Tree Leaves as Bioindicator of Heavy Metal Pollution in Mechanic Village, Ogun State.

Metal contamination issues are becoming increasingly common in automobile workshop and elsewhere, Heavy metals, such as cadmium, copper, lead, are major environmental pollutants. Heavy metal accumulation in soils is of concern in agricultural production due to the adverse effects on food safety and marketability, crop growth due to phytotoxicity, and environmental health of soil organisms. Soil and plant samples were collected from mechanic village in Odeda local Government of Ogun State. The soil samples were collect at depth of 0-15cm and 15-30 cm, which are top soil and sub soil. The physiochemical parameters for soil were determined through the standard method and the heavy metal concentrations were determined using AAS. (Atomic Absorption Spectrometer). The EC range of the control farmland is 25 μS/cm- 195 μS/cm at 25oC while that of mechanic village ranges from 70 μS/cm-276 μS/cm at 25oC, the temperature of the farmland ranges from 27.8oC-28.0oC while that of the mechanic village ranges from 27.7oC-28.1oC. The pH of the farmland and mechanic village ranges from 6.47-7.67 and 6.48-7.79 respectively. The mean concentrations of the heavy metals in the soil of the farmland are in order of magnitude Cd>Cu>Pb, (0.62>0.018>0) while the mean concentration of the heavy metals in the soil of the mechanic village are in order of magnitude Pb>Cu>Cd (2.96>0.67>0.14) The mean concentration in leaf of farmland are Cu>Cd>Pb. (0.105>0.03>0.0001), while the mean concentration in mechanic village are Cu>Pb> Cd. (0.13>0.11> 0.02) the sudden rise of lead in mechanic village is understandable giving the various activities such as painting, welding, soldering and fueling which contain lead. Though the result indicate that they are not significant as they that are within the acceptable standard of FAO and WHO, 2010. © JASEMKeywords: Bioindicator, Contamination, Environmental Health, Heavy Metal, Phytotoxicit

The Effects of Storage on Sachet Water Quality in Ogun State, Nigeria

The purpose of this study is to investigate the effect of storage on the physicochemical status and bacteriological quality of sachet water produced and sold in  Abeokuta metropolis, Nigeria. Ten brands of sachet water were collected within 24 hours of production and stored at ambient temperature. Sub-samples were drawn from the stock samples immediately for physico-chemical and microbiological analyses and after two months. Physical parameters were determined by instrumental methods. Cationic and anionic constituents were determined by standard titrimetric and spectrophotometric methods, trace and heavy water were determined by Atomic Adsorption Spectrophotometer. The study revealed that all the brands of water analyzed were physically and chemically wholesome and met the WHO standards. Five brands (50%) of the water had total viable and coliform count above the recommended count of 100cfu/m and zero cfu/ml, respectively. pH values increased in all brands to acceptable WHO limits within 2 months of storage except for sample 3 and 4 which decreases below the acceptable limit.  Majorly dissolved oxygen and nitrate values decreased through the investigation period. Total and faecal coliform appeared in 50% of sachet water samples  analyzed immediately after production and were no longer detected after storing for two months except for sample 4. Results of the experiment indicate that 60% of the brands analyzed met the WHO guideline limit for drinking especially for the physico-chemical parameters while the majority failed in the microbiological essay when stored at ambient temperature for the two-month investigation period.KEYWORDS: Coliforms, Conductivity, Microbiological Assay, Physical and Chemical Parameters,Turbidity, Sachet Wate

Edentulism and shortened dental arch in Brazilian elderly from the National Survey of Oral Health 2003

OBJECTIVE: To describe the distribution of edentulism and estimate the prevalence of functional dentition and shortened dental arch among elderly population. METHODS: A population-based epidemiological study was carried out with a sample of 5,349 respondents aged 65 to 74 years obtained from the 2002 and 2003 Brazilian Ministry of Health/Division of Oral Health survey database. The following variables were studied: gender; macroregion of residence; missing teeth; percentage that met the World Health Organization goal for oral health in the age group 65 to 74 years (50% having at least 20 natural teeth); presence of shortened dental arch; number of posterior occluding pairs of teeth. The Chi-square test assessed the association between categorical variables. The Kruskal-Wallis and Mann-Whitney tests were used to assess differences of mean between number of posterior occluding pairs teeth, macro-region and gender. RESULTS: The elderly population had an average of 5.49 teeth (SD: 7.93) with a median of 0. The proportion of completely edentulous respondents was 54.7%. Complete edentulism was 18.2% in the upper arch and 1.9% in the lower arch. The World Health Organization goal was achieved in 10% of all respondents studied. However, only 2.7% had acceptable masticatory function and aesthetics (having at least shortened dental arch) and a mean number of posterior occluding pairs of 6.94 (SD=2.97). There were significant differences of the percentage of respondents that met the World Health Organization goal and presence of shortened dental arch between men and women. There were differences in shortened dental arch between macroregions. CONCLUSIONS: The Brazilian epidemiological oral health survey showed high rate of edentulism and low rate of shortened dental arch in the elderly population studied, thus suggesting significant functional and aesthetic impairment in all Brazilian macroregions especially among women

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Amélioration génétique des performances zootechniques du porc local du Bénin par croisement avec le Large White

Le but de cette étude est d’améliorer les performances zootechniques des porcs locaux du Bénin par croisement avec le Large White. Au total, 4 lots de porcelets ont été constitués : porcs locaux, Large White, croisés mâle Large White et femelles locales (MLW x FL) et enfin, croisés mâle local et femelles Large White (ML x FLW). Cent sept porcelets ont été obtenus et élevés dans les mêmes conditions pendant 3 mois. Les truies de race locale ont une taille moyenne de portée faible (