Microbial contamination of Naira notes circulating in Bauchi metropolis: prevalence, microbial load and detection of extended spectrum beta-lactamase producing Gram-negative bacteria

Background: Globally, contamination of banknotes with various microbial species is increasingly being reported. This usually results from improper handling during exchange of goods and services. In the present study, we aimed to determine the microbial load, prevalence and the presence of Extended Spectrum Beta Lactamase (ESBL) among bacteria isolated from the Nigerian Naira notes circulating in Bauchi metropolis.Methodology: A total of 400 Naira notes of various denominations were randomly collected aseptically, cultured and total viable counts determined. The isolated microbial species were identified using standard microbiological techniques. Antibiotic susceptibility of the isolates and detection of ESBL were determined by Kirby-Bauer’s disc diffusion method and Double Disc Synergy Test (DDST), respectively.Results: All the 400 samples collected were contaminated with various microbial species. The highest mean colony count was detected in 20 Naira notes (28.5%), while the least was observed in 1000 Naira note (3.3%). Fourteen different microbial species were isolated from the contaminated currency notes, predominantly Escherichia coli (25.0%), and Staphylococcus aureus (12.0%). Some fungal species mainly Aspergillus flavus and Aspergillus niger were also isolated. Majority of the bacteria isolates resistant to the third generation cephalosporins (72.1%) were ESBL positive.Conclusion: The study shows that Naira notes circulating in Bauchi metropolis were heavily contaminated with various microbial species, and a high proportion of the isolated Gram-negative bacteria were ESBL producers. Efforts should thus be made to improve hygiene practices in the study area. Importantly, businesses should be encouraged to adopt the use of electronic transactions. Keywords: Currency notes, Naira, Microbial contamination, ESB

The Correlation Functions and Estimation of Global Solar Radiation Studies Using Sunshine Based Model for Kano, Nigeria

The use of empirical models for the comparative study of the correlation functions for the estimation of global solar radiation in Kano, Nigeria has been carried out. The models used are based on relative sunshine duration alongside the measured global solar radiation data, such as: the linear model..... More details can be found in the full paper

Analysis of the Impact of Relative Humidity and Mineral Nuclei Mode Aerosols Particle Concentration on the Visibility of Desert Aerosols

This paper presents the results of the Analysis of the Impact of relative humidity and water-soluble aerosol particle concentrations on the visibility and particle size distribution of desert aerosols based on microphysical properties of desert aerosols. The microphysical properties (the extinction coefficients, volume mix ratios, dry mode radii and wet mode radii) were extracted from Optical Properties of Aerosols and Clouds (OPAC 4.0) at eight relative humidities (00 to 99%RH) and at the spectral range of 0.4-0.8 mm. the concentrations of mineral nuclie component (MINN) were varied to obtain five different models. The angstrom exponent (a), the turbidity (b), the curvature (a2), humidification factor (g), the mean exponent of aerosol growth curve (µ) and the mean exponent of aerosol size distributions (n) were determined from the regression analysis of some standard equations. It was observed that the values of (a) are less than 1 throughout the 5 models which signifies the dominance of coarse mode particles over fine mode particles. It was observed that the curvature (a2) has both monomodal and bimodal types of distributions all through the 5 models and this signifies the dominance of coarse mode particles with some traces of fine mode particles. The visibility was observed to decrease with the increase in RH and increased with wavelength. The analysis further found that there is an inverse power law relationship between humidification factor, the mean exponent of the aerosol size distribution with the mean exponent of the aerosol growth curve (as the magnitude of (µ) decreases across the five models, the magnitudes of (g) and (n) increase, but the magnitude of both (g) and (n) increases for a given (µ) across the individual models). The mean exponent of aerosol size distribution (µ) being less than 3 indicate hazy condition of the desert atmosphere

Estimation of zinc levels among children with malnutrition at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Northwestern Nigeria

Objective: Zinc plays a critical role in many body functions and its deficiency is associated with impaired cognitive function, behavioral problems, memory impairment, growth retardation, increased incidence of diarrhoea and recurrent infections. Although severe zinc deficiency is not common, mild to moderate deficiency is quite common globally. It is estimated that some form of zinc deficiency affects about one third of the world population, with estimates ranging from 4% to 73% across sub Saharan Africa. To determine the prevalence of zinc deficiency among malnourished children at Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto.Methods: Study was descriptive cross-sectional, carried out at the Paediatric department of UDUTH, Sokoto from April 2013 to June 2014. It was conducted among children aged between 6 and 60 months who presented to the OPD and those that were admitted into paediatric wards of UDUTH with malnutrition. Children with similar characteristics that were well nourished served as controls. Cohorts were recruited consecutively until the required sample size was obtained. 5mls of venous blood was taken for serum zinc analysis from each child.Results: A total of 550 children were studied with 275 apiece for cohorts. The mean age of the malnourished children was 26.2±14.6 months compared to 28.2±17.0 months recorded for the controls (p=0.157).The mean serum zinc levels for the study subjects 13.5±3.3μmol/Lwas significantly lower than that of the controls (15.8±1.9μmol/L) (t=9.42, df=548, p=0.0001).Conclusion: The prevalence of zinc deficiency among both malnourished children and the controls was 0% using WHO reference value for children below the age of 5 years. Prophylactic doses of zinc should be given in all malnourish children in situation where mineral mix is not added to feed or f75 and f100 are not available. There is need to adhere to and use recommended cut off values recommended by WHO for defining zinc deficiency by researchers.Keywords: zinc, malnutrition, Sokot

Ecthyma gangrenosum on the face of a malnourished child with Pseudomonas sepsis: Simulating Cancrum oris

Introduction: Ecthyma gangrenosum (EG) is a cutaneous lesion commonly caused by Pseudomonas aeruginosa that involves mainly the lower limbs and gluteal region, seen more in immunosuppressed patients with neutropenia. Cancrum oris (Noma) is a gangrenous necrosis of the face that begins as a gingival ulcer and progresses rapidly to destroy contiguous tissues in malnourished children. Case Presentation: This article reports a case of facial EG which was similar to Noma in a malnourished child: a 16-month old girl with fever, cough, weight loss, watery stool and swelling on right cheek. She was febrile, pale, wasted with bilateral pitting pedal oedema. She had a solitary circumscribed round necrotic lesion, with surrounding hyperaemia on the right malar area which extended to destroy the right ala nasi. No intra-oral rashes but she had left ear discharge. She received blood transfusion, antibiotics, antiseptic wound care and nutritional rehabilitation. Management and Outcome: Swabs of the lesion and ear discharge both revealed Gram-negative bacilli and culture yielded P. aeruginosa. Retroviral, Mantoux and Gene Xpert tests were negative. She had moderate anaemia, normal white blood cell count, and neutropaenia. Parenteral ceftriazone was changed to ciprofloxacin based on sensitivity results and lack of clinical response. The wound healed with residual scarring and partial destruction of right ala nasi. Discussion: Although this patient had facial necrosis to suggest Noma, she did not have initial oral involvement, and clinical features such as Pseudomonas sepsis and neutropaenia suggested EG. Facial necrosis in malnourished children may be due to EG

Prevalence and Determinants of Endothelial Dysfunction among Adults Living with HIV in Northwest Nigeria

Background: Endothelial dysfunction constitutes an early pathophysiological event in atherogenesis and cardiovascular disease. This study aimed to assess the prevalence, determinants, and degree of endothelial dysfunction in antiretroviral therapy (ART)–treated people living with HIV (PLWH) in northwestern Nigeria using brachial flow-mediated dilatation (FMD). Methods: This was a comparative, cross-sectional study. A total of 200 ART-treated adults living with HIV with no evidence of kidney disease were compared with 200 HIV-negative participants attending a tertiary hospital in Kano, Nigeria, between September 2020 and May 2021. Endothelial function was evaluated by measuring FMD with a high-resolution vascular ultrasound transducer. FMD was calculated as the ratio of the brachial artery diameter after reactive hyperemia to baseline diameter and expressed as a percentage of change. Blood and urine samples were obtained from participants in both arms. Urine albumin-to-creatinine ratio (uACR) was calculated using the 2021 CKD-EPI estimated glomerular filtration rate (eGFR) creatinine-cystatin C equation without the race variable, and low-density lipoprotein (LDL) cholesterol was measured using enzymatic method. Results: The overall mean age (± standard deviation) of the study participants was 42 ± 11 years. Participants in the comparison arm were younger than PLWH (38 ± 11 versus 46 ± 10 years, respectively). The median (interquartile range) uACR was 41.6 (23.2–162.9) mg/g for the ART-treated PLWH versus 14.5 (7.4–27.0) mg/g for healthy controls. PLWH had a significantly lower mean percent FMD when compared to HIV-negative participants (9.8% ± 5.4 versus 12.1% ± 9.2, respectively). Reduced FMD was independently associated with HIV infection (β = –2.83%, 95% CI, –4.44% to –1.21%, p = 0.001), estimated glomerular filtration rate (β = –0.04%, 95% CI, –0.07% to –0.01%, p = 0.004) and LDL cholesterol (β = –1.12%, 95% CI, –2.13% to –0.11%, p = 0.029). Conclusion: HIV-positive status, lower estimated GFR, and higher LDL cholesterol levels were independently associated with endothelial dysfunction. Future prospective studies with larger cohorts of persons living with HIV (and age- and sex-matched HIV-negative controls) are needed to gain further insight into these important findings. In the interim, aggressive management of modifiable risk factors is warranted

Meningococcus serogroup C clonal complex ST-10217 outbreak in Zamfara State, Northern Nigeria.

After the successful roll out of MenAfriVac, Nigeria has experienced sequential meningitis outbreaks attributed to meningococcus serogroup C (NmC). Zamfara State in North-western Nigeria recently was at the epicentre of the largest NmC outbreak in the 21st Century with 7,140 suspected meningitis cases and 553 deaths reported between December 2016 and May 2017. The overall attack rate was 155 per 100,000 population and children 5-14 years accounted for 47% (3,369/7,140) of suspected cases. The case fatality rate (CFR) among children 5-9 years was 10%, double that reported among adults ≥ 30 years (5%). NmC and pneumococcus accounted for 94% (172/184) and 5% (9/184) of the laboratory-confirmed cases, respectively. The sequenced NmC belonged to the ST-10217 clonal complex (CC). All serotyped pneumococci were PCV10 serotypes. The emergence of NmC ST-10217 CC outbreaks threatens the public health gains made by MenAfriVac, which calls for an urgent strategic action against meningitis outbreaks

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Pedagogical Communication in Nigerian Children Literature: A Pragma-Semiotic Study of Akintayo Oluyinka’s The Greatest Mistake

This study is a cross-disciplinary investigation of the pedagogical significance of children literature in Nigeria—a linguistic study of selected samples from Akintayo Oluyinka’s The Greatest Mistake. Visual illustrations are typical of children literature because of the age-range of the readers. Hamilton (2000) notes that “children who encounter excellent picture books learn how to read not just the moods but also the pictures. They pay close attention to what they see often discovering things in illustrations.” Like in the literary text we examine in this study, pictorial illustrations in Nigerian children literature have varied contextual underpinnings which make them have meanings to children-readers. This establishes their pragmatic relevance. Objects and gestures convey messages in discourse. Therefore, semiotics is a crucial concern of this study. Hinging on the Pragma-crafting theory, this study concludes that the effectiveness of children literature in the transmission of knowledge to the target readers (children) depends on the skillful use of textual and extra-textual elements of communication

Proximate Composition and Functional Properties of Some Defatted Calabash Seeds

The ever-increasing cost of animal protein coupled with poor standard living in terms of per capital income in developing nation has necessitated the search for alternative sources of dietary protein. Two local varieties of calabash seeds were extracted using soxhlet method and n-hexane as refluxing solvent. The defatted cakes were subjected to Isoelectric precipitation to obtain protein concentrate which was characterized by analysing their moisture, ash, crude protein, crude fibre, available carbohydrate, water absorption capacity, oil absorption capacity, Foam capacity and stability and Bulk density. The results of the analysis revealed high amount of protein (69-70%) and also high water and Oil absorption capacities (84.6-134.1%) and (87.2-129.8%) respectively