Metal analyses of ash derived alkalis from banana and plantain peels (Musa spp.) in soap making

The objective of this work was to determine the metal content of plantain and banana peels ash derived alkali and the possibility of using it as alternate and cheap source of alkali in soap industry. This was done by ashing the peels and dissolving it in de-ionised water to achieve the corresponding hydroxides with pH above 12. The solution was then analyzed using Atomic Absorption Spectroscopy (AAS). The analytical measurements were carried out in triplicate and the multi elemental solution was used for calibration of equipment. The abundance of essential metals was in these orders in both the banana and plantain alkalis: K > Fe > Ca > Mg > Mn > Zn > Na and Fe > K > Ca > Mg > Zn > Mn > Na, respectively. The presence of other metals besides K and Na at higher concentrations limits the foamability of the soaps but could be adapted as thickeners and emulsifiers in greases. The concentrations of elements with health risk in the ash derived alkalis are within the allowable range of the Commission of European Communities (2008) limit.Key words: Banana, plantain, ash derived alkali, major elements, minor elements

Journal of Public Health and

Determinants of long lasting insecticidal nets distribution, ownership and use in the Federal Capital Territory, Nigeria – implications for malaria programme

Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis

BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways