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Background Benign prostatic hyperplasia (BPH) is one of the causes of lower urinary tract symptoms (LUTS) in men above 50 years of age. It is known that the severity of LUTS (degree of bladder outlet obstruction) does not correlate with the size of the prostate gland in BPH. Severity of LUTS due to BPH can be assessed using the internationally validated international prostate symptom score (IPSS). There are some concerns that the IPSS is subjective and may pose some challenges to the poorly educated patients in our environment during administration. Intravesical prostatic protrusion may be an objective index of degree of bladder outlet obstruction in men with BPH measured using abdominopelvic ultrasound. So the objective of this study is to evaluate for any correlation between IPP and IPSS in men with symptomatic BPH. Objective The objective of the study is to assess the correlation between IPP and IPSS. Patients and Methods A hospital based cross-sectional study of new patients with symptomatic LUTS of BPH, who presented to the Urology clinics of University of Nigeria Teaching Hospital Ituku-Ozalla Enugu. Ethical approval was obtained from the ethical committee of the hospital and informed consent from patients. After evaluation (including IPSS, PSA, and FBC, S/E/Ur/Cr, Urinalysis and M/C/S), participants had abdominopelvic ultrasonography measurement of IPP and midline sagittal image of the prostate (at bladder Volume of > 100mls) using Prosound model SSD 3500 with an abdominal probe frequency of 3.5MHz (Versana Essentials) IPP was divided into three grades (Grade I: 0-4.9mm; Grade II: 5.0-9.9mm; Grade III: 10.0mm and above). Data was analyzed using SPSS Version 20 (IBM, SPSS, Chicago, IL, USA). The Pearson correlation was used to assess correlation where necessary. P- value

Abstract The quest for sustainable agricultural practices has led to a surge in research focused on innovative wastewater treatment methods. This review explores the emerging biological treatment approaches designed to address the challenges of eco-friendly agricultural wastewater treatment and subsequent reuse. The investigation centers around three novel techniques: constructed wetlands, algae-based systems, and microbial fuel cells. Constructed wetlands (CWs) mimic natural processes to treat agricultural wastewater, providing habitat for various plant species that collaboratively remove contaminants. Algae-based systems(ABs) harness the photosynthetic prowess of algae to absorb nutrients and pollutants, producing biomass that can be repurposed. Meanwhile, microbial fuel cells (MFCs) employ microorganisms to break down organic matter in wastewater while generating electricity as a valuable byproduct. This review aims to provide insights into the potential of these biological treatment methods to revolutionize wastewater management in agriculture. By mitigating environmental impact, conserving water resources, and yielding reusable outputs, these techniques will offer a sustainable pathway towards addressing the pressing challenges of agricultural wastewater treatment and enhancing the overall ecological balance.

Abstract The diversity in genome resources is fundamental to designing genomic strategies for local breed improvement and utilisation. These resources also support gene discovery and enhance our understanding of the mechanisms of resilience with applications beyond local breeds. Here, we report the genome sequences of 555 cattle (208 of which comprise new data) and high-density (HD) array genotyping of 1,082 samples (537 new samples) from indigenous African cattle populations. The new sequences have an average genome coverage of ~30X, three times higher than the average (~10X) of the over 300 sequences already in the public domain. Following variant quality checks, we identified approximately 32.3 million sequence variants and 661,943 HD autosomal variants mapped to the Bos taurus reference genome (ARS-UCD1.2). The new datasets were generated as part of the Centre for Tropical Livestock Genetics and Health (CTLGH) Genomic Reference Resource for African Cattle (GRRFAC) initiative, which aspires to facilitate the generation of this livestock resource and hopes for its utilisation for complete indigenous breed characterisation and sustainable global livestock improvement.

Introduction: Rectovesical fistula (RVF) is an abnormal communication between the rectum and the urinary bladder. This condition has a negative impact on the patient’s quality of life due to the associated morbidity. The patient may present with complaints of passage of urine per rectum, pneumaturia, fecaluria, recurrent cystitis, pyelonephritis, or urosepsis. Method and Material: We present a case of a 61-year-old man with histologically diagnosed prostate cancer who developed passage of urine per rectum about two years after bilateral total orchidectomy. He defaulted on follow-up and presented with castration-resistant prostate cancer. Results: On performing a micturiting cystourethrogram/retrograde urethrogram under fluoroscopic guidance, the contrast media were seen passing from the bladder into the large bowel hence establishing a diagnosis of RVF. Conclusion: The patient was counseled for a diverting colostomy but he declined. He has an intact anal sphincter and therefore is presently continent of both stool and urine per rectum. Unfortunately, he is financially unable to afford any of the treatment options for castration-resistant prostate cancer.

In this study, lupine seed (Lu-SP) and pumpkin seed shells (PSSP) biomasses were used to create alternative and effective adsorbents. Methylene blue (MB) dye was removed from wastewater using the as-prepared adsorbents at variables solution pH 2.0 –11.0, contact period (0–180 min), and adsorbent mass (0.2–2.0 g/L). The solution pH had a synergistic effect on the improved removal of MB and the optimal adsorption removal for both adsorbents occurred at pH 8.0 and 120 min. The adsorption isotherm modelling results showed a good fit with the Langmuir model, with a maximum monolayer adsorption capacity of 48.98 and 77.48 mg/g for PSSP and Lu-SP, respectively. Similarly, the pseudo-first-order (PFO) model is regarded as the best-fit kinetic model for both adsorbents and suggests the predominance of physisorption via interfacial diffusion. Mechanistic investigation of the present system suggests that both intraparticle diffusion and surface sorption mechanisms control the adsorption rate. Notably, the Lu-SP with a lower surface area (54.013 m2/g) outperformed the PSSP (235.992 m2/g) in terms of adsorption capacity under varying pH. Therefore, in addition to electrostatic interaction, adsorption into the micropores via volume filling is considered one of the adsorption mechanisms. This study, therefore, revealed that the PSSP and Lu-SP may be very helpful for removing cationic MB dye from contaminated wastewater.

Background: Assessing for significant proteinuria in pregnancy (SPIP) stands as a key indicator for diagnosing preeclampsia. However, the initial method typically employed for this assessment, the urine dipstick test, often yields inaccurate results. While a 24-h urine collection is considered the most reliable test, its implementation can lead to delays in diagnosis, potentially affecting both maternal and fetal well-being. The urine protein–creatinine (P/Cr) ratio can be used as an alternative to 24-h urine protein analysis, but its diagnostic accuracy has remained uncertain. There is a need to compare the diagnostic accuracy of urine P/Cr ratio and dipstick urinalysis for SPIP, especially in resource-poor settings. Objectives: To determine and compare the diagnostic accuracy of urine P/Cr ratio and dipstick urinalysis in a spot urine specimen for the diagnosis of SPIP among women evaluated for preeclampsia using 24-h urine protein excretions as a gold standard. Design: This is a comparative cross-sectional study. Methods: The study involved 82 singleton pregnant women evaluated for preeclampsia from 20 weeks of gestation who underwent dipstick and P/Cr ratio tests in the same urine sample. Women at risk of preeclampsia were given a specimen container for the collection of urine samples on an outpatient basis. Participants were trained and told to collect the urine sample 24 h prior to their next antenatal appointment. However, those on admission and evaluated for preeclampsia had their 24-h urine collected in the hospital. The outcome measures included sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio and accuracy for the two tests. Significant proteinuria was defined as a P/Cr ratio >0.27 or ⩾2+ of proteinuria on the dipstick test. Preeclampsia was confirmed in women with both high blood pressure and SPIP. Results: The mean age of participants was 28.65 ± 5.76 years. Comparatively, the diagnostic accuracy (91.46% (95% CI = 83.29–96.59) vs 59.76% (95% CI = 48.34–70.44), p = 0.001), sensitivity (94.74% vs 70.00%, p = 0.021), specificity (84.00% vs 43.75%, p = 0.001), negative predictive value (87.50% vs 48.28%, p = 0.003) and positive predictive value (93.10% vs 66.04%, p = 0.001), respectively, were higher for the spot urine P/Cr ratio than dipstick test. In addition, the positive likelihood ratio and the negative likelihood ratio for spot urine P/Cr ratio versus dipstick test were (1.93 vs 1.24) and (0.07 vs 0.69), respectively. Conclusion: The spot urine P/Cr has superior diagnostic accuracy in the determination of significant proteinuria in pregnant women being evaluated for preeclampsia than the widely used dipstick test. A more robust multicenter study is needed to compare the diagnostic accuracy of spot urine PCR with the standard 24-h urine protein in low-income settings.

The study explored the capacity of modified pinewood dust (S-dust) for adsorbing acid blue 193 dye. The novel adsorbent was prepared via the insitu intercalation of quaternized ammonium copolymer (cationic surfactant) onto pinewood dust. The synthesized biosorbent was characterized using the Fourier Transform Infrared (FTIR), Scanning Electron Microscopy (SEM), Energy Dispersion X-ray (EDX) and Brunauer–Emmett–Teller (BET) surface area equipment. To establish the variable effects on the dye uptake, the ranges of solution pH, initial adsorbate concentration, contact time and adsorbent dosage were varied. The maximum monolayer adsorption capacity of 117.58 mg/g was recorded at pH 4.0, 0.1 g/L adsorbent dose and 2 h sorption duration. The process kinetics and isotherm modelling fitted best to the pseudo-first-order and Freundlich models, respectively. From the mechanistic/diffusion studies, intraparticle and pore diffusion mechanisms were respectively postulated at low and high initial adsorbate concentrations. Also, the occurrence of a nonspontaneous endothermic uptake process was inferred from the thermodynamics evaluations. Therefore, the effective acid blue 193 dye uptake onto novel S-dust was confirmed in this study.

The current study is focused on the synthesis and evaluation of 1-Hexadecyl-3-methylimidazolium tetrachloroindate [C16 mim][In Cl4] based ionic liquid (IL) as a corrosion inhibitor for mild steel in 1M HCl. Various advanced methods were employed in this research, such as potentiodynamic polarization (PDP), quantum chemical computations, molecular dynamics simulations, weight loss assessments, electrochemical impedance spectroscopy (EIS) and multivariate statistics via machine learning models. The ionic liquid (IL) under investigation demonstrated a notable corrosion inhibition efficiency (93.88 % weight loss, 94. % PDP, 75 % EIS). The combine electrochemical approach suggested a mechanism influenced by electron transfer, underscoring the IL's as a mixed-type inhibitor. The experimental data based on weight loss was optimized using response surface methodology (RSM). Maximum inhibition efficiency of 93.72 % was predicted by the RSM model. Also, the machine learning models based on artificial neural network (ANN) and adaptive neuro-fuzzy inference system (ANFIS) demonstrated good predictive power in analyzing the interactive effects affecting the inhibition process. The adsorption behavior of [C16 mim][In Cl4] on the mild steel surface further conformed to the Langmuir isotherm, demonstrating a monolayer adsorption process. The comprehensive nature of this approach facilitated a more in-depth adsorption process through computational modelling based on DFT and molecular dynamics. The machine learning models aligned credibly with the experimental findings with pronounced degree of accuracy. Thus, these integrated approaches unravel the potential of the studied IL as effective and sustainable corrosion inhibitor for severe acidic environments.

Background: Direct visual internal urethrotomy (DVIU), also known as optical urethrotomy, has become an established tool in the management of urethral strictures. Few prospective studies have reported experience with this endoscopic procedure in black Africans, who are generally believed to exhibit more fibrotic response in wound healing. Objectives: This study aims to determine the etiology, location, and length of strictures, as well as the complications of DVIU in a black African population. Materials and Methods: This hospital-based prospective study was conducted at 82 Division Military Hospital, Enugu, South-East Nigeria. Patients with single partial/incomplete short segment (

Background: The lack of complete protection against leishmaniasis and the challenges of anti-leishmaniasis drug treatment have made the treatment process more difficult. This study aimed to develop a new strategy for preparing a vaccine against cutaneous leishmaniasis using some of the antigenic proteins of the Leishmania parasite. Methods: This study was carried out in 2022 at Shahid Chamran University of Ahvaz, Ahvaz, Iran. After preparing suitable epitopes of the Leishmania parasite and examining their antiparasitic properties, the process of making a fusion vaccine was performed and with the help of various bioinformatics tools, physicochemical and structural properties as well as immunological and simulation properties were studied and finally optimized. Construction and cloning were performed in the E.coli K12 system and finally, the docking process was performed with Toll-like receptors (TLRs), major histocompatibility complex I (MHC-I), and MHC-II receptors. With the help of selected epitopes of the Leishmania parasite, which had a high percentage of population coverage, a stable, antigenic, and non-allergenic chimeric vaccine was predicted. Results: The results of the structural analysis of the TLR5\vaccine complex and simulation of its molecular dynamics showed a sufficiently stable binding. It also showed good potential for stimulation and production of active B cells and memory, as well as the potential for CD8+ T, CD4+ T cell production and development of Th2 and Th1-induced immune responses. Conclusion: Computational results showed that the designed immunogenic structure has the potential to adequately stimulate cellular and humoral immune responses against Leishmania parasitic disease. As a result of evaluating the effectiveness of the candidate vaccine through in vivo and in vitro immunological tests, it can be suggested as a vaccine against Leishmania major.

This study investigated the application of artificial intelligence algorithms (AIA) in the coagulation treatment of paint wastewater anchored by novel Phaseolus vulgaris seed extract (PVSE). Untreated wastewater discharge harms the ecosystem, and therefore harmful industrial effluent, such as paint wastewater, must be brought to safe discharge levels before being released into the environment. In addition to AIA, comprehensive characterization tests, coagulation kinetics, and process optimization were also executed. Characterization results revealed that total solid in the PWW was above allowable standard, justifying the need for effective particle decontamination. The XRD and FTIR characterization indicated that PVSE structure is amorphous with abundant amine groups. Results of analysis of variance (ANOVA) obtained from process modeling indicated that the coagulation-flocculation process was a nonlinear quadratic system (F-value = 45.51) which was mostly influenced by PVSE coagulant dosage (F-value = 222.48; standardized effect = 14.85). Artificial intelligence indicated that neural network training effectively captured the nonlinear nature of the system in ANN (RMSE = 0.00040194; R = 0.98497), and ANFIS (RMSE = 0.003961) algorithms. Regression coefficient obtained from process modeling highlighted the suitability of RSM (0.9662), ANN (0.9739), and ANFIS (0.9718) in forecasting the coagulation-flocculation process, while comparative statistical appraisal authenticated the superiority of ANN model over RSM and ANFIS models. The coagulation kinetics experiment, which used a coagulation kinetic model, revealed a constant flocculation constant (Kf-value) for all jar test batches and a strong association between the Menkonu coagulation-flocculation constant (Km) and Kf values. Best removal efficiency of 97.01 % was obtained using ANN coupled genetic algorithm optimization (ANN-GA) at PVSE dosage of 4 g/L, coagulation time of 29 min and temperature of 25.1oC.

