Two New Pentacyclic Triterpenoids, an Alkaloid and a Long-chain Fatty Acid from Albizia Coriaria (Welw ex. Oliver)

Herein, we report the occurrence of four new compounds in ethanolic extract of Albizia coriaria Welw ex. Oliver leaves along with other compounds previously reported in this species. The compounds were isolated and characterized using column chromatography, Fourier Transform Infrared (FTIR) and gas chromatography/mass spectrometry. FTIR spectrum of the extract showed phenolic OH stretching (3362.30 cm-1), C=O (1660.08 cm-1), CO stretching (1369.46 cm-1 and 1319.00 cm-1) and CN stretch (1072.44 cm-1) which confirmed the presence of alcohols, carboxylic acids and nitrogen-containing compounds. Oleanolic acid (1), oleanolic acid acetate (2), pterin-6-carboxylic acid (3), undecanol (4), betulinic acid (5), betulin (6) and benzyl alcohol (7) were tentatively identified in the extract. Compounds 1-4 are being reported for the first time in Albizia coriaria

Chemical composition of essential oils from Pinus caribaea Morelet needles

Plant allelochemicals from essential oils have recently received considerable attention in pharmaceutical, cosmetic and agricultural sectors due to their biodegradability and low toxicity. This study analyzed the composition of essential oils of Pinus caribaea Morelet var. hondurensis needles. Thirty-nine compounds were identified using gas chromatography/mass chromatography and gas chromatography, and the most abundant components were limonene (38.6%), α-pinene (27.6%), borneol (6.7%) and myrcene (3.5%). Aristolene, ledol and guaiol were reported for the first time in P. caribeae needles. Composition of the needles was dominated by monoterpene hydrocarbons (77.2%) followed by oxygenated monoterpenes (12.0%), sesquiterpene hydrocarbons (4.7%) and oxygenated sesquiterpenes (1.7%)

Effects of sewage sludge biosolid amendments on the potential of maize (Zea mays L.) in phytoremediation of trace metals in chromated copper arsenate contaminated soils

The effect of sewage sludge amendment (5-25% w/w) on the potential of maize (MM3 variety) to phytoextract trace metals from chromated copper arsenate (CCA) contaminated soils was investigated. The metal content of fresh soils, and soils, maize roots and shoots after 80 days of planting were determined by atomic absorption spectroscopy. The concentrations of chromium, copper and arsenic in fresh CCA soils were 365.8 ± 6.18, 109.72 ± 14.04 and 28.22 ± 3.8 mg/kg respectively. The MM3 maize variety could be used to phytoextract or phytostabilize the trace metals in the CCA contaminated soils without or with 5-25% sewage sludge amendment

Aflatoxin content and health risks associated with consumption of some herbal products sold in Kampala, Uganda

Persuasive adverts and exaggeration of health benefits from consumption of herbal products as well as the mental picture of ‘natural’ is ‘safe’ has boosted traditional medicine use in Uganda. However, herbal products may be unsafe due to the possibility of their contamination with mycotoxins. In this study, we quantified the levels of aflatoxins (B1, B2, G1 and G2) in Real Koff product, Eddagala ly’e kifuba n’e senyiga, Omusujja, Cough mixture and Fever herbal products sold in Kampala, Uganda using high performance liquid chromatography-tandem mass spectrometry. The associated consumption health risks were assessed using the hazard index method. Only aflatoxin B1 was detected in 60% of the samples, with 40% of these surpassing WHO guidelines of ≤ 5 µg/kg. The hazard indices were all less than 1, implying that Ugandans who heavily rely on the herbal products are exposed to aflatoxins at sublethal doses which may lead to chronic effects in the long run. Studies using a larger sample size should assess whether the current observation is a routine occurrence or a sporadic event

Occurrence of priority trace metals in tomatoes (Solanum lycopersicum L.) from some areas of Uasin Gishu County, Kenya

This study determined the concentration of zinc, lead and cadmium in tomatoes consumed in some areas of Uasin Gishu, Kenya. Samples were taken in quintuplicate from Huruma and Bahati estates (Eldoret) and Chebaiywo (Kesses) and their metalliferous content were determined by atomic absorption spectroscopy. All samples had detectable levels of trace metals, with lead recording the highest concentration of 43.20 ± 0.31 mg/kg. Zinc concentrations were below WHO guidelines. Daily intakes ranged from 8.25 ×  to 2.59 ×  mg/kg/day. Though there are no probable cancer risks, hazard quotients indicated that deleterious health effects could arise from daily consumption of tomatoes

Physicochemical Quality of Water from Chuho Springs, Kisoro District, Uganda

In the current study, water from Chuho springs used as the main water source in Kisoro municipality, Uganda were assessed for their suitability as drinking water. The temperature, turbidity, conductivity, total dissolved solids, dissolved oxygen, biological oxygen demand, total hardness, total alkalinity, calcium, magnesium, phosphates, iron, copper, arsenic, chlorides and the fluoride content of the water samples were determined. Not all the parameters met World Health Organizations’ guidelines for drinking water. Temperature, dissolved oxygen and fluorides were outside the recommended limits of 15 ℃, 10-12 mg/L and 1.5 mg/L, respectively. Further studies should assess the microbiological and sanitary profile of the springs

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

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