Prevalence and consumption pattern of kolanut among pregnant women in Ibadan metropolis.

Kolanut contains caffeine and it is widely consumed in various social contexts in Nigeria and other Sub-Saharan African countries. While some studies have suggested that kolanut is consumed by pregnant women, there is a dearth of information on the prevalence, consumption pattern and reasons for kolanut consumption among this group. This study investigated kolanut use among pregnant women in Ibadan, Oyo State, Nigeria. A cross-sectional study involving 478 consenting pregnant women in all trimesters of pregnancy was conducted. Semi-structured questionnaires were used to collect data. Associations between kolanut use and respondent characteristics were investigated using the chi-square test and logistic regression analysis. The mean age of the women was 28.7 ± 6.3 years. One hundred and sixty-two (33.9%) of women reported kolanut use during pregnancy, 140 (29.3%) in the current pregnancy. Fifty-five (39.3%) pregnant women reported frequent use and 46 (32.9%) used it in high quantities. Significant associations were found between current kolanut use and Hausa respondents (p = 0.014), educational level; secondary (p = 0.032), tertiary (p = 0.006), TBA (p = 0.005). The majority (93.7%) used kolanut to prevent spitting, nausea, and vomiting. This study showed that kolanut use is quite common among pregnant women and frequently used in large quantities.

Anatomical variations and morphometric properties of the circulus arteriosus cerebri in a cadaveric Malawian population.

BACKGROUND: Knowledge of the anatomy of the circulus arteriosus cerebri (CAC) is important in understanding its role as an arterial anastomotic structure involved in collateral perfusion and equalisation of pressure, and may explain observed variations in neurovascular disease prevalences across populations. This study was aimed at understanding the anatomical configuration and morphometric properties of the CAC in Malawian population. MATERIALS AND METHODS: Brains were collected from 24 recently-deceased black Malawian human cadavers during medico-legal autopsies. Photographs of the CACs were taken using a camera placed at a 30 cm height from the base of the brain. Whole-circle properties and segmental vessel parameters were analysed using the OSIRIS computer programme, paying attention to completeness, typicality, symmetry, and segmental vessel diameters and lengths. RESULTS: The complete-circle configuration was found in 69.57% of the CACs. Of these, 37.5% were typical, representing an overall typicality prevalence of 26.09%. Vessel asymmetry was observed in 30.43% of cases. There were 7 cases of vessel aplasia and 12 cases of vessel hypoplasia. The posterior communicating artery (PcoA) was the most variable (with 12 variations), widest (7.67 mm) and longest (27.7 mm) vessel while the anterior communicating artery (AcoA) was the shortest (0.78 mm). Both the AcoA and the PcoA were the narrowest vessels (0.67 mm) in this study. CAC variations in Malawian populations appeared to be similar to those observed in diverse populations. CONCLUSIONS: Anatomical variations of the CAC exist in Malawian population and should be taken into consideration in clinical practice.

Ultrastructural Studies of Acrosomal Formation in the Testis of Male Greater Cane Rat (Thryonomys swinderianus).

PURPOSE: In furthering the understanding of the process of spermatogenesis in the greater cane rat, this study describes the ultrastructural spermiogenic transformation and acrosomal formation in the testes of this hystricomorphic rodent that is currently undergoing domestication in parts of West Africa. MATERIALS AND METHODS: Testicular samples were obtained from ten sexually mature cane rats that were perfused-fixed using Karnovsky's fixative (phosphate buffered 2% paraformaldehyde - 2.5% glutaraldehyde fixative at pH 7.4). The samples were processed for ultrastructural analysis and examined under the transmission electron microscope. RESULTS: The testes of the cane rat showed uniqueness in its cellular associations and the ultrastructure of the spermatogenic cells especially in the formation of the acrosome. The spermatid differentiation and acrosomal formation occurred in 12 steps with the first three steps being the Golgi phase and the next three steps making up the cap phase. While the three steps that follow constitute the acrosomal phase, the last 3 steps make up the maturation phase. At the cap and acrosomal phases, the entire acrosomal system comprising the vesicle and granule covers the head of the spermatids with no clear indentation of the nuclear surface by the formed acrosome. Furthermore, elongated spermatids at the maturation phase contained abundance of nuclear vacuoles. CONCLUSION: This work has not only provided information that will further the understanding of spermatogenesis but also aid the understanding of acrosomal reaction in the reproduction of the greater cane rat.

Oligodendrocyte morphology in the developing brain of the African giant rat (Cricetomys gambianus, Waterhouse): Histology, immunohistochemistry and electron microscopy.

Oligodendrocyte and myelin-related studies have been pivotal in understanding disruption of central nervous system (CNS) myelin through injury, toxicological, pathological degeneration or genetic intervention. The African giant rat (AGR) has been postulated as an indigenous wild-type model within the African context. This work thus describes oligodendrocyte morphologies and myelin components of the developing African giant rat brain using histological, immunohistochemical and ultrastructural techniques. Five types, precursor-progenitor oligodendrocytes, pre-oligodendrocytes, immature oligodendrocytes, mature non-myelinating oligodendrocytes and mature myelinating oligodendrocytes, were identified. The first four types were observed in neonates while juvenile and adult AGR had predominantly mature myelinating oligodendrocytes with evidence of myelin sheath deposition. All cell types identified showed positive CNPase-positive immunosignalling across all age groups. This suggests CNPase as a suitable, sensitive and reliable biomarker for studying CNS neurodegenerative/demyelinating disorders in the AGR. This baseline study has given detailed insight into the morphology of oligodendrocytes and myelin in the AGR. It may be useful for anatomical studies and detection of alterations in neurocellular profile of oligodendrocytes and myelin in the AGR in real-life or in experimental models.

Immunolocalization And Distribution Pattern of Estrogen (ERα and ERß) and Progesterone (PR) Receptors along the Excurrent Duct of Male Greater Cane Rat (Thryonomys swinderianus).

The excurrent duct, which plays vital roles in the reproductive biology of all male mammals, shows some structural variations among different species. Some hormones such as testosterone, estrogen and progesterone, through their different receptors, have been known to be involved in the normal functioning of the excurrent duct. Here we evaluated the presence, localization and patterns of distribution of three hormone receptors, estrogen alpha (ERα), estrogen beta (ERß) receptors and progesterone receptors (PR) along the excurrent duct of sexually matured male greater cane rats. Immunohistochemistry revealed presence of ERα in epididymal stroma but not epithelium, selective ERß staining in narrow & apical cells as well as unique presence of PR in caudal epididymis, which to the best of our knowledge, is the first report on the cellular localization of progesterone receptor in the cauda epididymis. The result suggests the possible involvement of not only estrogen but also progesterone in the modulation of epididymal function in greater cane rat.

The coagulating gland in the male greater cane rat (Thryonomys swinderianus): morphological and immunohistochemical features.

This study reveals the structure, ultrastructure and immunoexpression of oestrogen alpha and beta receptors (ERα and ERß) in the coagulating glands of the greater cane rat. Gland samples from 15 adult male cane rats were processed for histological and ultrastructural studies while immunohistochemistry was also carried out. Coagulating gland in the cane rat is a paired, triangularly shaped, transparent gland weighing about 1 ± 0.48 g. Histologically, each secretory acinus is composed of folded mucosa surrounded by fibromuscular stroma. The simple columnar epithelium consists of principal cells at different stages of secretion evidenced by their apical blebs of various heights and occasional basal cells. Fine structure of the principal cells revealed the presence of apical blebs that contained secretory granules of varying electron-density, secretory vesicles and vacuoles on both their luminal surfaces and the lumen. While supranuclear cytoplasm contained Golgi apparatus with different cisternal arrangements, the infranuclear part is covered with dilated rough endoplasmic reticulum cisternae. Nuclei, apical bleb and stroma of secretory epithelium all showed positive immunostaining for ERα and ERß. These findings revealed the prominence of apocrine secretion with no structural evidence of merocrine secretion and the uncommon ERα and ERß distribution pattern in the coagulating gland of the cane rat.

Gross, histological and ultrastructural features of the bulbourethral gland in the greater cane rat (Thryonomys swinderianus).

The present study examines the structure and ultrastructure of the bulbourethral glands in 10 sexually matured male greater cane rats raised in captivity. Following anaesthesia, the rats were perfusion-fixed transcardially and the bulbourethral glands dissected out. Upon morphologic and morphometric analysis, the Cowper's glands were observed to have an average volume of 0.24±0.08 ml, a diameter of 6.3±0.6 mm and weighs 0.199±0.06 g. The paired, gourd-shaped tubuloalveolar glands were surrounded by dense connective tissues and separated into lobules by capsular septae. Each lobule consists of endpiece/secretory units and excretory ducts lined by simple glandular epithelium and pseudo-stratified epithelium, respectively. The round end pieces consisted of 8-10 pyramidal to columnar epithelial cells with flattened, basally located nuclei and granule-filled cytoplasm that bounded a narrow glandular lumen. The striking ultrastructural features of these secretory cells were the presence of some granules with uniform electron density and those with regions of lesser density as well as the absence of secretory vacuoles. Another unique characteristic of these secretory granules is the presence of electron dense strands radiating from their surfaces. The apical surfaces of the cells were also studded with abundant microvilli. From the findings, the structure of bulbourethral glands in the greater cane rat shows more resemblances to that of humans than to its rodent phylogeny. These findings serve as additional knowledge in the structural interpretation of the bulbourethral gland and its secretory products.

Anatomical and immunohistochemical characteristics of the prostate gland in the greater cane rat (Thryonomys swinderianus).

This study examined the morphology and immunohistochemical features of the prostate gland in 15 captive-reared male greater cane rat of known reproductive and medical history. Samples of the glands were taken after gross examination and routinely prepared for both histological and ultrastructural analysis. Immunohistochemistry was also carried out on paraffin-embedded sections of the glands using rabbit polyclonal antibodies against oestrogen receptors (ERα and ERß) and mouse monoclonal antibody for the progesterone receptor (PR). The prostate, which constitutes 0.04% of the body weight, was a paired, lobulated, brownish gland having three left and four right lobes that partly cover the pelvic urethra. Based on the amount and arrangement of the secretory epithelial folding and relative to their distances to the urethra, two histological zones, the central and peripheral, were identified. However, the epithelium of both zones was lined by predominantly simple cuboidal cells with occasional basal cells. The main ultrastructural features of these cuboidal cells were the presence of several nuclear pores on the nucleus, moderately well-developed, short microvilli and bleb-like apical projections, as well as inter-cellular lacunae seen between these cells and the basal cells. The cuboidal epithelial cells also showed positive nuclear staining for ERα and ERß but not for PR. It is however interesting that the ERα-positive staining was more at the epithelial cells, which is uncommon. These findings highlight the peculiarities in the structure and ultrastructure as well as the unique expression of the oestrogen receptors in the prostate gland of the greater cane rat.

Microbats appear to have adult hippocampal neurogenesis, but post-capture stress causes a rapid decline in the number of neurons expressing doublecortin.

A previous study investigating potential adult hippocampal neurogenesis in microchiropteran bats failed to reveal a strong presence of this neural trait. As microchiropterans have a high field metabolic rate and a small body mass, it is possible that capture/handling stress may lead to a decrease in the detectable presence of adult hippocampal neurogenesis. Here we looked for evidence of adult hippocampal neurogenesis using immunohistochemical techniques for the endogenous marker doublecortin (DCX) in 10 species of microchiropterans euthanized and perfusion fixed at specific time points following capture. Our results reveal that when euthanized and perfused within 15 min of capture, abundant putative adult hippocampal neurogenesis could be detected using DCX immunohistochemistry. Between 15 and 30 min post-capture, the detectable levels of DCX dropped dramatically and after 30 min post-capture, immunohistochemistry for DCX could not reveal any significant evidence of putative adult hippocampal neurogenesis. Thus, as with all other mammals studied to date apart from cetaceans, bats, including both microchiropterans and megachiropterans, appear to exhibit substantial levels of adult hippocampal neurogenesis. The present study underscores the concept that, as with laboratory experiments, studies conducted on wild-caught animals need to be cognizant of the fact that acute stress (capture/handling) may induce major changes in the appearance of specific neural traits.

The olfactory bulb structure of African giant rat (Cricetomys gambianus, Waterhouse 1840) I: cytoarchitecture.

The olfactory system typically consists of two parallel systems: the main olfactory system and the accessory olfactory system. The main olfactory bulb (MOB) acts as the initial processing site for volatile chemical stimuli and receives input from the olfactory receptor cells located in the olfactory epithelium. The African giant rat is reputed to have abilities to detect landmines and tuberculosis samples by sniffing. This study therefore is a preliminary study on the histological and immunohistochemical anatomy of the olfactory bulb of the African giant rat (Cricetomys gambianus, Waterhouse). Nissl and Klüver-Barrera histological staining of the olfactory bulb revealed a cytoarchitecture typical of most mammals with 6 cell layers, and 1-2-layered glomeruli measuring approximately 150 µm each in diameter. Immunohistochemical staining with glial fibrillary acidic protein (GFAP) and 2',3'-cyclic nucleotide 3-phosphodiesterase (CNPase) revealed cellular conformations relative to most mammals. GFAP immunohistochemistry also revealed cell bodies and processes within the periglomerular area which may potentiate signaling from the olfactory receptor cells, while CNPase largely showed soma and evidence of myelin sheath deposition, confirming myelination at different layers of the bulb. Neurogenesis was examined using the neurogenic markers doublecortin (DCX) and Ki-67. Migration of newly generated cells was observed in all layers of the MOB with DCX and in most layers with Ki-67. The anatomy of the olfactory bulb is described as relatively large in the African giant rat, having a neuroarchitecture similar to most rodents.

Adult neurogenesis in eight Megachiropteran species.

The present study evaluated, using immunohistochemical methods, the presence and characteristics of proliferating and newly generated neurons in the brain of eight wild-caught adult Megachiropteran species. For the neurogenic patterns observed, direct homologies are evident in other mammalian species; however, there were several distinctions in the presence or absence of proliferating and immature neurons, and migratory streams that provide important clues regarding the use of the brain in the analysis of Chiropteran phylogenetic affinities. In all eight species studied, numerous Ki-67- and doublecortin (DCX)-immunopositive cells were identified in the subventricular zone (SVZ). These cells migrated to the olfactory bulb through a Primate-like rostral migratory stream (RMS) that is composed of dorsal and ventral substreams which merge before entering the olfactory bulb. Some cells were observed emerging from the RMS coursing caudally and dorsally to the rostral neocortex. In the dentate gyrus of all species, Ki-67- and DCX-expressing cells were observed in the granular cell layer and hilus. Similar to Primates, proliferating cells and immature neurons were identified in the SVZ of the temporal horn of Megachiropterans. These cells migrated to the rostral and caudal piriform cortex through a Primate-like temporal migratory stream. Sparsely distributed Ki-67-immunopositive, but DCX-immunonegative, cells were identified in the tectum, brainstem and cerebellum. The observations from this study add to a number of neural characteristics that phylogenetically align Megachiropterans to Primates.

Adult neurogenesis in a giant otter shrew (Potamogale velox).

Adult neurogenesis in mammals is typically observed in the subgranular zone of the hippocampal dentate gyrus and the subventricular zone. We investigated adult neurogenesis in the brain of a giant otter shrew (Potamogale velox), a semi-aquatic, central African rainforest mammal of the family Tenrecidae that belongs to the superorder Afrotheria. We examined neurogenesis immunohistochemically, using the endogenous marker doublecortin (DCX), which stains neuronal precursor cells and immature neurons. Our results revealed densely packed DCX-positive cells in the entire extent of the subventricular zone from where cells migrated along the rostral migratory stream to the olfactory bulb. In the olfactory bulb, DCX-expressing cells were primarily present in the granular cell layer with radially orientated dendrites and in the glomerular layer representing periglomerular cells. In the hippocampus, DCX-positive cells were identified in the subgranular and granular layers of the dentate gyrus and strongly labelled DCX-positive processes, presumably dendrites and axons of the newly generated granular cells, were observed in the CA3 regions. In addition, DCX immunoreactive cells were present in the olfactory tubercle, the piriform cortex and the endopiriform nucleus. While DCX-positive fibres have been previously observed in the anterior commissure of the hedgehog and mole, we were able to demonstrate the presence of DCX-positive cells presumably migrating across the anterior commissure. Taken together, the giant otter shrew reveals patterns of neurogenesis similar to that seen in other mammals; however, the appearance of possible neuronal precursor cells in the anterior commissure is a novel observation.

The frequency and anatomical features of torus mandibularis in a Black South African population.

Torus mandibularis is a rounded bony protuberance on the lingual surface of the mandible and usually found above the myolohyoid line, medial to the molar roots. This report describes the frequency and morphology of torus and also proffers the likely cause among black South Africans. A total of 284 modern skeletal specimens were obtained from the Raymond Dart Collection of Human Skeletons at the School of Anatomical Sciences, University of the Witwatersrand. The mandibles were classified into dentate and edentulous, while those with torus, especially in dentate mandibles, were reviewed for side location, type and shape. No measurements were made, consistent with the view that these characteristics are non-metrical and should be assessed by means of a standard observatory procedure. Out of 246 dentate mandibles, 60 (24.4%) were found to have torus and only 1 (4.3%) out of the 23 male edentulous mandibles; the difference is statistically significant (P=2.8%). The torus distribution among males and females was 48 (80%) and 12 (20%), respectively, and again statistically significant (P< 0.05). Prevalence of torus was highest in the 40-60 years age group. The morphology of the torus showed that 37 (61.7%) were bilateral in location, 42 (70%) were of the solitary type and 31 (51.7%) were round in shape. The formation of torus follows the threshold model which holds that this is primarily a genetic trait, but with environmental factors such as mechanical stress necessary for its development.

Use and perception of the psychostimulant, khat (catha edulis) among three occupational groups in south western Uganda.

OBJECTIVE: To examine the use of and perception of the psychostimulant, khat (catha edulis) in three towns in south-western Uganda. DESIGN: Cross-sectional survey. SETTINGS: Mbarara, Kabale and Fort Portal. SUBJECTS: Three categories of respondents prone to khat chewing habit were selected; One hundred and thirty students, thirty five law enforcement officials and sixteen transporters. MAIN OUTCOME MEASURES: Khat chewers existed within the sampled population. The relationship between tobacco smoking, drinking alcoholic beverages and the khat chewing habit was established. RESULTS: Out of 181 respondents, 164(90.6%) had heard of khat, 126(69.6%) had seen it and 57(31.5%) had chewed khat before. As at the time of this study, 37(20.4%) still chewed khat. Within the three categories of subjects, the use of khat was highest among law enforcement officials (97.1%), followed by transporters (68.8%) and students (9.2%). The majority of khat chewers were in the age range of 16-25 years. There was a clear correlation between khat chewing and the use of stimulants such as alcoholic beverages and tobacco smoking. Those who smoked cigarettes were twenty-eight times more likely to chew khat (OR=28.95% CI=9.6,83.7). Euphoria, suppressed sleep and increased sexual desire were the most predominant effects experienced by khat chewers. CONCLUSION: The knowledge of khat is widespread and its consumption is on the increase among students, law enforcement officials and transporters in south-western Uganda. This calls for attention considering the public health implications.

Anatomical basis for pressure on the common peroneal nerve.

An attempt was made to explain the anatomical basis for the pressure on the common peroneal nerve which may lead to loss of sensation and "foot drop". By using available cadavers during routine dissections, it was observed that the attachments of the peroneus longus muscle on the head of the fibula are, in most cases, tendinous, and blended with the crural fascia and lateral (fibular) ligament, thereby, forming an inelastic band arching over the common peroneal nerve. In some other cases, the reflected fibres of the biceps femoris tendon, anterior tibiofibular ligament and iliotibial tract constituted a fibrous bridge over the nerve. The least occurrence was that of the nerve piercing the thick and inelastic anterior crural septum.

Hypertrophic cardiomyopathy: case report.

A case report of a 19 year old young adult male who died suddenly without any apparent clinical cause is presented. Autopsy examination revealed hypertrophied interventricular septum and left ventricle suggestive of a hypertrophic cardiomyopathy (HCM). About 50% of hypertrophic cardiomyopathies are inherited as autosomal dominant disorder, sometimes associated with neuroectodermal syndromes, such as neurofibromatosis and pheochromocytoma. HCM is one of the common causes of severe arrhythmias and sudden death.

Distribution of median nerve to muscles of the anterior compartment of the arm.

Distribution of the median nerve in the arm is not normally subjected to variation. This report represents a case of complete absence of the musculocutaneous nerve from the lateral cord of the brachial plexus. The innervation of the muscles of the anterior (flexor) compartment of the arm was by direct branches from the median nerve. This variation was present in both the right and left limbs.