This study examines the interaction impacts of carbon dioxide molecule emissions and population changes on financial development in Sub-Saharan Africa (SSA). The study used yearly time series data spanning the years 2000 to 2021. Following the PMG and FE results, the dynamic system GMM estimator was used in the study. The study found a significant inverse long-run relationship between carbon dioxide (CO2) emissions and financial development. Also, demographic changes have a significant positive impact on financial development. The interaction term findings demonstrate that changes in CO2 and GHG emissions have a negative and significant influence on the impact of the money supply ratio on financial development in SSA. The study suggests policies that support the adoption of financial aid or other incentives for initiatives that reduce CO2 emissions. Additionally, initiatives to support financial inclusion, uphold financial stability, encourage the expansion of infrastructure, advance social welfare, and ensure environmental sustainability should be made. Therefore, the SSA countries might benefit from their expanding populations to drive long-term economic expansion and improve living standards for their people.

Immune checkpoint inhibitors have become essential antineoplastic agents in medical oncology over the past decade. However, they are associated with potentially fatal multisystem abnormalities, with increasing concern in gastrointestinal tract and its associated organs. We present a patient with advanced renal cell carcinoma, who presented with acute liver failure after the first dose of combined immunotherapy with nivolumab and ipilimumab. A thorough evaluation for viral, metabolic, and autoimmune causes was unremarkable. He was managed with steroids and made significant improvement. To our knowledge, this is the first documented case of acute liver failure following ipilimumab and nivolumab.

Childhood Poisoning is a common cause of emergency room presentation, more so in underdeveloped countries where it contributes to a high incidence of hospitalization with variability in morbidity and mortality. This study retrospectively assessed the sociodemographic profiles, poisoning agents, clinical features and management of cases of childhood poisoning admitted at Enugu State University Teaching Hospital, Enugu. It was a 10-year retrospective study of all the cases of childhood poisoning admitted within the period of study at the Children’s Emergency Room of Enugu State University Teaching Hospital (ESUTH), Enugu. The prevalence of childhood poisoning in the study was 0.3%. Of all the subjects, 78.4% were ≤5 years and more than half were males and from lower socioeconomic classes. Accidental poisoning accounted for 70.3%; the predominant agents were kerosene and organophosphates. Palm oil was used by 67.6% of the participants as an intervention before presentation. Pneumonitis was the most common complication. Patients with peripheral oxygen saturation (SpO2) < 95% were 14 times more likely to have complications than those with SpO2 ≥ 95%. The duration of hospital stay was ≤3 in 59% of the cases and no mortality was recorded in this study.Childhood poisoning remains prevalent in our environment with kerosene being the commonest agent. Palm oil administration as a predominant pre-hospital intervention worsens outcomes. Duration of hospitalization depends on SpO2 at presentation, need for antibiotic therapy, and intention.

In this study, Aspergillus oryzae (A. Oryzae) biomass and waste peach seed shells (PPSS) were used to create alternative and effective adsorbents. Acid Violet 90 (AVD) dye was removed from wastewater using the as-prepared adsorbents. Different process variables like pH (2–11), contact period (0–180 min), and adsorbent mass (0.2–2.0 g/L) were examined. The solution pH had a synergistic effect on the improved removal of AVD and the optimal adsorption removal for the PPSS and the A. Oryzae adsorbent occurred at pH 2.0 and pH 5.0, respectively. The findings demonstrated that, in comparison to A. Oryzae, PPSS reported a greater AVD adsorption (mg/g). The equilibrium time for the adsorption process was attained within 180 min for both adsorbents. The adsorption kinetics modelling results showed a good fit with pseudo-second-order kinetics, for both adsorbents, with average R2 values of 0.999 (for PPSS) and 0.997 (for A. Oryzae). Similarly, the isotherm modelling results confirmed the good fitting of the Langmuir isotherm model for A. Oryzae (R2 = 0.999) and the Freundlich model for PPSS (R2 = 0.997). The maximum adsorption capacity (qmax) of 55.0 and 94.92 mg/g was recorded for A. Oryzae and PPSS, respectively. Mechanistic investigation of the present system suggests that both intraparticle diffusion and surface sorption mechanisms control the adsorption rate. As agro materials, both adsorbents are composed of mostly oxygen-based surface functional groups like the –OH, –C = O, -C-O-C, and multiple carbon-carbon bonds, all contributed to the synergistic mechanism interaction between the adsorbent and AVD dye in this study. This study, therefore, revealed that the PPSS and A. Oryzae may be very helpful for removing anionic dye from contaminated wastewater, indicating its potential for useful application in the removal of other major pollutants.

Abstract Background Vector sand fly colonies are a critical component of studies aimed at improving the understanding of the neglected tropical disease leishmaniasis and alleviating its global impact. However, among laboratory-colonized arthropod vectors of infectious diseases, the labor-intensive nature of sand fly rearing coupled with the low number of colonies worldwide has generally discouraged the widespread use of sand flies in laboratory settings. Among the different factors associated with the low productivity of sand fly colonies, mite infestations are a significant factor. Sand fly colonies are prone to infestation by mites, and the physical interactions between sand flies and mites and metabolites have a negative impact on sand fly larval development. Methods Mites were collected from sand fly larval rearing pots and morphologically identified using taxonomic keys. Upon identification, they were photographed with a scanning electron microscope. Several mite control measures were adopted in two different laboratories, one at the Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases-National Institutes of Health (Rockville, MD, USA), and the other at the University of Calgary (Calgary, AB, Canada). Results The mite species associated with sand fly colonies in the two laboratories were morphologically identified as Tyrophagus sp. and Stratiolaelaps scimitus. While complete eradication of mites in sand fly colonies is considered unrealistic, drastically reducing their population has been associated with higher sand fly productivity. Conclusions We report a case of detrimental interaction between sand flies and Tyrophagus sp. and S. scimitus in a closed laboratory sand fly colony, discuss their impact on sand fly production and provide guidelines for limiting the mite population size in a closed laboratory colony leading to improved sand fly yields. Graphical abstract

Objective Uterine leiomyoma is a common gynecological condition that negatively affects women’s quality of life. Vitamin D plays an important role in tumor development and progression. However, clinical studies comparing serum vitamin D levels between women with and without uterine leiomyomas are limited and inconclusive. This study aimed to compare serum vitamin D levels in women with and without uterine leiomyomas. Methods This hospital-based case-control study included 150 women who visited a gynecological clinic. The cases included 75 women with uterine leiomyoma, whereas the controls included 75 age-and parity-matched participants without uterine leiomyoma. Serum vitamin D levels were measured in each participant and volumes of the uterine leiomyomas were determined using the water displacement method following myomectomy. The statistical significance was inferred at P

Abstract Background The genomes of indigenous African cattle are composed of components with Middle Eastern (taurine) and South Asian (indicine) origins, providing a valuable model to study hybridization and to identify genetic barriers to gene flow. In this study, we analysed indigenous African cattle breeds as models of hybrid zones, considering taurine and indicine samples as ancestors. In a genomic cline analysis of whole-genome sequence data, we considered over 8 million variants from 144 animals, which allows for fine-mapping of potential genomic incompatibilities at high resolution across the genome. Results We identified several thousand variants that had significantly steep clines (‘SCV’) across the whole genome, indicating restricted introgression. Some of the SCV were clustered into extended regions, with the longest on chromosome 7, spanning 725 kb and including 27 genes. We found that variants with a high phenotypic impact (e.g. indels, intra-genic and missense variants) likely represent greater genetic barriers to gene flow. Furthermore, our findings provide evidence that a large proportion of breed differentiation in African cattle could be linked to genomic incompatibilities and reproductive isolation. Functional evaluation of genes with SCV suggest that mitonuclear incompatibilities and genes associated with fitness (e.g. resistance to paratuberculosis) could account for restricted gene flow in indigenous African cattle. Conclusions To our knowledge, this is the first time genomic cline analysis has been applied to identify restricted introgression in the genomes of indigenous African cattle and the results provide extended insights into mechanisms (e.g. genomic incompatibilities) contributing to hybrid differentiation. These results have important implications for our understanding of genetic incompatibilities and reproductive isolation and provide important insights into the impact of cross-breeding cattle with the aim of producing offspring that are both hardy and productive.

This study aims at computing the pooled mean estimate (PME) and health risks of heavy metals in seafood obtained from the Niger Delta Region of Nigeria (NDRN), using data from existing literatures. Pubmed, Scopus and Google Scholar were searched to retrieve articles that investigated the heavy metal contents of edible seafood from the NDRN. Search hits were screened against predetermined criteria following which relevant data were extracted from eligible articles. The PME for each metal was computed by performing a maximum likelihood random effect model meta-analysis using the R Studio Software. Outcome from the meta-analysis involving 58 studies and a total of 2983 seafood samples revealed the following PMEs (mg/kg dry wt seafood) for the investigated heavy metals: As (0.777), Cd (0.985), Co (4.039), Cr (2.26), Cu (11.45), Fe (143.39), Hg (0.0058), Mn (13.56), Ni (5.26), Pb (4.35), and Zn (29.32). The health risk assessment suggests that seafood from this region poses considerable carcinogenic and non-carcinogenic risks to human consumers. Our finding calls for urgent actions aimed at identifying and eliminating point sources of heavy metals pollution of the NDRN marine environment. Inhabitants of NDRN are encouraged to reduce seafood consumption while diversifying their protein sources to include non-seafood options.

Parathyroid carcinoma is a rare malignancy; and it is rarer to find one located in an ectopic location. Ectopic parathyroid glands are a reported cause of failed primary surgery for hyperparathyroidism. We report here a 73-year-old male who previously had parathyroidectomy for primary hyperparathyroidism but then had recurrence of his symptoms with a diagnosis of a mediastinal parathyroid carcinoma on further evaluation. This presentation of complicated mediastinal parathyroid carcinoma posed significant diagnostic and management challenges due to comorbid stage IV chronic kidney disease (CKD). Secondly, due to the same comorbid condition, a more aggressive calcimimetic regimen could not be undertaken due to the risk of renal dysfunction with potential progression to dialysis status. Thirdly, he was a high-risk surgical candidate due to significant cardiovascular risks. Ideally, open surgical intervention would be recommended but due to the associated risks, he was managed with robotic-assisted thoracoscopic surgery. He subsequently developed hypocalcemia which normalized with supplemental calcium at follow-up.

In line with Africa’s commitment to keeping up with the United Nations Framework Convention on Climate Change, achieving a sustainable future requires balancing economic growth with environmental sustainability. This study investigates the long-term impacts of foreign direct investment, economic growth, agricultural production, and energy consumption on CO2 emissions across 43 African nations from 1990 to 2021. Despite significant research on the individual effects of these factors, the combined influence on CO2 emissions remains underexplored. Addressing this gap, this study employs cross-sectional augmented distributed lag estimators (CS-DL and AMG) and updated estimation packages to effectively examine the relationships between variables. Our findings are as follows: firstly, economic growth and energy use was shown to have a significant positive influence on CO2 in the long term. Also, foreign direct investment significantly promotes CO2 emissions. Secondly, the causality test shows a unidirectional causal relationship between CO2 emissions and foreign direct investment. The test also revealed a bidirectional relationship between GDP and CO2 emissions, as well as between energy consumption and CO2 emissions. Again, a bidirectional causation was observed between agricultural production and CO2 emissions. Thirdly, the impulse response analysis shows that GDP will contribute more to emissions over the 10-year forecast period. This study also proposes policy implications to lessen CO2 across the continent and advocates for the judicious adoption of existing policy frameworks like the 2030 Agenda for environmental Sustainability.

Background/AimTo examine how music can impact preoperative and intraoperative anxiety via assessment of physiological markers such as pupil size, blood pressure, pulse rate, and respiratory rate.MethodsThis is a randomized interventional study of individuals aged 50 years and above who were scheduled for and undergoing cataract surgery under regional anesthesia, with music (test group) randomly matched with similar individuals undergoing the same procedure but without music (control group). The surgeries were performed in the operating theater of the Department of Ophthalmology, University of Nigeria Teaching Hospital (UNTH), Ituku-Ozalla, Enugu. Using a systematic random sampling method, a total of 98 patients were grouped into two. Both groups completed the State–Trait Anxiety Inventory (STAI) questionnaire at baseline, immediately upon entrance into the preoperative room and 5 min after intervention. Relevant study indices (blood pressure, pulse, respiratory rate, and pupil diameter) were measured and recorded, and these served as baseline parameters. The STAI questionnaire was then administered. Results were analyzed using the SPSS version 20 and analysis of variance was used to compare means of variables measured at baseline, preoperative before intervention, and preoperative after intervention. Categorical variables were compared using the Chi-square test. Student’s t-test was used to analyze the continuous variables.ResultsOur analysis, using the multiple linear regression, showed that music has an effect on preoperative anxiety and intraoperative anxiety by positively affecting the blood pressure, pulse rate, respiratory rate, and pupil diameter (P ≤ 0.001).ConclusionMusic reduces preoperative and intraoperative anxiety evidenced by its effect on the physiological biomarkers.

Background: Imperforate hymen is one of the commonest embryological defects of the lower genital tract which occurs due to failure of canalization of the sinovaginal bulb. Its incidence is 1 in 2000 girls. Case Presentation: This case is of a 15-year-old nullipara who presented on account of a 2-month history of recurrent abdominal pain, hesitancy, and primary amenorrhea. Her physical examination reveals a huge abdominopelvic mass about the size of a 26 weeks intra-uterine gestation, and a vagina examination revealed an imperforate hymen. A pelvic ultrasound confirmed a massive hematometra and hemaltocolpos leading to a diagnosis of imperforate hymen. She had a hymenotomy with a cruciate incision to drain the menstrum. Conclusion: Pediatricians and gynaecologists need a high index of suspicion to diagnose this defect for earlier treatment and reduced morbidity due to late diagnosis.

Abstract: Child mortality from infectious diseases is still high in Nigeria. Appropriate illness concepts (IC), healthseeking behaviours (HSB) and breastfeeding practices (BFP) of mothers are critical to addressing child mortality arising from infectious diseases. This study seeks to determine the relationship between mothers’ formal education and IC, HSB, BFP, family structure and parity, in market women in rural Plateau State, Nigeria, with a view to making policy recommendations from the data. A total of 993 women from three rural markets in Plateau State were effectively recruited and studied. A structured questionnaire was used to elicit information from the women. Appropriate descriptive and inferential statistical tools were used for data analyses. About 70% of the women had received some formal education while 62.4% of them reported an infectious disease in their homes within the month prior to the study. Exclusive breastfeeding for more than 6 months was practiced by 78% of the population. Almost all the mothers had appropriate IC (99%) and proper HSB (92%). Whereas length of formal education was significantly and negatively correlated with age of mother (r = −0.525; p

Abstract Background Leishmaniasis is a parasitic disease caused by species of the genus Leishmania, which are transmitted through the bite of infected female sand flies. Since the first reported outbreak of cutaneous leishmaniasis in Ghana, in 1999, there has been limited published information on its vectors and reservoir hosts there. Previous studies have shown strong dominance of the sand fly genus Sergentomyia over the genus Phlebotomus in Ghana. Thus the aim of this study was to determine the possible sand fly vector species in Ghana, as well as their human-feeding behavior, from the time of the first reported outbreak of CL in the country. Methods Sand flies were collected from randomly selected houses in three communities. They were identified and used for blood meal source identification and the detection of Leishmania infection using molecular methods. Results A total of 1051 female sand flies were morphologically identified, of which Sergentomyia africana africana (29%) was the predominant species. Among the 275 female sand flies that had blood-fed, the identified blood meal sources included chicken (33.8%) and goat (12.4%); the percentage of human blood meals was 32%. Single-source and mixed-source blood meals were identified in Sergentomyia africana africana (11.6%), Sergentomyia ingrami (14.9%) and Sergentomyia simillima (20%), with S. simillima having the highest proportion of blood meals that included human blood (14.6%). Using molecular methods, unfed sand flies and identified human-feeding species were examined for the presence of Leishmania DNA. Pool screening analysis revealed three pools of S. ingrami positive for Leishmania major DNA, with an infection rate of 1.27% (95% confidence interval 2.467–3.647). Conclusions The findings suggest that some Sergentomyia species may be involved in the transmission of cutaneous leishmaniasis in Ghana. However, the role of S. ingrami as a vector of leishmaniasis in Ghana needs to be conclusively validated by isolating the parasite from this species and through experimental transmission studies. Graphical abstract

In this paper, we report the characterization of a genetically modified live-attenuated African swine fever virus (ASFV) field strain isolated from Vietnam. The isolate, ASFV-GUS-Vietnam, belongs to p72 genotype II, has six multi-gene family (MGF) genes deleted, and an Escherichia coli GusA gene (GUS) inserted. When six 6–8-week-old pigs were inoculated with ASFV-GUS-Vietnam oro-nasally (2 × 105 TCID50/pig), they developed viremia, mild fever, lethargy, and inappetence, and shed the virus in their oral and nasal secretions and feces. One of the pigs developed severe clinical signs and was euthanized 12 days post-infection, while the remaining five pigs recovered. When ASFV-GUS-Vietnam was inoculated intramuscularly (2 × 103 TCID50/pig) into four 6-8 weeks old pigs, they also developed viremia, mild fever, lethargy, inappetence, and shed the virus in their oral and nasal secretions and feces. Two contact pigs housed together with the four intramuscularly inoculated pigs, started to develop fever, viremia, loss of appetite, and lethargy 12 days post-contact, confirming horizontal transmission of ASFV-GUS-Vietnam. One of the contact pigs died of ASF on day 23 post-contact, while the other one recovered. The pigs that survived the exposure to ASFV-GUS-Vietnam via the mucosal or parenteral route were fully protected against the highly virulent ASFV Georgia 2007/1 challenge. This study showed that ASFV-GUS-Vietnam field isolate is able to induce complete protection in the majority of the pigs against highly virulent homologous ASFV challenge, but has the potential for horizontal transmission, and can be fatal in some animals. This study highlights the need for proper monitoring and surveillance when ASFV live-attenuated virus-based vaccines are used in the field for ASF control in endemic countries.

African trypanosomiasis, a neglected tropical disease, is caused by diverse species of the protozoan parasite belonging to the genus Trypanosoma. Although anti-trypanosomal medications exist, the increase in drug resistance and persistent antigenic variation has necessitated the development of newer and more efficacious therapeutic agents which are selectively toxic to the parasite. In this study, we assessed the trypanocidal efficacy of Crosspteryx fibrifuga leaf extract (C.f/L-extract) in vitro. Following treatment of T. congolense parasites with C.f/L-extract, we observed a significant decrease in parasite number and an elevation in the expression of the apoptotic markers, Annexin V and 7-Aminoactinomycin D (7AAD). Interestingly, at the same concentration (50 μg/mL), C.f/L-extract was not cytotoxic to murine whole splenocytes. We also observed a significant increase in pro-inflammatory cytokines and nitric oxide secretion by bone marrow derived macrophages following treatment with C.f/L-extract (10 μg/mL and 50 μg/mL) compared to PBS treated controls, suggesting that the extract possesses an immune regulatory effect. Treatment of T. congolense infected mice with C.f/L-extract led to significant decrease in parasite numbers and a modest increase in mouse survival compared to PBS treated controls. In addition, there was a significant increase in CD4+IFN-γ+ T cells and a decrease in CD4+IL-10+ T cells in the spleens of T. congolense infected mice treated with C.f/L-extract. Interestingly, C.f/L-extract treatment decreased the activity of superoxide dismutase (an enzyme that protects unicellular organisms from oxidative stress) in T. congolense parasites but not in splenocytes. Collectively, our study has identified C.f/L-extract as a potential anti-trypanosomal agent that warrant further investigation and possibly explored as a treatment option for T. congolense infection.

Abstract The knowledge of body size/weight is necessary for the general growth enhancement of swine as well as for making informed decisions that concern their health, productivity, and yield. Therefore, this work aims to automate the collection of pigs’ body parameters using images from Kinect V2 cameras, and the development of Multilayer Perceptron Neural Network (MLP NN) models to predict their weight. The dataset obtained using 3D light depth cameras contains 9980 pigs across the S21 and S23 breeds, and then grouped into 70:15:15 training, testing, and validation sets, respectively. Initially, two MLP models were built and evaluations revealed that model 1 outperformed model 2 in predicting pig weights, with root mean squared error (RMSE) values of 5.5 and 6.0 respectively. Moreover, employing a normalized dataset, two new models (3 and 4) were developed and trained. Subsequently, models 2, 3, and 4 performed significantly better with a RMSE value of 5.29 compared to model 1, which has a RMSE value of 6.95. Model 3 produced an intriguing discovery i.e. accurate forecasting of pig weights using just two characteristics, age and abdominal circumference, and other error values show corresponding results

Paratesticular tumours are tumours that arise from the testicular tunics, spermatic cord, epididymis, or vestigial remnants. The tumours are rare and account for approximately 5% of intrascrotal neoplasms. About 75% of these tumours arise from the spermatic cord. Paratesticular tumours most commonly manifest as painless scrotal masses. Alternatively, the tumour may be incidentally noticed when a scrotal ultrasound scan is done for another intrascrotal pathology such as hydrocele, inguinoscrotal hernia, epididymo-orchitis, or suspected testicular tumour. We present a case of metastatic paratesticular tumour in a 21-year-old Nigerian male, who presented at the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, in September 2018 at the age of 19 years with a painless right hemiscrotal mass. The patient was clinically evaluated with scrotal ultrasonography, testicular tumour markers, and liver function test. Biopsy specimen obtained was ignorantly discarded by the patient who was subsequently lost to follow-up. Histologic diagnosis of mesenchymal tumour (myxoid liposarcoma) was made two years after his initial presentation when he developed both inguinal and retroperitoneal lymph node metastasis at the age of 21 years. He was evaluated as clinical stage IV disease and then commenced on chemotherapy after baseline investigations. Our objective of presenting this report is to highlight the effect of delayed diagnosis in the management outcome, challenges in the provision of resources in low- and middle-income countries, and to emphasise the rarity of the tumour in our subregion.

Abstract Background Urethral duplication (UD) is reportedly rare. It is rarer in females. Knowledge on this anomaly comes from isolated report of cases. The aim of this review is to summarize information available on this anomaly thereby revealing gaps in knowledge, and to appropriately situate a recently managed case. Methods Publications on UD in English language from 2001 to 2021 were searched for in the literature. Of importance were age at presentation, class of UD, nature of associated penile deformity and other structural anomalies. Available information was used to synthesize opinions after descriptive analyses using SPSS® version 21 (IBM Co., Armonk, NY, USA). In addition, a recently managed case of UD was reported and appropriately situated in the discourse. Result In all, 115 articles met the inclusion criteria. Majority (75.7%) were individual case reports, while the rest were retrospective review of case series. These provided a total of 269 reported cases. Of this lot, 38 cases were excluded because they either had no Effmann’s class or were not described well enough for an Effmann’s class to be assigned. Ultimately, 231 cases formed the basis for this review. Male to female ratio was 12:1. Types III and IIB had more females. Types IIA 2 (26.0%), IIA 2 “Y” (26.4%) and IA (22.5%) were frequently reported. About 61.8% males and 68.4% females had no associated defects. Isolated dorsal chordee was prevalent (7.1%), especially among type IA (16.7%) UD. Reported in 10.4%, vesicoureteric reflux may not be attributable always to high pressure voiding. A boy who presented at the age of 18 years with Effmann type IA UD and an associated complex chordee of the penile shaft was reported. The complex nature of the chordee adds to the challenge of explaining associated penile defects in UD. Conclusion UD is rare, but reported from all parts of the globe. There are a number of associated defects involving the external genitalia and other organs reported in UD in the male. The mechanisms of these defects are yet to be fully understood.

Abstract Background In cattle, genome-wide association studies (GWAS) have largely focused on European or Asian breeds, using genotyping arrays that were primarily designed for European cattle. Because there is growing interest in performing GWAS in African breeds, we have assessed the performance of 23 commercial bovine genotyping arrays for capturing the diversity across African breeds and performing imputation. We used 409 whole-genome sequences (WGS) spanning global cattle breeds, and a real cohort of 2481 individuals (including African breeds) that were genotyped with the Illumina high-density (HD) array and the GeneSeek bovine 50 k array. Results We found that commercially available arrays were not effective in capturing variants that segregate among African indicine animals. Only 6% of these variants in high linkage disequilibrium (LD) (r2 > 0.8) were on the best performing arrays, which contrasts with the 17% and 25% in African and European taurine cattle, respectively. However, imputation from available HD arrays can successfully capture most variants (accuracies up to 0.93), mainly when using a global, not continent-specific, reference panel, which partially reflects the unusually high levels of admixture on the continent. When considering functional variants, the GGPF250 array performed best for tagging WGS variants and imputation. Finally, we show that imputation from low-density arrays can perform almost as well as HD arrays, if a two-stage imputation approach is adopted, i.e. first imputing to HD and then to WGS, which can potentially reduce the costs of GWAS. Conclusions Our results show that the choice of an array should be based on a balance between the objective of the study and the breed/population considered, with the HD and BOS1 arrays being the best choice for both taurine and indicine breeds when performing GWAS, and the GGPF250 being preferable for fine-mapping studies. Moreover, our results suggest that there is no advantage to using the indicus-specific arrays for indicus breeds, regardless of the objective. Finally, we show that using a reference panel that better represents global bovine diversity improves imputation accuracy, particularly for non-European taurine populations.

In this study, the effectiveness of C. schweinfurthii biochar (CSSB) for the adsorption of aqueous crystal violet dye (CVD) was investigated. Batch mode experiments were conducted to examine the influence of different process variables on the dye adsorption capacity of the CSSB. The surface chemistry and morphology of the adsorbent were elucidated using the Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy/energy dispersion X-ray (SEM/EDX), respectively. At optimum adsorption conditions (50 mg/L adsorbate concentration, 303 K and 35 min), a maximum removal efficiency of 90.04% was achieved. The experimental equilibrium and kinetic data were best fit to the Freundlich isotherm and Elovich kinetics models, respectively. The thermodynamic evaluation showed average Gibbs free energy (ΔGo), entropy change (ΔSo) and enthalpy change, (ΔHo) values of −1647.18 KJ/mol, −58.69 KJ/mol K and −173.10 KJ/mol, respectively. These thermodynamic data demonstrated that CVD adsorption onto CSSB was favourable, spontaneous, and exothermic. Any doubts about the adsorbent's economic viability were allayed by its projected cost of 0.0003 USSD/g per gram of adsorbate. Thus, according to the experimental results, the CSSB is considered an economical, effective, and environmentally friendly adsorbent for aqueous CVD adsorption.

This paper reports the adsorption of methyl blue dye onto a quaternized starch derivative (S-Quat) from an aqueous solution. The starch derivatization was achieved via the reaction between (3-chloro-2-hydroxypropyl) tri-methyl ammonium chloride (Quat-188) and maize starch in the presence of aqueous sodium hydroxide. Various instrumental characterization techniques were deployed to confirm the presence of important functional groups, crystalline structure and surface texture/morphology, which played key roles during the dye uptake. The Brunauer–Emmett–Teller (BET) surface area and pore size of the S-Quat were recorded as 41.328 ​m2. g−1 and 1.763 ​nm, respectively. The effect of solution pH, contact time and adsorbent concentration on the adsorption capacity of the S-Quat were examined via batch mode. Maximum adsorption of ∼260 ​mg/g was achieved at pH 2.0 ​and 75 ​min contact time. Furthermore, the kinetic data modelling showed that the Fractional power, Brouser–Weron–Sotolongo (BWS), and Fractal-like PFO (FPFO) models, respectively, were the top three models of best fit. Thus, the quaternized starch derivative (S-Quat) showed good dye adsorption potentials.

Introduction To determine the effectiveness of music in allaying preoperative anxiety in patients scheduled for and undergoing surgery for age-related cataract.Methods This is a randomised interventional study of individuals aged 50 years and above who were scheduled for and undergoing cataract surgery under regional anaesthesia, with music (test group) randomly matched with similar individuals undergoing the same procedure but without music (control group). The surgeries were performed at the Ophthalmology Theatre of the University of Nigeria Teaching Hospital (UNTH), Ituku Ozalla, Enugu, Nigeria. Using a systematic random sampling method, a total of 98 patients were selected into two groups. Both groups completed the State-Trait Anxiety Inventory (STAI) Questionnaire at baseline, immediately on entrance into the preoperative room and 5 min after intervention. The first group listened to music while the second group did not listen to music. Results were analysed using the SPSS V.20 and analysis of variance was used to compare means of variables measured at baseline, preoperative before intervention and preoperative after intervention. Categorical variables were compared using the χ2 test. Student’s t-test was used to analyse the continuous variables.Results There was an increase in the anxiety scores in the two groups on entrance into the preoperative room, however, 5 min into intervention, there was a significant decrease in the anxiety scores in the music group and a progressive increase in the anxiety scores in the group without music.Conclusion Music has a positive effect on preoperative anxiety evidenced by the indirect effect of music on the STAI anxiety scores.

Abstract High-grade adsorbent (Fe–CS) was successfully synthesized from waste crab shells (CS) for the adsorptive removal of ammonia–nitrogen (A–N) from abattoir wastewater. Fe–CS was analyzed using Fourier transform infrared spectroscopy, x-ray diffraction, Scanning electron microscopy, and Thermogravimetric analysis. The characterization results indicated that Fe–CS possessed important qualities required for surface-driven chelation. The analysis of variance result showed that Fe–CS dosage (with f–value of 284.5) was the most effective process parameter of influence during A-N adsorption. The regression coefficients obtained from the process modeling illustrated the applicability of RSM (R 2 = 0.9799), ANN (R 2 = 0.9025), and ANFIS (R 2 = 0.9998) in predicting the A–N adsorptive removal, while the comparative statistical analysis established the superiority of ANFIS model over ANN and RSMs’ data prediction accuracy. The optimization result further demonstrated that ANFIS–GA predicted an optimum removal efficiency of 92.60% at pH of 6.5, a dosage of 2.2 g, A–N conc. of 18.8 mg/L, Temp. of 317 K, and adsorption time of 156 min. The mechanistic plot obtained from Weber–Morris model depicted that three regions were involved in the adsorption process. Boyd model parameters revealed that intraparticle diffusion controlled the process at low A–N concentration (A–N concentration ≤ 15 mg/L), while film diffusion dominated the adsorption process at concentrations higher than 15 mg/L. The average Gibbs free energy value ( $$- \Delta G^{0}$$ - Δ G 0 = 3.08212 kJ/mol), enthalpy ( $$\Delta H^{0}$$ Δ H 0 = 4.1150 kJ/mol), activation energy ( $$E_{A}$$ E A = 3.7454 kJ/mol) and entropy ( $$\Delta S^{0}$$ Δ S 0 = 22.9710 J/mol K) obtained from thermodynamic studies confirmed the spontaneous, endothermic, favorable and physical nature of the process.

The essentiality of wireless sensor networks (WSNs) in military and health applications cannot be overemphasized, and this has made these tiny sensors soft targets for malware attacks. However, with the ubiquity of single-group infection models, few researchers have studied the effects of many concurrent infection types on WSNs. Therefore, we proposed the differential Susceptible–Exposed (virus)–Exposed (worm)–Infectious (virus)–Infectious (worm)–Recovered–Susceptible with Vaccination (SE1E2I1I2RV) epidemic model in order to study the dynamics of malicious-code dissemination in WSNs. Using the multi-group model, which represents multiple infections due to worms and viruses, first, delay analyses were performed and, through the Routh-Hurwitz criteria, sufficient conditions for stability were established. Secondly, the SE1E2I1I2RV model was extended to incorporate external noise, thereby changing the deterministic nature of the original model and allowing stochastic analyses for random factors such as temperature, physical obstructions, etc. The role that delay plays in the model is shown when it surpasses the critical value, thus the system loses stability and allows the occurrence of a Hopf bifurcation. Finally, numerical simulations were performed using Matlab in order to account for theoretical analyses.

BackgroundTo our knowledge, there is no prior randomized trial on the efficacy of Mojeaga remedy (a special blend of Alchornea cordifolia, Pennisetum glaucum and Sorghum bicolor extracts) when co-administered with standard-of-care for correction of anemia in obstetrics practice. This study determined the efficacy, safety and tolerability of Mojeaga as adjunct to conventional oral iron therapy for correction of anemia in obstetric population.MethodsA pilot open-label randomized clinical trial. Participants with confirmed diagnosis of anemia in three tertiary hospitals in Nigeria were studied. Eligible participants were randomized 1:1 to either Mojeaga syrups 50 mls (200mg/50mls) administered three times daily in conjunction with conventional iron therapy (Mojeaga group) for 2 weeks or conventional iron therapy alone without Mojeaga (standard-of-care group) for 2 weeks. Repeat hematocrit level were done 2 weeks post-initial therapy. Primary outcome measures were changes in hematocrit level and median hematocrit level at two weeks post therapy. Maternal adverse events and neonatal outcomes (birth anomalies, low birthweight, preterm rupture of membranes and preterm labor) were considered the safety outcome measures. Analysis was by intention-to-treat.ResultsNinety five participants were enrolled and randomly assigned to the Mojeaga group (n = 48) or standard-of-care group (n = 47). The baseline socio-demographic and clinical characteristics of the study participants were similar. At two weeks follow-up the median rise in hematocrit values from baseline (10.00±7.00% vs 6.00±4.00%;p0.05).ConclusionMojeaga represents a new adjuvants for standard-of-care option for patients with anemia. Mojeaga remedy is safe for treating anemia during pregnancy and puerperium without increasing the incidence of congenital anomalies, or adverse neonatal outcomes.Clinical trial registrationwww.pactr.samrc.ac.za: PACTR201901852059636 (https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=5822).

Abstract In 2017, a review of microalgae protein‐derived bioactive peptides relevant in cardiovascular disease (CVD) management was published. Given the rapid evolution of the field, an update is needed to illumininate recent developments and proffer future suggestions. In this review, the scientific literature (2018–2022) is mined for that purpose and the relevant properties of the identified peptides related to CVD are discussed. The challenges and prospects for microalgae peptides are similarly discussed. Since 2018, several publications have independently confirmed the potential to produce microalgae protein‐derived nutraceutical peptides. Peptides that reduce hypertension (by inhibiting angiotensin converting enzyme and endothelial nitric oxide synthase), modulate dyslipidemia and have antioxidant and anti‐inflammatory properties have been reported, and characterized. Taken together, future research and development investments in nutraceutical peptides from microalgae proteins need to focus on the challenges of large‐scale biomass production, improvement in techniques for protein extraction, peptide release and processing, and the need for clinical trials to validate the claimed health benefits as well as formulation of various consumer products with the novel bioactive ingredients.

SARS-CoV-2-mediated interactions with drug metabolizing enzymes and membrane transporters (DMETs) in different tissues, especially lung, the main affected organ may limit the clinical efficacy and safety profile of promising COVID-19 drugs. Herein, we investigated whether SARS-CoV-2 infection could dysregulate the expression of 25 clinically relevant DMETs in Vero E6 cells and postmortem lung tissues from COVID-19 patients. Also, we assessed the role of 2 inflammatory and 4 regulatory proteins in modulating the dysregulation of DMETs in human lung tissues. We showed for the first time that SARS-CoV-2 infection dysregulates CYP3A4 and UGT1A1 at the mRNA level, as well as P-gp and MRP1 at the protein level, in Vero E6 cells and postmortem human lung tissues, respectively. We observed that at the cellular level, DMETs could potentially be dysregulated by SARS-CoV-2-associated inflammatory response and lung injury. We uncovered the pulmonary cellular localization of CYP1A2, CYP2C8, CYP2C9, and CYP2D6, as well as ENT1 and ENT2 in human lung tissues, and observed that the presence of inflammatory cells is the major driving force for the discrepancy in the localization of DMETs between COVID-19 and control human lung tissues. Because alveolar epithelial cells and lymphocytes are both sites of SARS-CoV-2 infection and localization of DMETs, we recommend further investigation of the pulmonary pharmacokinetic profile of current COVID-19 drug dosing regimen to improve clinical outcomes.

Landfills and dumpsites are the final point of solid waste deposition and management in developing countries due to lack of recycling methods. Herein, we have investigated the occurrence, polymer composition and characterization of plastic pollution at the Lemna solid waste dumpsite, Calabar Nigeria. A total of 21 plastics were sampled and categorized into 10 representative plastic types for effective identification and characterization. The plastic categories were PET bottles, LDPE, PP, HDPE, PS tray, PVC fiber and PVC others. PET bottles were the most abundant (28.5%), followed by PP > LDPE > HDPE, while PS trays, PVC fiber and PVC others were the least prevalent plastics at the dumpsite. FT-IR analysis showed that only 5 different plastics polymers (PP, PET, PE, PVC, and PS) were identified and characterized, out of the 10 plastics categories collected. However, PP and PET were the most abundant plastic polymers at the dumpsite consisting of 33.3- and 28.6%, respectively, and reflecting their widespread application in domestic and household packaging products. PS was the least abundant plastic (4.8%) polymer. We used the density gradient separation techniques and recovered only three (3) plastic polymer types from soil at the dumpsite, namely - PET, PS, and PP with sizes >5mm in diameter and indicating macroplastics. Given that plastics are vectors of contaminants of legacy and emerging concern, their continuous deposition at dumpsites represent a significant environmental, human and wildlife health issue of concern.

The pollutant binding capacity of amino functional groups has been widely documented. In this study, abundant amino groups were added onto acrylic fibre via functionalization with 1,2-diaminoethane to yield acrylic fibre-based hydrogel (Ac-EDA). The Ac-EDA was further applied for the adsorptive uptake of lead ions. The successful attachment of amino groups on the fibre was verified from the fourier transform infrared spectroscopy and scanning electron microscopy-energy dispersive x-ray, SEM-EDX results. The study on the effect of process variables highlighted a pH non-responsive sorption, due to the non-electrostatic interaction between the basic nitrogen atom of the amino groups and the lead ion. The Langmuir maximum adsorption capacity of 371.26 mg/g was recorded at optimum process conditions. The adsorption modelling emphasized the predominance of internal diffusion as the rate-limiting step. This study showed the effectiveness of the Ac-EDA for the uptake of aqueous lead ions.

Background: Stillbirth is a devastating pregnancy outcome, with resultant emotional and psychological trauma to the affected family. Objectives: We investigated the prevalence and probable causes of stillbirths in four tertiary hospitals in south-east Nigeria. Materials and Methods: A 5-year multicenter, retrospective descriptive study of all stillbirths delivered in the hospitals from January 2013 to December 2017 was done. Using an already prepared proforma, the sociodemographic characteristics of the mothers and the probable causes of deaths were retrieved from their case files. Data were entered and analyzed using Statistical Package for Social Sciences (SPSS), version 20. A P-value less than 0.05 was considered statistically significant. Results: There were 23,101 deliveries within the study period and 1,294 stillbirths giving a stillbirth rate (SBR) of 56.1/1,000 deliveries. More than half (58.7%) of them were intrapartum. More than half of the stillbirths were preterm delivery (58.5%). The commonest probable cause of macerated stillbirth was hypertensive disorders of pregnancy (32.4%). Conclusion: The overall SBR was 56.1 per 1000 deliveries. This is higher than 42.9 per 1000 deliveries previously reported in Nigeria. There is an urgent need to improve the quality of antenatal and intrapartum care, if we hope to achieve a significant reduction of the SBR in the region.

Background: Bacterial contamination of operating theaters is a major contributory factor to the high prevalence of post-operative nosocomial infections. The detection of changing trends of microbial counts and micro-flora is key to reducing microbial contamination and good antibiotic stewardship. Objective: The objective of this study was to identify bacterial colonization of surfaces and equipment in Enugu State University Teaching Hospital’s operating theater. It also aimed at determining the sensitivity patterns of the colonized surfaces. Materials and Methods: This cross-sectional study was conducted in the Main Theater of Enugu State University Teaching Hospital (ESUTH), Parklane, Enugu, Nigeria. Samples were collected from equipment, operating room surfaces, and cleaning solutions. Results: Out of 92 samples collected from various sites, bacterial growth was observed in 47 (51.1%) specimens. Coagulase-negative Staphylococcus (CoNS) was the most common isolate (36.2%), followed by Staphylococcus aureus (34%). Among S. aureus isolates, 43.8% were methicillin-resistant S. aureus (MRSA), and the remaining were methicillin-susceptible S. aureus (MSSA). There was high Gram-negative resistance to meropenem. All the Gram-negative isolates were susceptible to imipenem. Conclusion: CoNS and S. aureus were the commonest isolates. Increased efforts are needed to reduce the rate of healthcare-associated and surgical site infections in operating theaters.

Salmonella is responsible for some foodborne disease cases worldwide. It is mainly transmitted to humans through foods of animal origin through the consumption of poultry products. The increased international trade and the ease of transboundary movement could propel outbreaks of local origin to translate into severe global threats. The present study aimed to characterize Salmonella serovars isolated from poultry farms in Edo and Delta States, Nigeria. A total of 150 samples (faecal, water and feed) were collected from ten poultry farms between January and August 2020 and analyzed for Salmonella characterization using standard bacteriological and molecular methods. Salmonella serovars identified include: Salmonella Enteritidis [n = 17 (39.5%)], Salmonella Typhimurium [n = 13 (30.2%)] and other Salmonella serovars [n = 13 (30.2%)]. All Salmonella serovars were cefotaxime and ampicillin resistant. The presence of the invA gene ranged from 9(69.2%) to 15(88.2%). The spvC gene ranged from 2(14.4%) to 10(58.8%). All Salmonella serovars had sdiA gene. The Salmonella isolates produced some extracellular virulence factors (such as protease, lipase, β-hemolytic activity, and gelatinase), while 13(30.2%) of the overall isolates formed strong biofilms. In conclusion, the detection of multiple antibiotic-resistant Salmonella serovars in faecal sources, which also exhibited virulence determinants, constituted a public health risk as these faecal samples have the potential as manure in the growing of crops. These pathogens can be transmitted to humans nearby and through poultry products, resulting in difficult-to-treat infections and economic loss.

Abstract Background Ocular trauma is a leading cause of monocular blindness worldwide and in developing countries, are not only more common but also more severe. Industrialization and urbanization may alter or modify prevalent aetiological factors and the presentation of ocular trauma. Objective To determine the current pattern of eye injuries in Teaching Hospitals in Enugu State. Methods This prospective cross-sectional descriptive study was carried out at the eye clinics and emergency units of two tertiary institutions in Enugu, Nigeria. Consecutive ocular trauma patients were enrolled over a 5-month period. On presentation, they underwent ocular examination including visual acuity (which was categorized according to the WHO classification of visual impairment and blindness}, anterior and posterior segment examinations. Injuries were grouped using the Birmingham Eye Trauma Terminology system. Results Within the study period, 2545 new patients presented to the hospitals where the study was conducted. A total of 89 patients presented with ocular trauma, giving an incidence of 3.5%. The male to female ratio was 1.3:1 and patients aged 10 to 19 years formed the majority (24%). Domestic accidents (22%) were the most common cause of ocular injuries while blunt objects (57%) were the most common agents. Closed globe injuries constituted 76% of all injuries. Forty-three per cent of patients presented within 24 h of injury. Conclusion Ocular trauma is still prevalent in South-eastern Nigeria and there has indeed been a change in the pattern as well as the incidence. Assault and road traffic accidents have emerged as important causes of eye injuries. In addition, there has been an improvement in the health-seeking behaviour of people living in Enugu and this may reflect positively on the uptake of recommended preventive strategies.

In this study, Date Seed Granulated Powder (DSGP) was used as a reinforcement material for Glass Fibre Reinforced Epoxy resin (GFRE) composite. Specifically, the DSGP was prepared and added to Glass fibre reinforced Epoxy composite using the hand lay-up method. The DSGP reinforced GFRE was produced in different weight ratios of 0 %, 10 %, 20 %, 30 %, 40 % and 50 % wt. The mechanical properties of the developed specimens of the DSGP reinforced GFRE composite were investigated using the universal INSTRON tensile machine, flexural testing equipment, Izod impact testing machine (ASTM D256 standard) and Rockwell Hardness testing machine for hardness test. Results of the tests showed maximum values of tensile strength, flexural strength and Hardness Number as 271 MPa, 241 MPa and 97 HRB for the 50, 40, 30, 20 and 10 % wt. GDS samples respectively. Energy absorption capacity (U in Joules) of the samples were also determined. From the results obtained, the best variation of the reinforcement of Glass Fibre Reinforced Epoxy with Date seed granules is the GFR-40 % wt. GDS composition. This study therefore proves that Glass fibre –Date seed reinforced composites are good alternatives to Glass fibre composites, since they gave higher mechanical properties at lower cost.

This work explores the use of chito-protein synthesized from fish scale as a bio-coagulant in Abattoir wastewater (AW) treatment. The effect of settling time, pH, adsorbent dosage, and temperature of coagulation on Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), turbidity, and Color from the AW sample were studied. The kinetic study was carried out using four process equilibrium models which are Langmuir, Freundlich, Frumkin, and Tempkin to investigate the mechanism of the reaction. SEM and FTIR spectral analyses were used to evaluate the surface morphology and chemical composition of the bio-coagulant. A low pH, 3 g of dosage in 250 mL vessel, settling period of 30 to 35 min, and temperatures of 323 K for all parameters resulted in the most efficient pollutant elimination. Turbidity, however, had an optimal temperature of 313 K. The result of the study shows that Langmuir model provided the best fit from the equilibrium models compared to Freundlich, Frumkin, and Temkin's models. The experimental data suited the Elovich, Pseudo-first, and Second order kinetic models’ analysis and the high values of the regression coefficient of 0.90 supported the idea of perikinetic as the governing mechanism of coag-flocculation in the study. It can be inferred from this study that fish scale as a bio-coagulant provides a significant resource for abattoir wastewater treatment.