The Effects of Eggshell Ash on Strength Properties of Cement-stabilized Lateritic

Eggshell ash obtained by incinerating Fowls’ eggshells to ash has been established to be a good accelerator for cement-bound materials and this would be useful for road construction work at the peak of rainy seasons for reducing setting time of stabilized road pavements. However this should be achieved not at the expense of other vital properties of the stabilized matrix. This is part of the effort in adding value to agricultural materials which probably cause disposal problems. Thus this study aimed at determining the effect of eggshell ash on the strength properties of cement-stabilized lateritic soil. The lateritic soil was classified to be A-6(2) in AASHTO rating system and reddish-brown clayey sand (SC) in the Unified Classification System. Constant cement contents of 6% and 8% were added to the lateritic soil with variations in eggshell ash content of 0% to 10% at 2% intervals. All proportions of cement and eggshell ash contents were measured in percentages by weight of the dry soil. The Compaction test, California Bearing Ratio test, Unconfined Compressive Strength test and Durability test were carried out on the soil-cement eggshell ash mixtures. The increase in eggshell ash content increased the Optimum Moisture Content but reduced the Maximum Dry Density of the soil-cement eggshell ash mixtures. Also the increase in eggshell ash content considerably increased the strength properties of the soil-cement eggshell ash mixtures up to 35% in the average but fell short of the strength requirements except the durability requirement was satisfied

Sources and Functionality of Rural Water Supply in Communities from three Senatorial Zones of Imo State, Nigeria

Sustainability of domestic water access in communities is essential for good health, society’s dignity and progress. This study investigated the sources and functionality of rural water supply in nine communities of three local government area (LGA) in three senatorial zones of Imo State, Nigeria using structured questionnaires. The questionnaires were administered on 100 women in each community. Data obtained were analysed using multivariate analysis of variance (MANOVA) to reveal the frequency of using the various sources of rural water supply, and Wilcoxon’s test for matched pairs to reveal the functionality status of the most frequently used water source. The findings indicate the importance of borehole water facilities in these rural communities and the necessity for intervention programs to strengthen their functionality in tandem with the State’s aspirations in achieving sustainable development goals

The Relationship between Selected Anthropometric Indices and Cardiorespiratory Fitness in Apparently Healthy Young Adults in a Nigerian Community

Background and Aim: Cardiorespiratory fitness (CRF) is a useful tool for establishment of baseline fitness status and monitoring of physical activity level. Therefore, it may by extension serve as health risk index. However, studies that have determined the correlation between anthropometric indices and CRF in apparently healthy young adults is difficult to find in other to preempt preventive actions before pathology develops. Materials and Methods: Using a descriptive correlational research design, 325 participants (160 males, 165 females) with mean age of 21.87±2.41 years were sampled. Tape measure, stop watch, metronome, sphygmomanometer, stethoscope, height meter, bathroom weighing scale, modified Borg’s exertion scale and step benches were used to obtain the blood pressure, heart rate, respiratory rate, rate of perceived exertion, height, weight, waist circumference and cardiorespiratory fitness was estimated using the mean heart rate responses of the participants. The data was summarized using frequency count, percentages, range, mean, standard deviation, Independent t-test and Pearson’s Product Moment Correlation at alpha level of 0.05. Results: CRF significantly correlated with post-test systolic blood pressure (p= 0.004), post-test diastolic blood pressure (p= 0.010) and resting heart rate (p= <0.0001) but not with BMI (p= 0.133), waist circumference (p= 0.098), pre-test systolic blood pressure (p= 0.155), pre-test diastolic blood pressure (p= 0.121), resting respiratory rate (p= 0.631), and respiratory rate recovery (p= 0.478). Conclusion: CRF can be used as an index to quantify in apparently healthy participants, level of cardiovascular and respiratory related disease risks. It is necessary to emphasize the importance of physical activity in order to improve one’s cardiorespiratory fitness and minimize the risk of cardiorespiratory associated diseases

Potentiality of Diethylamine as Agent of Deproteination and Deacetylation in the Extraction of Chitosan from Scylla serrata Shell

The potentiality of diethylamine as deproteination and deacetylation agent in the extraction of chitosan from Scylla serrata (giant mud crab) shell was investigated. The aim was to find an alternative agent to inorganic alkalis as possible replacement for use in the production of high quality chitosan with the right stability. Pretreatment of the shell was carried out and followed by demineralization using hydrochloric acid. Diethylamine was used for deproteination and deacetylation by modifying some published protocols. Moisture, ash, fat and protein contents of the extracts were determined using their respective standard methods. Fourier Transform Infrared (FTIR) technique was used for spectroscopic analysis. Scylla serrata shell was composed of 14.25% protein, 32.84% mineral (CaCO3), 31.52% chitin and 21.39% chitosan. Moisture, ash, fat and protein contents of chitin extracted from Scylla serrata shell were 2.35%, 3.03%, 1.79% and 3.85% respectively while those of chitosan were 1.65%, 3.84%, 0.53% and 2.80% respectively. Degree of deacetylation (DDA) and carbon to nitrogen ratio were 69.24% and 5.67 respectively. FTIR spectra of the extracted chitin and chitosan from Scylla serrata showed the presence of some active compounds of carbonyl, amide, amine and hydroxyl groups. However, CH3 waging along chain (952 cm-1), CO stretching at 1026 cm-1 and 1073 cm-1, and amide II band (1563 cm-1) were not found in the extracted chitin while HPO42- and amide III were also not found in the extracted chitosan. These moieties were present in the standard chitin and chitosan respectively. This study has shown that diethylamine (organic base) has great potential as agent of deproteination and deacetylation in the extraction of chitosan from Scylla serrata. Consequently, academic activity in the area of investigation of the stability of the extracted chitosan from Scylla serrata using diethylamine as deproteination and deacetylation agent is strongly recommended. Keywords: Diethylamine, deproteination, deacetylation, chitin and chitosan, Scylla serrata shell. DOI: 10.7176/CMR/12-7-07 Publication date:October 31st  2020

Feasibility and acceptability of artemisinin-based combination therapy for the home management of malaria in four African sites

BACKGROUND: The Home Management of Malaria (HMM) strategy was developed using chloroquine, a now obsolete drug, which has been replaced by artemisinin-based combination therapy (ACT) in health facility settings. Incorporation of ACT in HMM would greatly expand access to effective antimalarial therapy by the populations living in underserved areas in malaria endemic countries. The feasibility and acceptability of incorporating ACT in HMM needs to be evaluated. METHODS: A multi-country study was performed in four district-size sites in Ghana (two sites), Nigeria and Uganda, with populations ranging between 38,000 and 60,000. Community medicine distributors (CMDs) were trained in each village to dispense pre-packaged ACT to febrile children aged 6-59 months, after exclusion of danger signs. A community mobilization campaign accompanied the programme. Artesunate-amodiaquine (AA) was used in Ghana and artemether-lumefantrine (AL) in Nigeria and Uganda. Harmonized qualitative and quantitative data collection methods were used to evaluate CMD performance, caregiver adherence and treatment coverage of febrile children with ACTs obtained from CMDs. RESULTS: Some 20,000 fever episodes in young children were treated with ACT by CMDs across the four study sites. Cross-sectional surveys identified 2,190 children with fever in the two preceding weeks, of whom 1,289 (59%) were reported to have received ACT from a CMD. Coverage varied from 52% in Nigeria to 75% in Ho District, Ghana. Coverage rates did not appear to vary greatly with the age of the child or with the educational level of the caregiver. A very high proportion of children were reported to have received the first dose on the day of onset or the next day in all four sites (range 86-97%, average 90%). The proportion of children correctly treated in terms of dose and duration was also high (range 74-97%, average 85%). Overall, the proportion of febrile children who received prompt treatment and the correct dose for the assigned duration of treatment ranged from 71% to 87% (average 77%). Almost all caregivers perceived ACT to be effective, and no severe adverse events were reported. CONCLUSION: ACTs can be successfully integrated into the HMM strategy

The practice of hepatocellular cancer surveillance in Nigeria

Background: Hepatocellular cancer is a disease of global and public health importance due to the widespread distribution of risk factors and associated high case fatality. Hepatocellular Cancer (HCC) in Sub-Saharan Africa is commonly seen among the younger age groups (&lt;45 years) who present mostly in the terminal stage, when the disease is not amenable to any curative therapy. Hepatocellular Carcinoma surveillance employs the use of simple, cheap and readily available investigations, to detect early curable cancer in individuals with risk factors for HCC.Objectives:The aim of this study is to assess the practice of hepatocellular cancer screening among physicians.Methodolgy:This is a nationwide online survey carried out among physicians who care for patients with HCC. A questionnaire was sent out via a web link to all consenting doctors in Nigeria. The responses were collated in a cloud-based application and data was analysed using Epi-info version 20.Results:Atotal of 218 respondents, 142 were males (65.1 %) with a mean age of 37.6 ± 5.7 years. The modal age group was 31-40 years 153 (69.5%). The main factors considered as a hindrance to surveillance were; the cost of the tests (57.7%), failure of return of patients (50.5%) and not being aware of a surveillance program (45.2 %). The majority of the respondents were Gastroenterologists and Family Physicians. 54% of the gastroenterologists and 64% of the family physicians have never offered HCC surveillance to their patients.Conclusion:This survey highlights a knowledge gap in HCC surveillance among physicians. There is a need to make HCCsurveillance a daily routine among patients at risk by all physicians. Keywords: Surveillance, Hepatocellular Carcinoma, HBV, HCV, Cancer screening

The Pharmacokinetics and Interactions of Ivermectin in Humans—A Mini-review

Ivermectin is an antiparasitic drug with a broad spectrum of activity, high efficacy as well as a wide margin of safety. Since 1987, this compound has a widespread use in veterinary medicine and it use has been extended in humans. Here we present a brief review of the information availabile regarding the pharmacokinetics and interactions of ivermectin in humans. Awareness of these characteristics could improve the clinical efficacy of Ivermectin. All Authors declare that they do not have any Conflict of interest and that the work is original. All Authors agree that the contents of the manuscript are confidential and will not be copyrighted, submitted, or published elsewhere (including the Internet), in any language, while acceptance by the Journal is under consideration

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700