Some Histological Changes in the Intestines of Alloxan Induced Diabetic Mellitus Albino Rats

Changes in intestinal histology of the Albino rats with alloxan induced diabetes mellitus was investigated using fifteen (15) albino rats. The rats were divided into 3 groups A, B, C. Group A served as the control group, group B served as the experimental low dose treated with 100mg/bw of Alloxan, while group C served as the experimental high dose was treated with 200mg/bw of Alloxan. The small intestines were removed and passed through routine tissue processing. The results in the rat of the control group A showed the mucosa, sub-mucosa, muscle and serious layer, luminar surfaces of the villi were lined by simple columnar cells. The brunner glands were also seen in the submucosa. While in rat of group B (low dose); the brunner glands appear to have decreased in size and number of goblet cells appeared more columnar. The histology of the layer was almost as similar to that of the control group. Group C (high dose); whereas in rats in group C was degeneration of the brunner glands characterized by pale staining cytoplasm; the nuclei of the columnar cells of the villi appear pykonotic; there was also loss of villi; the sub-mucosa coat appears to have undergone fibrotic changes; and, the various layers appear indistinct. Our results suggest that high dose of alloxan causes degeneration of the various layers of the duodenum. Keywords: Alloxan, Diabetes mellitus, Wistar rats, Histological change

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries