Medication Adherence Amongst Diabetic Patients in a Tertiary Healthcare Institution in Central Nigeria

Purpose: To investigate the degree of diabetic patients’ compliance with their prescribed medications, factors responsible for non-compliance and how compliance can be enhanced.Methods: The study involved 220 diabetic patients on anti-diabetic medication (insulin, metformin and gliclazide) visiting the out-patient clinic of the University of Ilorin Teaching Hospital, Nigeria, who met specific criteria. Questionnaires and patient interviews were used to gather information.Results: A total of 162 patients (73.64 %) of the patients were non-compliant with medications; 22 of the compliant patients were males while 36 were females. Twenty three of the compliant patients had no formal education unlike the rest. There was significant association (p < 0.05) between patients’ financial status and compliance. However, there was no significant association (p > 0.05) between number of prescribed medications, side effects, patients’ level of education, patients’ belief of efficacy of medication and compliance.Conclusion: A very high level of non-compliance to anti-diabetic medication has been observed in the facility studied. Institution of policies that will enhance compliance in these facilities and others in Nigeria is highly recommended.Keywords: Compliance, Adherence, Diabetic, Medication, Prescriptio

Hydro-geometrical data analyses of River Atuwara at Ado-Odo/Otta, Ogun State

The dataset analyzed in this article contains spatial and temporal values of the hydro-geometric parameters of River Atuwara. The hydro-geometrical data analyses of various sampling point on River Atuwara was examined and their geometric properties were taken with the use of a paddled boat,depth meter and global positioning system(GPS).The coordinates, width, depth, slopes, area, velocity, flow were gotten in-situ while the area and wetted perimeter were computed ex-situ. The statistical relationships between separate variables were considered using scatter plots and regression line equations. Inferences drawn from various variable comparisons can be used to validate predictive models for various time seasons

Assessment of Three Varieties of Morus indica L. on the Growth and Performance of a Bivoltine Breed of Bombyx mori L. in Nigeria

The effect of three varieties of Mulberry leaves (Morus indica L.: K2, S-36 and EFG) on growth and performance of a bivoltine breed of Silkworm (Bombyx mori L.) was evaluated in a Tropical rainforest belt of South-West Nigeria. At the end of the fifth instar, S-36 variety of Mulberry leaves significantly  increased the larvae mean weight to 1.28g when compared with K2  (1.07grams) and EFG (0.93grams) (P<0.5). Though the three varieties did not show any significant difference (P<0.05) in terms of  weight of wet cocoons ( K2 -1.83g, S-36 -1.95g and EFG -1.80g) , however S-36 significantly  increased the filament length of cocoon spun by Bombyx mori when compared with others ( S-36 produced mean length of  824m, K2, 594m and EFG, 432m).The results revealed that the nutritive value of Mulberry leaves varied from each other. Except for the adult Bombyx mori all other results presented a significantly higher performance of the S-36 variety above K2 and EFG variety (P<0.05). The result showed that S-36 significantly supported the growth and productivity of Bombyx mori than K2 and EFG leaves. Keywords: Mulberry leaves, Bombyx mori, Instar, Cocoon

Impact assessment of wastewater discharge from a textile industry in Lagos, Nigeria

The quality of effluent from a wool and synthetic textile manufacturing company in Nigeria was examined by obtaining triplicate samples per week over a 6-week period. This was done to measure the waste-load and volume from the textile industry. Obtained samples were analyzed for 18 physicochemical parameters such as pH, color, turbidity, total suspended solids, total dissolved solids (TSS), conductivity, dissolved oxygen, biochemical oxygen demand (BOD), chemical oxygen demand (COD), chloride, nitrates, phosphates, some heavy metals and odor. Heavy metals, phosphate, and color were analyzed using spectrophotometer while dissolved oxygen and BOD were analyzed using azide modification method. The effluents were found to pass the national standard for the effluent limit for 13 parameters but exceeded specified limits for pH in one sample and, COD, TSS, color, turbidity and odor in all samples. Turbidity was found to exceed national limits by 100 to 300%; COD exceeded limits by 20% to 500%; TSS exceeded limits by 10% to 110% in 5 out of 6 samples analyzed. All obtained samples were dark colored and exceeded prescribed limits by 2,000 to 3,000% in all samples. Likewise, all six samples had an offensive odor. It was recommended that strict compliance with stipulated standards was necessary for the protection of public health and the environmen

Managing the Unwanted Materials: The Agony of Solid Waste

Abstrac

Treatment of brewery wastewater using electro-Fenton and granulated activated carbon

Improvement of electro-Fenton (EF) process with granulated activated carbon (GAC) for the treatment of brewery effluent obtained from Ota, South-West Nigeria was investigated. The GAC was obtained by crushing, carbonising, sieving, and activating cow bones. Duplicate samples of the raw effluent and 10 treated brewery effluent samples were analysed for conductivity, turbidity, total dissolved solids (TDS), chemical oxygen demand (COD), copper, manganese, cadmium, lead, and zinc. The average readings were taken as final values. Results showed that the combined use of EF and GAC treatment of the effluent yielded better result than use of EF alone. The removal efficiency was 1181, 50, 565, 4375, 160, and 840% for turbidity, COD, copper, cadmium, lead, and zinc respectively. EF and GAC treatment were, however, found to be inefficient for the treatment of conductivity, TDS, and manganese. It was also found that pH had a direct impact on the treatment media. Turbidity and cadmium, which had the highest removal rates were achieved at pH 2, while COD, copper, and zinc had optimum treatment at pH 6. It was concluded that the combined advantage of electrolytic separation from EF and adsorption from GAC yielded better treatment result for the brewery effluent samples

Sociodemographic and Biometric Factors Associated With Eating Behaviors Among African American Women Aged 18-74

Background: Obesity is a growing problem in the United States and is disproportionately increasing among African Americans. The objective of this study is to examine the sociodemographic and biometric factors associated with eating behaviors among African American women. Methods: We analyzed data from the 2009-2010 dietary screener and weight history questionnaire from the National Health and Nutrition Examination Survey. Multivariable analyses were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) to determine the association between six specific eating behaviors and different sociodemographic and biometric factors. Analyses were conducted using SAS 9.4. Results: The analyses show that being middle aged (45-64) decreased the likelihood of consuming soft drinks (AOR: 0.48; 95% CI: 0.27-0.86); consuming red meat (AOR: 0.45; 95% CI: 0.25-0.82); and consuming processed meat (AOR: 0.55; 95% CI: 0.31-0.97). In addition, high school grads were over 3 times as likely to consume high amounts of soft drinks (AOR: 3.04; 95% CI: 1.33-6.94) and 65% less likely to consume high amounts of leafy/lettuce salads than college grads (AOR: 0.35; 95% CI: 0.15-0.82). Finally, single/widowed/divorced African American women were 13% less likely to eat high amounts of leafy green salads than married African American women (AOR: 0.82; 95% CI: 0.70-0.97). Conclusions: The results indicate that some sociodemographic factors have an association with certain eating behaviors. Further exploration of sociodemographic and biometric factors, with the inclusion of culture and its association with eating behaviors will help to expand the literature

Analysis of auto-purification response of the Apies River, Gauteng, South Africa, to treated wastewater effluent

The assimilative capacity of water bodies is an important factor in the integrated management of  surface water resources. The current study examined the auto-recovery processes of the Apies River from wastewater discharged into it from a municipal wastewater treatment facility, using a series of equations, including the modified Streeter-Phelps equation. Field data obtained include dissolved oxygen (DO), temperature, stream velocity, depth, and width. Water samples were also obtained at 10 sampling stations for the determination of biochemical oxygen demand (BOD) using standard methods. It was observed that the DO and BOD level (5.59 mg/L and 8.5 mg/L respectively) of the effluent from the wastewater treatment facility indicated better water quality than the Apies River background DO level (5.42 mg/L) and BOD level (13 mg/L). Also, at 270 m downstream of the effluent discharge point, another effluent stream (Skinnerspruit) adversely impacted on the Apies River with DO and BOD levels of 6.5 mg/L and 9.0 mg/L, respectively, compared to the Apies River background values of 6.81 mg/L and 8.0 mg/L, respectively. The stream, however, recovered well from both the background and imposed pollution sources as it had a computed positive auto-recovery factor of 1.74. Furthermore, the measured DO deficit was plotted against predicted DO deficit. The plot revealed a close match between the measured and predicted DO deficit, indicating that the model could be used for predicting DO deficit along other segments of the river. To further improve on the natural  auto-recovery processes of the Apies River, it was recommended that flow along the Skinnerspruit should be enhanced by clearing the observed aquatic plants growing within the channel. Also,  suspected pollution activities taking place further upstream on the Apies River should be investigated and appropriately addressed.Keywords: de-oxygenation; re-aeration; auto-purification; dissolved oxygen; biochemical oxygen  demand; strea

