59·3) of all deaths being registered in 2015. At the global level, between 1950 and 2017, life expectancy increased from 48·1 years (46·5–49·6) to 70·5 years (70·1–70·8) for men and from 52·9 years (51·7–54·0) to 75·6 years (75·3–75·9) for women. Despite this overall progress, there remains substantial variation in life expectancy at birth in 2017, which ranges from 49·1 years (46·5–51·7) for men in the Central African Republic to 87·6 years (86·9–88·1) among women in Singapore. The greatest progress across age groups was for children younger than 5 years; under-5 mortality dropped from 216·0 deaths (196·3–238·1) per 1000 livebirths in 1950 to 38·9 deaths (35·6–42·83) per 1000 livebirths in 2017, with huge reductions across countries. Nevertheless, there were still 5·4 million (5·2–5·6) deaths among children younger than 5 years in the world in 2017. Progress has been less pronounced and more variable for adults, especially for adult males, who had stagnant or increasing mortality rates in several countries. The gap between male and female life expectancy between 1950 and 2017, while relatively stable at the global level, shows distinctive patterns across super-regions and has consistently been the largest in central Europe, eastern Europe, and central Asia, and smallest in south Asia. Performance was also variable across countries and time in observed mortality rates compared with those expected on the basis of development. INTERPRETATION: This analysis of age-sex-specific mortality shows that there are remarkably complex patterns in population mortality across countries. The findings of this study highlight global successes, such as the large decline in under-5 mortality, which reflects significant local, national, and global commitment and investment over several decades. However, they also bring attention to mortality patterns that are a cause for concern, particularly among adult men and, to a lesser extent, women, whose mortality rates have stagnated in many countries over the time period of this study, and in some cases are increasing

Phytoremediation potential of Ipomoea asarifolia on lead polluted soils

This study evaluated the potential of Ipomoea asarifolia to remediate lead (Pb) polluted soils. The plant was grown on soils amended with varying levels of Pb in different polythene pots and atomic absorption spectrophotometry (AAS) was used to analyse the accumulation of Pb in roots, stems and leaves of the plant within three harvesting phases of the study period. The results revealed that the plant accumulated a total biomass of 308.13mg, 392.07mg and 482.21mg Pb from 328.24 ± 2.33mg/kg, 433.03 ± 0.59mg/kg and 537.25 ± 0.92mg/kg Pb-polluted soils respectively. The Transportation Indices for Pb translocation to the different parts pf the plant showed that I. asarifolia has both RTI and STI of less than 1 (TI<1) for Pb, indicating that the plant has both phytoaccumulation and phytostabilisation potential for Pb in soils polluted with the heavy metal. The results therefore, suggest that the plant could have potential for phytoremediation of PbKey words: Phytoremediation, pollution, Ipomoea asarifolia, heavy metal, lea

Efeito do comprimento de estacas herbáceas de dois clones de umezeiro (Prunus mume Sieb & Zucc.) no enraizamento adventício Effect of the length of herbaceous cuttings of two clones of japanese apricot (Prunus mume Sieb & Zucc.) in adventicious rooting

O umezeiro (Prunus mumeSieb & Zucc.) é uma rosácea de folhas caducas, nativa da China, cujos frutos e flores são muito apreciados pelos povos orientais. No Brasil, alguns estudos foram realizados visando a sua utilização como porta-enxerto para pessegueiro e nectarineira, dadas as suas características de adaptação, rusticidade, redução do porte da planta e compatibilidade com algumas cultivares de Prunus persica. O presente estudo foi conduzido em câmara de nebulização sob ripado, pertencente ao Departamento de Produção Vegetal da FCAV/UNESP, Câmpus de Jaboticabal-SP. Objetivou-se verificar a influência de quatro comprimentos de estacas herbáceas no enraizamento de dois clones de umezeiro. O material vegetal, identificado como Clone 10 e Clone 15, foi oriundo do Programa de Melhoramento Genético do Instituto Agronômico de Campinas-SP. O experimento foi constituido de fatorial 2 x 4, em blocos casualizados, sendo o fator clone em 2 níveis (Clone 10 e Clone 15) e o fator comprimento de estaca em 4 níveis (12; 15; 18 e 25cm). Pelos resultados observados, verificou-se diferença entre os clones somente na porcentagem de estacas brotadas e número de raízes por estaca. O comprimento da estaca influenciou na porcentagem de enraizamento e na mortalidade das estacas, sendo que estacas maiores tenderam a apresentar maiores porcentagens de enraizamento e menores de mortalidade. As estacas com 12cm, embora apresentando menor número de raízes por estaca, são recomendadas por permitirem a obtenção de um maior número de estacas por planta-matriz. Houve efeito significativo da interação entre os fatores para número e comprimento de raízes.<br>The japanese apricot (Prunus mume Sieb & Zucc.) is a Rosaceae of falling leaves, native of China, whose fruits and flowers are quite appreciated by the oriental people. In Brazil, some studies were accomplished seeking its use as rootstock for peach and nectarine trees, due its adaptation characteristics, rusticity, reduction of the plant load and compatibility with some cultivars of Prunus persica. The present study were carried out under intermitent mist inside a lathhouse, belonging to the Vegetal Department of the Faculdade de Ciências Agrárias e Veterinárias (FCAV/UNESP), Campus of Jaboticabal, São Paulo State. The objective of this study was to verify the influence of four lengths of herbaceous cuttings in the rooting of two japanese apricot clones. The vegetable material, identified as Clone 10 and Clone 15, was originating from the Genetic Improvement Program of the Instituto Agronômico de Campinas, SP. The experiment was constituted by a 2 x 4 fatorial in randomized blocks, having the factor clone 2 levels (Clone 10 and Clone 15) and the factor cuttings length 4 levels (12, 15, 18 and 25cm). For the observed results, differences was only verified among the clones in the sprouted cutting percentage and number of roots for cutting. The rooting percentage and the mortality of the cuttings were influenced by the cutting lenght, meanwhile, larger cuttings tended to present higher rooting and smaller mortality percentages. The cuttings with 12cm, although presenting few roots number for cutting, they are recommended for allow the obtention of a higher number of cuttings for main plant. There was significant effect of the interaction between the factors for number and length of roots

Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation. © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens