Prevalence of Non-communicable Diseases and its Awareness among Inhabitants of Sokoto Metropolis: Outcome of a Screening Program for Hypertension, Obesity, Diabetes Mellitus and Overt proteinuria

Introduction: Developing countries confront double jeopardy of prevalent infectious disease and increasing Non-Communicable Diseases (NCD) with imminent projected epidemic proportions. Nigeria has witnessed tremendous socio-economic changes and rural to urban migration culminating in emergence of NCD. The impact of these diseases on the lives of people is enormous when measured in terms of outcomes. We initiated a screening program among inhabitants of Sokoto metropolis in an attempt to unravel the prevalence and pattern of NCD.Methods: This is a descriptive cross sectional study involving 535 participants who were randomly selected during World Kidney Day Screening in Sokoto. Health promotion talk was organized for the participants before commencing the screening. We took anthropometric measurements and calculated body mass index (BMI) and waist/hip ratio for all individuals. We also checked blood pressure and blood glucose levels and performed urinalysis for all participants.Results: There were 535 participants including 332 males and 203 females with a mean age of 37±17 years. Over-weight, obesity and morbid obesity were found in 12.3%, 6.7% and 0.9% of participants respectively. About 11% had waist/hip ratio greater than 1. The prevalence of pre-hypertension and hypertension was 8.5% and 30.2% respectively. Elevated random blood glucose levels were found in 6% of participants while 17.9% had at least 1+ of proteinuria in urinalysis.Conclusion: Non-communicable diseases are common in our environment and the level of awareness is low. Regular health education and screening programs are necessary in order to reduce the menace.Key words: Non- communicable disease; Prevalence; Screening; Sokot

Wound Healing, Antioxidants and Toxicological Properties of Root Extracts of Kigelia africana (Lam.) Benth

The root extracts of Kigelia africana were screened for antibacterial and wound healing properties, using hole-plate bioassay and excision wound model on rats, respectively. Catalase activity, glutathione level and lipid peroxidation were assayed in the granulated tissues and liver homogenates. Chemical compositions of the root were determined using standard methods. Complete wound healing was observed on day 16 in group administered with 120mg/ml and on the 19th day in groups administered 90 and 60mg/ml of the extract. Clinical features indicate redness, scab formation, exudations and some other typical changes. The control and antibiotic treated groups show more redness compared to third day. The hydrolytic and organic solvent fractions show significant (p< 0.05) inhibitory activities on woun

Lowland Rice Nutrient Responses for the Guinea and Sudan Savannas of Nigeria

Copyright © 2018 by the American Society of Agronomy This is an open access article doi:10.2134/agronj2017.08.046

Lowland Rice Nutrient Responses for the Guinea and Sudan Savannas of Nigeria

Yield response of irrigated lowland rice (Oryza sativa L.) to nutrient application was determined to improve the information base for fertilizer use in the Sudan and Southern Guinea Savannas of Nigeria. Economically optimal rates (EOR) and agronomic efficiency (AE) were determined. Five N levels and four levels each P, K, and Zn were evaluated with two varieties at two locations. Nitrogen effects varied by variety and location but mean paddy yield with 0 kg ha–1 N was 3.4 Mg ha–1 and was increased by 1.3 Mg ha–1 with 40 kg ha–1 N. The mean EOR of N with fertilizer use cost to paddy price ratios (CP) of 2 to 6 were 56 to 38 kg ha–1 N, respectively. Yield increases with P, K and Zn application were infrequent. Paddy yield was increased in one of four cases with up to 1.5 kg ha–1 Zn. There were no paddy yield increases but some decreases with application of Mg-S-B in addition to N-P-K-Zn. The overall AE of N at EOR with a CP of 4 was 25.3 kg kg–1. The profit potential of N application was greater for Faro 44 compared with Faro 52 at both locations. Financially constrained farmers who opt to apply N at 50 compared with 100% EOR when CP was 4 can expect 16% less yield increase but 67% higher AE and value to cost ratio. Application of fertilizer N, maybe with P at Kadawa, can be highly profitable for irrigated lowland rice in these agroecological zones

Estimation of excess life cancer risk and annual effective dose for boreholes and well water in Dutse, Jigawa State Nigeria

The level of 222Rn concentration for water samples collected from twenty-two (22) water samples in Dutse Local Government, Jigawa State, Nigeria was determined using liquid scintillation counter (Model: Tri-CarbLSA1000). Borehole and local hand dug wells are the two sources of water been collected. Also, an attempt was made to estimate the Excess Life Cancer Risk and Annual Effective Dose due to Ingestion for different ages groups. The mean value of 222Rn concentration were found to be 82.7461 and 94.10771 BqL-1 for boreholes and well water samples respectively. All the mean values are above the maximum concentration level set by UNSCEAR; WHO, but below European commission of 100 BqL-1. The resulting mean annual effective doses due to ingestion of radon in the water samples for infants, children and adults, were1.057081 and 1.202226 mSvy-1, 0.90607 and 1.030479 mSvy-1 and 0.604047 and 0.686986 mSvy-1, respectively. Also, the resulting mean Excess life cancer risk due to ingestion in borehole and well water sample for adults, children and infants were 2.114E-3 and 2.37 E-1, 3.171 x 10-3 and 3.61 E-3 and 3.7 E-4 and 4.21 E-3 respectively. All the values were found to be above the maximum concentration level for drinking water and domestic purposes. as set by UNSCEAR, WHO, EU and USEPA. From the radiological point of view, this study indicates that water resources around Dutse Local Government Area Jigawa State were not safe for domestic purposes and drinking

Two decades of neuroscience publication trends in Africa.

Neuroscience research in Africa remains sparse. Devising new policies to boost Africa's neuroscience landscape is imperative, but these must be based on accurate data on research outputs which is largely lacking. Such data must reflect the heterogeneity of research environments across the continent's 54 countries. Here, we analyse neuroscience publications affiliated with African institutions between 1996 and 2017. Of 12,326 PubMed indexed publications, 5,219 show clear evidence that the work was performed in Africa and led by African-based researchers - on average ~5 per country and year. From here, we extract information on journals and citations, funding, international coauthorships and techniques used. For reference, we also extract the same metrics from 220 randomly selected publications each from the UK, USA, Australia, Japan and Brazil. Our dataset provides insights into the current state of African neuroscience research in a global context

Two decades of neuroscience publication trends in Africa

Abstract: Neuroscience research in Africa remains sparse. Devising new policies to boost Africa’s neuroscience landscape is imperative, but these must be based on accurate data on research outputs which is largely lacking. Such data must reflect the heterogeneity of research environments across the continent’s 54 countries. Here, we analyse neuroscience publications affiliated with African institutions between 1996 and 2017. Of 12,326 PubMed indexed publications, 5,219 show clear evidence that the work was performed in Africa and led by African-based researchers - on average ~5 per country and year. From here, we extract information on journals and citations, funding, international coauthorships and techniques used. For reference, we also extract the same metrics from 220 randomly selected publications each from the UK, USA, Australia, Japan and Brazil. Our dataset provides insights into the current state of African neuroscience research in a global context

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

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