Antibacterial potentials of aqueous extract of Enantia chlorantha stem bark

The antibacterial potentials of aqueous extract of Enantia chlorantha stem bark at varying concentrations of 50, 100 and 150 mg/ml was investigated by measuring the zones of inhibition produced after incubation on nutrient agar. Staphylococcus aureus and Bacillus substilis, Escherichia coli, Salmonella typhymurium and Pseudomonas aeruginosa were used as test organisms. The results revealed that the zones of inhibition on the bacterial isolates increased (P < 0.05) as the concentration of the plant extract increased. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration produced by the extract on the gram positive bacteria were significantly lower (P < 0.05) than the gram negative bacteria. The results revealed that the aqueous extract of Enantia chlorantha stem bark possessed antibacterial activities on the clinical isolates with more antibacterial effect on the gram-positive than the gram-negative bacteria. The identified alkaloids might be responsible for the antibacterial activities

Antiglycation and Hypolipidemic Effects of Polyphenols from Zingiber officinale Roscoe (Zingiberaceae) in Streptozotocin-Induced Diabetic Rats

Purpose: To evaluate the antiglycation and hypolipidemic potential of polyphenols from Zingiber officinale in streptozotocin-induced diabetic rats.Methods: Diabetes was induced in male Wistar rats by single intraperitoneal injection of 50 mg/kg body weight (bw) of streptozotocin. This was followed by oral administration of 500 mg/kg each of free and bound polyphenol extracts of Z. officinale to the rats daily for 42 days. Distilled water and glibenclamide (5 mg/kg) were used as normal and positive controls, respectively.Results: Significant increases (p &lt; 0.05) in blood glucose level (369.26 mg/dL), serum advanced glycation end-products (AGEs) (6.80 μg/mL), lipid profile and atherogenic indices, with decrease in high density lipoprotein cholesterol (HDL-C) (15.55 mg/dL) were observed in diabetic rats compared to control. Free polyphenol extracts of Z. officinale significantly reduced (p &lt; 0.05) blood glucose (147.96 mg/dL), serum AGEs (1.98 μg/mL), lipid profile and atherogenic indices while it significantly increased HDL-C (23.28 mg/dL). However, bound polyphenol extract did not cause any significant change in the lipid profile of the diabetic rats except for LDL-C.Conclusion: This study indicates that free and bound polyphenols from Z. officinale can ameliorate diabetes as well as its complications, and its effect is comparable to that of the standard drug, glibenclamide.Keywords: Zingiber officinale, Diabetes, Lipid profile, Atherogenic index, Polyphenol, Glycation, Streptozotoci

Nutritional status at diagnosis of childhood cancer in Korle Bu Teaching Hospital, Accra, Ghana

Background: Although most childhood cancers are curable, comorbid malnutrition can result in delayed initiation of treatment, increased treatment toxicity, and reduced overall survival. At cancer diagnosis, appropriate classification of nutritional status enhances nutritional surveillance to improve supportive care and cancer treatment outcomes.Objective: The study objective was to assess the prevalence of malnutrition at the diagnosis of childhood cancer, compare weight-based measurements with arm anthropometry in the assessment of acute malnutrition (wasting) and determine the association between malnutrition and selected cancer characteristics.Methods: The study was conducted at the Paediatric Oncology Unit (POU) at the Korle-Bu Teaching Hospital. Using consecutive recruitment, 133 participants of age ≤ 12 years with a new diagnosis of cancer were enrolled from January to December 2019. Stunting was assessed using a height-for-age z-score (HAZ). Wasting was assessed using a weight-for-height z-score (WHZ), body mass index-for-age z-score (BAZ), mid-upper arm circumference (MUAC), and upper arm muscle area (UAMA) percentile. Pearson's Chi-square and Fisher's exact tests were used to determine the association between nutritional status, cancer type and risk group.Results: The median age of participants was 4.5 years, and 64.7% ( n = 86/133) were male. Of the 133 participants, 60.9% ( n = 81) were diagnosed with solid tumours, 23.3% (n = 31) with leukaemia, and 15.8% (n = 21) with lymphoma. At cancer diagnosis, the prevalence of stunting was 16.8% (n = 22/131) while the prevalence of wasting was 21.8% (n = 29/133 ) and 40.5% (n = 53/131 ) using weight-based measurements (WHZ or BAZ) and arm anthropometry (MUAC or UAMA), respectively. No participant was obese. Lymphomas were significantly associated with wasting (p = 0.022). Participants with high-risk cancers were more likely to be stunted and wasted.Conclusion: Mid-upper arm circumference and UAMA detected more children with wasting than WHZ and BAZ at cancer diagnosis. Advanced-stage disease and lymphoma were associated with wasting. Establishing a nutritional rehabilitation programme at the POU, KBTH would ensure early and appropriate nutritional interventions to correct or prevent further nutritional deficits

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

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

Regulation of genomic and biobanking research in Africa: a content analysis of ethics guidelines, policies and procedures from 22 African countries

Background: The introduction of genomics and biobanking methodologies to the African research context has also introduced novel ways of doing science, based on values of sharing and reuse of data and samples. This shift raises ethical challenges that need to be considered when research is reviewed by ethics committees, relating for instance to broad consent, the feedback of individual genetic findings, and regulation of secondary sample access and use. Yet existing ethics guidelines and regulations in Africa do not successfully regulate research based on sharing, causing confusion about what is allowed, where and when. Methods: In order to understand better the ethics regulatory landscape around genomic research and biobanking, we conducted a comprehensive analysis of existing ethics guidelines, policies and other similar sources. We sourced 30 ethics regulatory documents from 22 African countries. We used software that assists with qualitative data analysis to conduct a thematic analysis of these documents. Results: Surprisingly considering how contentious broad consent is in Africa, we found that most countries allow the use of this consent model, with its use banned in only three of the countries we investigated. In a likely response to fears about exploitation, the export of samples outside of the continent is strictly regulated, sometimes in conjunction with regulations around international collaboration. We also found that whilst an essential and critical component of ensuring ethical best practice in genomics research relates to the governance framework that accompanies sample and data sharing, this was most sparingly covered in the guidelines. Conclusions: There is a need for ethics guidelines in African countries to be adapted to the changing science policy landscape, which increasingly supports principles of openness, storage, sharing and secondary use. Current guidelines are not pertinent to the ethical challenges that such a new orientation raises, and therefore fail to provide accurate guidance to ethics committees and researchers

Robust decision making for a climate-resilient development of the agricultural sector in Nigeria.

Adaptation options that work reasonably well across an entire range of potential outcomes are shown to be preferable in a context of deep uncertainty. This is because robust practices that are expected to perform satisfactorily across the full range of possible future conditions, are preferable to those that are the best ones, but just in one specific scenario. Thus, using a Robust Decision Making Approach in Nigerian agriculture may increase resilience to climate change. To illustrate, the expansion of irrigation might be considered as a complementary strategy to conservation techniques and a shift in sowing/planting dates to enhance resilience of agriculture. However, given large capital expenditures, irrigation must consider climate trends and variability. Using historical climate records is insufficient to size capacity and can result in "regrets" when the investment is undersized/oversized, if the climate turns out to be drier/wetter than expected. Rather utilizing multiple climate outcomes to make decisions will decrease "regrets." This chapter summarizes the main results from a study titled "Toward climate-resilient development in Nigeria" funded by the Word Bank (See Cervigni et al. 2013)

Eco-friendly composites for brake pads from agro waste: a review

Natural fibers possess unique property densities that make them potential alternative reinforcement materials in synthetic brake pad composites. This article presents a comprehensive review for the potential and possibilities of reinforcing brake pads using natural plant-based fibers. The influential keys to designing brake pad composites are found to be thermal stability, interfacial bond of the matrix with the fiber, thermal fade, effectiveness, and recovery. Besides that, the optimization technique for manufacturing process of eco-friendly brake pads is also covered. It can be concluded that natural fibers can be used as potential materials for designing effective eco-friendly brake pad composites in the near future

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