Phenotypic Detection of Extended Spectrum β-Lactamase and Metallo-β-Lactamase Produced by Escherichia Coli on Automated Teller Machines within Sokoto Metropolis, Nigeria

It is no longer a fallacy that environmental objects are grossly  contaminated by pathogenic microbes. ATMs especially which is used on daily basis by thousands of people have been reported to be potentialhabitat for these microbes. The worst-case scenario is the presence and ease of spread of Muti-Drug Resistant (MDR) and Extended Spectrum Beta Lactamase (ESBL) producing pathogens via these machines as a result of their huge patronage. The prevalence and fast spread of these MDR and ESBL producing strains constitute an emerging public health concern. This study was conducted to determine the prevalence of ESBL and MBL producing E. coli isolated on ATMs within Sokoto metropolis. A total of 194 isolates were obtained from the culture samples of 100 ATM swabs. The isolated E. coli were subjected to antimicrobial susceptibility tests using the modified Kirby Baeur disc diffusion method on six (6) commercial antimicrobial discs (Oxoid, UK): Ceftazidime (CTZ, 30μg), Cefotaxime (CTX, 30μg), Gentamycin (CN, 10μg), Augumentin(AMC, 30μg), Ciprofloxacin(CIP, 5μg) and Imipenem(IPM, 10μg). The isolates were further screened for ESBL production and phenotypic confirmatory test.Confirmation of MBL production was also performed using antibiotic discs containing two Carbapenems (Imipenem IPM, 10μg and Meropenem MEM, 10μg). The result was interpreted using CLSI guideline 2015. Proteus spp (43%) were the most frequently isolated bacteria, followed by Shigella spp (31%) and E. coli 31(16%). Drug Resistant (MDR) ESBL producing E. coli of 93.3% and 4% MBL producer was recorded. It can be concluded that MDR and ESBL producing Escherichia coli (E. coli) are the most prevalent species isolated and that the species isolated are more sensitive to Gentamycin, Ciprofloxacin and Imipenem.Keywords: ESBL, MDR, ATM and Susceptibility

EVALUATION OF TWO-STAGE SUBSURFACE FLOW CONSTRUCTED WETLANDS FOR ABATTOIR WASTEWATER MANAGEMENT

Abattoir wastewater is high in organic content, the waste recovery and treatment facility is expensive and this results in indiscriminate dumping into streams without adequate treatment. The effectiveness of using a two-stage subsurface flow constructed wetland to treat abattoir effluent was examined in this study. Diluted abattoir wastewater from Lafenwa Abattoir, Abeokuta, Ogun State, Nigeria was fed into a two-stage Vegetated Subsurface Bed Constructed Wetlands (VSBCW). The VSBCW consisted of 500 mm deep 10-15 mm diameter granite with 150 mm thick overlay of well graded sand planted with locally available Vetiveria nigritana. Grab samples were collected at selected points along Ogun river and measurement of physico-chemical parameters such as: Chemical Oxygen Demand (COD), Biochemical Oxygen Demand (BOD5), Electrical Conductivity (EC), Total Dissolved Solids (TDS) and Total Suspended Solid (TSS) of the influent and effluent from the VSBCW were carried out. Irrigation with water and diluted abattoir wastewater to examine the variation in plant growth rate was also investigated. The results revealed a pollution load reduction as the wastewater moves away from the discharge point but inadequate to meet the FEPA (1991) standard for wastewater discharge into rivers. The VSBCW was observed to reduce the concentration of BOD5, COD, EC, TDS and TSS in the abattoir wastewater by 88.71, 87.28, 45.72, 56.89 and 72.27 % respectively. The growth rate of the V. nigritana reduced by 1.9% when irrigated with abattoir wastewater. The study revealed that locally available V. nigritana in VSBCW is effective in abattoir wastewater treatment and could be use to curtail the pollution caused by discharge of untreated wastewater into rivers.     &nbsp