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1.
Environ Monit Assess ; 192(3): 164, 2020 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-32025899

RESUMEN

Vegetable gardening in floodplains in western Nigeria has assumed economic significance but with attendant pressure on urban field in the dry season. This study assessed soil properties and bioconcentration of cadmium (Cd), iron (Fe) and lead (Pb), in edible parts of Celosia argentea and Corchorus olitorius grown in floodplains. Soil and vegetable samples were collected at 20 m intervals from rural (Atoyo and Ewuga) and urban (GRA Rd. and Lafarge) floodplain gardens in Sagamu. Six samples were collected per location making a total of 24 samples each of soil and vegetable. Samples were analyzed for soil properties and heavy metal concentration in the vegetables. Transfer factor (TF), contamination factor (CF), daily intake of metals (DIM), health risk index (HRI) and geoaccumulation index (Igeo) were also determined. Soil properties varied significantly, with the highest soil concentration of Cd (0.91 mg kg-1) and Fe (208.20 mg kg-1) recorded at Lafarge. The highest soil Pb (223.77 mg kg-1) was at Atoyo. Bioaccumulation of Fe was significantly (p ≤ 0.05) higher in C. argentea than C. olitorius. Heavy metal bioaccumulation beyond allowable limits was recorded for Cd (0.46 mg kg-1) and Pb (49.30 mg kg-1) by C. argentea and C. olitorius, respectively. Soil contamination was dominated by Cd at Lafarge and by Pb at Atoyo. The DIM and HRI indices indicated no risk of Cd, Fe and Pb consumption in the vegetables. Geoaccumulation index revealed that Lafarge and Atoyo soils were extremely contaminated with Cd and Pb, respectively. Leafy vegetables grown in urban and rural floodplain soils adjacent to waste dumpsite are accumulators of Cd and Pb with food poisoning as the consequence.


Asunto(s)
Celosia , Corchorus , Metales Pesados , Contaminantes del Suelo , Verduras , Monitoreo del Ambiente , Humanos , Metales Pesados/análisis , Nigeria , Medición de Riesgo , Suelo , Contaminantes del Suelo/análisis , Verduras/química
2.
Neurotoxicology ; 76: 99-110, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31678059

RESUMEN

Environmental pollution due to arsenic is associated with several adverse health effects including neurotoxicity in animals and humans. Selenium is a nutritionally essential trace metalloid well documented to elicit compelling pharmacological activities in vitro and in vivo. Report on the influence of selenium on arsenic-mediated behavioral derangement is lacking in literature. Hence, to fill this knowledge gap, rats were either exposed to arsenic per se in drinking water at 60 µg AsO2Na/L or co-administered with inorganic selenium at 0.25 mg/kg or organic selenium diphenyl diselenide (DPDS) at 2.5 mg/kg body weight for 45 successive days. Neurobehavioural data from rats in a new environment using video-tracking software evinced that inorganic and organic forms of selenium significantly (p < 0.05) abrogated arsenic-induced motor and locomotor insufficiencies such as increased negative geotaxis and fecal pellets numbers as well as the diminution in grip strength, body rotation, maximum speed, absolute turn angle and total distance travelled. The augmentation in the behavioral activities in rats co-administered with arsenic and both forms of selenium was substantiated using track and occupancy plots analyses. Selenium mitigated arsenic-induced decreases in glutathione level and acetylcholinesterase activity as well as the increase in oxidative stress and reactive oxygen and nitrogen species. Moreover, selenium diminished inflammatory parameters (myeloperoxidase activity, nitric oxide, tumour necrosis factor alpha and interleukin-1 beta levels), caspase-3 activity and ameliorated histological lesions in the cerebellum, cerebrum and liver of the rats. Collectively, selenium abated arsenic-induced behavioral derangements via anti-inflammation, antioxidant and anti-apoptotic mechanisms in rats.


Asunto(s)
Arsénico/toxicidad , Conducta Animal/efectos de los fármacos , Contaminantes Ambientales/toxicidad , Fármacos Neuroprotectores/administración & dosificación , Selenio/administración & dosificación , Animales , Encéfalo/efectos de los fármacos , Encéfalo/patología , Química Encefálica/efectos de los fármacos , Encefalitis/inducido químicamente , Encefalitis/metabolismo , Hígado/efectos de los fármacos , Hígado/metabolismo , Locomoción/efectos de los fármacos , Masculino , Actividad Motora/efectos de los fármacos , Ratas Wistar
3.
Environ Pollut ; 254(Pt B): 113079, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31473390

RESUMEN

Frequent exposure to arsenic is well documented to impair reproductive function in humans and animals. Biological significance of inorganic selenium and organoselenium, diphenyl diselenide (DPDS), has been attributed to their pharmacological activities. However, their roles in arsenic-mediated reproductive toxicity is lacking in literature. The present study evaluated the protective effects elicited by selenium and DPDS in arsenic-induced reproductive deficits in rats. Animals were either exposed to arsenic alone in drinking water at 60 µg AsO2Na L-1 or co-treated with selenium at 0.25 mg kg-1 or DPDS at 2.5 mg kg-1 body weight for 45 consecutive days. Results indicated that arsenic-mediated deficits in spermatogenic indices and marker enzymes of testicular function were significantly abrogated in rats co-treated with selenium or DPDS. Additionally, selenium or DPDS co-treatment prevented arsenic-mediated elevation in oxidative stress indices and significantly suppressed arsenic-mediated inflammation evidenced by diminished myeloperoxidase activity, nitric oxide, tumor necrosis factor alpha and interleukin-1 beta levels in hypothalamus, testes and epididymis of the rats. Moreover, selenium or DPDS abrogated arsenic mediated activation of caspase-3 activity and histological lesions in the treated rats. Taken together, selenium or DPDS improved reproductive function in arsenic-exposed rats via suppression of inflammation, oxidative stress and caspase-3 activation in rats.


Asunto(s)
Arsénico/toxicidad , Caspasa 3/metabolismo , Inflamación/tratamiento farmacológico , Selenio/administración & dosificación , Testículo/efectos de los fármacos , Animales , Arsénico/metabolismo , Derivados del Benceno/administración & dosificación , Caspasa 3/genética , Humanos , Inflamación/inducido químicamente , Inflamación/genética , Inflamación/metabolismo , Masculino , Compuestos de Organoselenio/administración & dosificación , Estrés Oxidativo/efectos de los fármacos , Ratas , Ratas Wistar , Espermatogénesis/efectos de los fármacos , Espermatozoides/citología , Espermatozoides/efectos de los fármacos , Espermatozoides/metabolismo , Testículo/inmunología , Testículo/metabolismo
4.
Expert Rev Clin Pharmacol ; 11(12): 1255-1262, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30451035

RESUMEN

Introduction: Inappropriate use of medicines remains a problem, with consequences including increasing adverse drug reactions (ADRs) and prolonged hospitalizations. The Essential Medicines List and Drug and Therapeutics Committees (DTCs) are accepted initiatives to promote the rational use of medicines. However, little is known about DTC activities in Nigeria, the most populous African country. Areas covered: A cross-sectional questionnaire-based study was conducted among senior pharmacists, consultant physicians, and clinical pharmacologists in 12 leading tertiary health-care facilities across Nigeria. Expert commentary: Six (50%, 6/12) health-care facilities had existing DTCs with three (50%) having a subcommittee on antimicrobials. Seventy-five percent had infection control committees, with presence even in centers without DTCs. Chairpersons and secretaries of the DTCs were predominantly physicians (83.3%) and pharmacists (100%), respectively. Hospital formularies were available in five facilities with DTCs, while one facility without a DTC had an Essential Medicines Committee responsible for developing and updating the hospital formulary. The evaluation of ADRs was undertaken by pharmacovigilance units in nine facilities. Overall, DTCs were present in only half of the surveyed facilities and most were performing their statutory functions sub-optimally. The functioning of DTCs can be improved through government directives and mechanisms for continuous evaluation of activities.


Asunto(s)
Quimioterapia/normas , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/prevención & control , Prescripción Inadecuada/prevención & control , Comité Farmacéutico y Terapéutico/organización & administración , Estudios Transversales , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/epidemiología , Formularios de Hospitales como Asunto/normas , Hospitalización/estadística & datos numéricos , Humanos , Nigeria , Farmacéuticos/estadística & datos numéricos , Farmacovigilancia , Médicos/estadística & datos numéricos , Encuestas y Cuestionarios
5.
Ann Afr Med ; 15(1): 1-6, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26857930

RESUMEN

BACKGROUND/OBJECTIVE: Accurate medication prescribing important to avoid errors and ensure best possible outcomes. This is a report of assessment of the impact of providing feedback and educational intervention on prescribing error types and rates in routine practice. METHODS: Doctors' prescriptions from selected wards in two tertiary hospitals in central Nigeria were prospectively reviewed for a 6-month period and assessed for errors; grouped into six categories. Intervention was by providing feedback and educational outreach on the specialty/departmental level at one hospital while the other acted as the control. Chi-squared statistics was used to compare prescribing characteristics pre- and post-intervention. RESULTS: At baseline, error rate was higher at the control site. At the intervention site, statistically significant reductions were obtained for errors involving omission of route of administration (P < 0.001), under dose (P = 0.012), dose adjustment in renal impairment (P = 0.019), ambiguous orders (P < 0.001) and drug/drug interaction (P < 0.001) post intervention though there was no change in mean error rate post intervention (P = 0.984). Though House Officers and Registrars wrote most prescriptions, highest reduction in prescribing error rates post intervention was by the registrars (0.93% to 0.29%, P < 0.001). CONCLUSION: Writing prescriptions that lacked essential details was common. Intervention resulted in modest changes. Routinely providing feedback and continuing prescriber education will likely sustain error reduction.


Asunto(s)
Prescripciones de Medicamentos/estadística & datos numéricos , Educación Médica Continua/métodos , Errores de Medicación/prevención & control , Médicos , Centros de Atención Terciaria/estadística & datos numéricos , Adulto , Humanos , Errores de Medicación/estadística & datos numéricos , Persona de Mediana Edad , Nigeria , Estudios Prospectivos , Escritura
6.
Toxicol Ind Health ; 32(1): 47-58, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24021430

RESUMEN

Natural products possessing antioxidant properties play a very crucial role in ameliorating deleterious effects of reactive oxygen species. This study investigated the chemoprotective properties of methanolic extract of Vernonia amygdalina (MEVA) in an experimental model of hepatic oxidative damage induced by 2-acetylaminofluorene (2-AAF). Rats were divided into six groups. Groups 1 and 2 received saline and dimethyl sulfoxide, respectively, and served as controls. Group 3 received MEVA at a dose of 250 mg/kg, while groups 5 and 6 were pretreated for 14 days with MEVA at 250 mg/kg and 500 mg/kg doses before coadministration with 2-AAF at 100 mg/kg for another 7 days. 2-AAF was administered to group 4 for the last 7 days. Animals were killed 24 h after the last administration of 2-AAF. 2-AAF significantly (p < 0.05) induced marked hepatic damage as revealed by increased activities of serum enzymes such as alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, and γ-glutamyl transferase and bilirubin concentration. 2-AAF also elicited decrease in the activities of antioxidant enzymes such as superoxide dismutase, catalase, glutathione-S-transferase, and glutathione peroxidase, depletion of reduced glutathione, and increase in malondialdehyde levels. The activities of glucose-6-phosphatase and 5'-nucleotidase were also depleted. MEVA at 250 mg/kg and 500 mg/kg significantly (p < 0.05) ameliorated the oxidative damage, functional impairments, and histopathological changes associated with 2-AAF toxicity by reducing the activities of serum enzymes, upregulating the antioxidant defense enzymes and glutathione with decrease in malondialdehyde level. In this study, the revealed ameliorative and hepatoprotective effects of MEVA against 2-AAF-induced toxicity may be due to its antioxidant and free-radical scavenging activities, thus suggesting its usefulness as a possible chemoprophylactic agent.


Asunto(s)
2-Acetilaminofluoreno/toxicidad , Enfermedad Hepática Inducida por Sustancias y Drogas/tratamiento farmacológico , Hígado/efectos de los fármacos , Extractos Vegetales/farmacología , Vernonia/química , 5'-Nucleotidasa/metabolismo , Alanina Transaminasa/sangre , Fosfatasa Alcalina/sangre , Animales , Antioxidantes/farmacología , Aspartato Aminotransferasas/sangre , Bilirrubina/sangre , Biomarcadores/sangre , Catalasa/metabolismo , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Glutatión/metabolismo , Glutatión Peroxidasa/metabolismo , Glutatión Transferasa/metabolismo , Peroxidación de Lípido/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Malondialdehído/metabolismo , Estrés Oxidativo/efectos de los fármacos , Ratas , Especies Reactivas de Oxígeno/metabolismo , Superóxido Dismutasa/metabolismo , gamma-Glutamiltransferasa/sangre
7.
J Ethnopharmacol ; 161: 60-8, 2015 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-25435287

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: This study was designed to take an inventory of medicinal plants, recipes and methods commonly used traditionally to treat some cardiovascular and inflammatory diseases in five local government areas in Ogbomoso, Oyo State, Nigeria. MATERIAL AND METHODS: First-hand field survey through semi-structured questionnaire was employed in the 5 months study. RESULTS: A total of 101 plant species (medicinal plants (80.90%), spices (17.5%) and vegetables (1.53%)) belonging to 51 different families were mentioned for the treatment of various types of cardiovascular and inflammatory diseases. The survey revealed that 51.5% of the plants mentioned are used for the management of inflammatory diseases, 34.7% for the treatment of cardiovascular diseases and 11.9% of the plants are used for the treatment of both diseases. Euphorbiaceae (7.9%) are the most frequently used families of plants for the treatment of the various types of diseases mentioned, followed by Caesalpiaceae, (4.9%), Apocynoceae (4.9%) and Poaceae (4.9%). Fifty-nine recipes are usually prepared for the treatment of the six types of inflammatory diseases while twenty-three recipes are reportedly used for the treatment of the four types of cardiovascular diseases mentioned in this study. The recipes covered in the survey were mostly prepared from leaves (37.6%) and roots (23.8%) decoction or infusions. Medications are mostly administered orally with few numbers of the recipes showing side effect. CONCLUSION: The study has documented indigenous plants in Ogbomoso as a potential source for the development of new drugs for the treatment of cardiovascular and inflammatory diseases.


Asunto(s)
Antiinflamatorios/uso terapéutico , Enfermedades Cardiovasculares/tratamiento farmacológico , Medicinas Tradicionales Africanas , Fitoterapia , Plantas Medicinales , Adulto , Femenino , Humanos , Inflamación/tratamiento farmacológico , Masculino , Nigeria , Encuestas y Cuestionarios
8.
Ann Afr Med ; 12(4): 223-31, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24309411

RESUMEN

AIMS: The aims of this study were to identify and understand the factors underlying prescribing errors in order to determine how to prevent them. MATERIALS AND METHODS: A prospective qualitative study that involved face-to-face interviews and human factor analysis in a Tertiary Referral Hospital in Central Nigeria, from July 2011 to December 2011. Pharmacists in the study hospital prospectively reviewed prescription orders generated by doctors in selected wards (male and female medical, pediatric and the private wing wards) and identified prescribing errors. The 22 prescribers involved in the errors were interviewed, and given questionnaires to discover factors causing the errors. A model of human error theory was used to analyze the responses. RESULTS: Responses from the doctors suggest that most errors were made because of slips in attention. Lack of drug knowledge was not the single causative factor in any incident. Risk factors identified included individual, team, environment, and task factors. Junior doctors were affected by the prescribing habits of their seniors. Organizational factors identified included inadequate training/experience, absence of reference materials and absence of self-awareness of errors. Defenses against error such as other clinicians and guidelines were absent or deficient, and supervision was inadequate. CONCLUSIONS: To reduce the risk of prescribing errors, a number of strategies addressing individual, task, team, and environmental factors such as training of junior doctors, enforcing good practice in prescription writing, supervision, and reviewing the workload of junior doctors must be established.


Asunto(s)
Prescripciones de Medicamentos/normas , Errores de Medicación/estadística & datos numéricos , Médicos , Pautas de la Práctica en Medicina/normas , Competencia Clínica , Prescripciones de Medicamentos/estadística & datos numéricos , Femenino , Hospitales de Enseñanza , Humanos , Entrevistas como Asunto , Masculino , Nigeria , Estudios Prospectivos , Investigación Cualitativa , Factores de Riesgo , Encuestas y Cuestionarios , Carga de Trabajo , Adulto Joven
9.
J Ethnopharmacol ; 150(1): 71-8, 2013 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-23920250

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: Malaria infection is the second largest killer disease after HIV in Nigeria. Failure of the orthodox medications due to drug adulteration, high cost of procurement of antimalarial drugs and inconvenience experienced in the use of high dosage of the new antimalarial drug combination therapy has turned the attention of the people in the world towards the use of local herbs. MATERIALS AND METHODS: An ethnobotanical survey of medicinal plants used by the indigenous people of Ogbomoso for the treatment of malaria infection was conducted. Investigations were carried out on the names of plants, their parts (leaf, stem or root) used, method of preparing herbal antimalarial remedies, likely side effect and how it is administered were recorded through the use of a structured questionnaire. RESULTS: The results of the survey revealed that 40 plant species from 32 plant families were mostly used for treating malaria infection in Ogbomoso. Twenty-three different antimalarial recipes were mentioned in the survey. The Asteraceae and Anacardinceae were the most represented plant families followed by Malvaceae, Solanaceae, Annonaceae, Poaceae, Rutaceae and Meliaceae. The leaf and the stem bark have been the most frequently used plant parts while concoction and decoction were the most common method of preparation. Treatment regimens of malaria generally included drinking, bathing and steam inhalation of the aqueous herbal preparations for 5-7 days or until symptoms of malaria disappear. About 53% of the plants mentioned in the survey had side effect. CONCLUSIONS: Hence, the need for documentation of these plants for further investigation becomes necessary.


Asunto(s)
Antimaláricos/uso terapéutico , Malaria/tratamiento farmacológico , Fitoterapia , Preparaciones de Plantas/uso terapéutico , Plantas Medicinales , Recolección de Datos , Etnobotánica , Humanos , Nigeria
10.
Cell Biochem Funct ; 31(7): 545-50, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23192940

RESUMEN

Reactive oxygen species (ROS) have been implicated in the aetiology of several pathological and degenerative diseases. The protective effect of natural products possessing antioxidant properties has played a crucial role in ameliorating these deleterious effects. This study investigated the chemoprotective properties of the methanolic extract of Vernonia amygdalina (MEVA) in an experimental model of tert-butyl hydroperoxide (t-BHP)-induced human erythrocyte lysis in vitro. Haemolysis was induced by incubating erythrocytes with t-BHP (2 and 3 mM) in vitro. Samples of erythrocyte suspensions were removed at different intervals over a 6-h period, and the degree of haemolysis was measured. The anti-haemolytic effect of MEVA at 25-150 µg ml(-1) concentrations on the samples were assessed and compared with Triton X-100. Administration of t-BHP at 2- and 3-mM concentrations significantly (p < 0.05) induced erythrocyte lysis by 37.5% and 31.4%, respectively. The addition of MEVA, however, reduced t-BHP-induced erythrocyte lysis significantly (p < 0.05) by 39.3%, 48.4%, 67.3% and 73.4% at 25, 50, 100 and 150 µg ml(-1) concentrations, respectively. MEVA likewise protected against t-BHP-induced lipid peroxidation significantly (p < 0.05) at 100 and 150 µg ml(-1) by the fourth hour and non-significantly (p > 0.05) at all concentrations by the sixth hour. The reduced glutathione level was, however, increased with the administration of t-BHP, while a delayed addition of MEVA had no protective effect on the t-BHP-induced cell lysis. These findings therefore suggest that MEVA may have protective antioxidant properties, making it suitable for incorporation into food and drug products.


Asunto(s)
Eritrocitos/efectos de los fármacos , Extractos Vegetales/farmacología , Vernonia/química , terc-Butilhidroperóxido/farmacología , Antioxidantes/farmacología , Muerte Celular/efectos de los fármacos , Eritrocitos/metabolismo , Humanos , Peroxidación de Lípido/efectos de los fármacos , Metanol , Estrés Oxidativo , Especies Reactivas de Oxígeno/metabolismo , Solventes
11.
Pak J Biol Sci ; 16(24): 1862-72, 2013 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-24517001

RESUMEN

This study investigated the toxic implication of Febi Super Bitters in Male Wistar rats because of upsurge in its usage for therapeutic reasons. Eighteen rats, with an average weight of 86.2 +/- 4.43 g, were randomly distributed into three equal groups of six rats per group. The rats were acclimatized for 14 days and 0.308 and 0.462 mL kg(-1) b.wt. of Febi super bitters were administered daily to groups B and C, respectively for 56 days, while group A received distilled water. The toxicity of the herbal bitter was assessed by determining the activities of Lactate Dehydrogenate (LDH), Alkaline Phosphatase (ALP) and Acid Phosphatase (ACP) in the liver, kidney, small intestine, heart, brain, lungs, spleen, serum and histological studies on the organs. The activities of LDH were significantly reduced (p < 0.05) in the liver, small intestine and lung, while it increased significantly (p < 0.05) in the brain and serum. ALP activities decreased significantly (p < 0.05) in the liver, kidney, small intestine and heart but increased (p < 0.05) in brain, spleen and serum. ACP activities in the liver and kidney were decreased (p<0.05) and increased significantly (p < 0.05) in the spleen and serum. Increases were significantly recorded in serum total bilirubin, unconjugated bilirubin, total protein and globulin, while reductions were recorded in the conjugated bilirubin and A/G (p < 0.05). Histoarchitecture of the lungs, spleen and small intestine revealed marked cellular distortions. In the light of these findings, the habitual consumption of Febi super bitters is not recommended as it has underlined toxicity in some vital internal organs.


Asunto(s)
Preparaciones de Plantas/administración & dosificación , Preparaciones de Plantas/toxicidad , Administración Oral , Animales , Biomarcadores/metabolismo , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Encéfalo/patología , Hemólisis/efectos de los fármacos , Intestino Delgado/efectos de los fármacos , Intestino Delgado/metabolismo , Intestino Delgado/patología , Riñón/efectos de los fármacos , Riñón/metabolismo , Riñón/patología , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Pulmón/efectos de los fármacos , Pulmón/metabolismo , Pulmón/patología , Masculino , Miocardio/metabolismo , Miocardio/patología , Fitoterapia , Plantas Medicinales , Ratas , Ratas Wistar , Medición de Riesgo , Bazo/efectos de los fármacos , Bazo/metabolismo , Bazo/patología , Factores de Tiempo
12.
Pak J Biol Sci ; 16(24): 1904-12, 2013 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-24517005

RESUMEN

This study investigated the immunomodulatory capabilities of the sub-chronic administration of Yoyo bitters in male Wistar rats. Eighteen rats weighing 86.2 +/- 4.43 g were randomly picked into three equal groups. The rats were acclimatized for 14 days, after which 0.308 and 0.462 mL kg(-1) b.wt. of Yoyo bitters were administered once daily to groups B and C respectively for 56 days, while group A received distilled water. The feed intake, body weight, blood glucose, interleukin 2 (IL-2), interleukin 6 (IL-6), tumour necrosis factor alpha (TNF-alpha), haematological parameters, serum lipid profile and uric acid, liver reduced glutathione and malodialdehyde were determined. The feed intake, body weight and blood glucose concentrations were reduced (p < 0.05) at the doses. No changes were recorded in the concentration of serum IL-2 (p > 0.05), but IL-6 decreased (p < 0.05) in group B and increased (p < 0.05) in group C, while TNF-alpha were increased (p < 0.05) dose dependent. The haematological parameters were decreased at all the doses (p < 0.05), except the ESR, WBC and lymphocytes that were increased (p < 0.05) and platelets in group C (p < 0.05). The serum total cholesterol, TAG, LDL-C and atherogenic index were decreased (p < 0.05) and HDL-C increased (p < 0.05) in group B only. Serum uric acid was reduced (p < 0.05) in group B, but increased in group C with the concentration of liver MDA (p < 0.05). The study, therefore, established that a dose lower than the manufacturer's recommended dose presented the desired immunomodulatory activities and the habitual use of Yoyo bitters at the adult recommended dose calls for caution.


Asunto(s)
Factores Inmunológicos/toxicidad , Inflamación/inducido químicamente , Preparaciones de Plantas/toxicidad , Animales , Biomarcadores/sangre , Glucemia/efectos de los fármacos , Glucemia/metabolismo , Peso Corporal/efectos de los fármacos , Ingestión de Alimentos/efectos de los fármacos , Factores Inmunológicos/administración & dosificación , Inflamación/sangre , Inflamación/inmunología , Mediadores de Inflamación/sangre , Lípidos/sangre , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Fitoterapia , Preparaciones de Plantas/administración & dosificación , Plantas Medicinales , Ratas , Ratas Wistar , Factores de Tiempo , Ácido Úrico/sangre
13.
J Basic Clin Pharm ; 5(1): 7-14, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24808682

RESUMEN

CONTEXT: Junior doctors are reported to make most of the prescribing errors in the hospital setting. AIMS: The aim of the following study is to determine the knowledge intern doctors have about prescribing errors and circumstances contributing to making them. SETTINGS AND DESIGN: A structured questionnaire was distributed to intern doctors in National Hospital Abuja Nigeria. SUBJECTS AND METHODS: Respondents gave information about their experience with prescribing medicines, the extent to which they agreed with the definition of a clinically meaningful prescribing error and events that constituted such. Their experience with prescribing certain categories of medicines was also sought. STATISTICAL ANALYSIS USED: Data was analyzed with Statistical Package for the Social Sciences (SPSS) software version 17 (SPSS Inc Chicago, Ill, USA). Chi-squared analysis contrasted differences in proportions; P < 0.05 was considered to be statistically significant. RESULTS: The response rate was 90.9% and 27 (90%) had <1 year of prescribing experience. 17 (56.7%) respondents totally agreed with the definition of a clinically meaningful prescribing error. Most common reasons for prescribing mistakes were a failure to check prescriptions with a reference source (14, 25.5%) and failure to check for adverse drug interactions (14, 25.5%). Omitting some essential information such as duration of therapy (13, 20%), patient age (14, 21.5%) and dosage errors (14, 21.5%) were the most common types of prescribing errors made. Respondents considered workload (23, 76.7%), multitasking (19, 63.3%), rushing (18, 60.0%) and tiredness/stress (16, 53.3%) as important factors contributing to prescribing errors. Interns were least confident prescribing antibiotics (12, 25.5%), opioid analgesics (12, 25.5%) cytotoxics (10, 21.3%) and antipsychotics (9, 19.1%) unsupervised. CONCLUSIONS: Respondents seemed to have a low awareness of making prescribing errors. Principles of rational prescribing and events that constitute prescribing errors should be taught in the practice setting.

14.
Ann. afr. med ; 12(4): 223-231, 2013. ilus
Artículo en Inglés | AIM (África) | ID: biblio-1258889

RESUMEN

Aims: The aims of this study were to identify and understand the factors underlying prescribing errors in order to determine how to prevent them. Materials and Methods: A prospective qualitative study that involved face-to-face interviews and human factor analysis in a Tertiary Referral Hospital in Central Nigeria; from July 2011 to December 2011. Pharmacists in the study hospital prospectively reviewed prescription orders generated by doctors in selected wards (male and female medical; pediatric and the private wing wards) and identified prescribing errors. The 22 prescribers involved in the errors were interviewed; and given questionnaires to discover factors causing the errors. A model of human error theory was used to analyze the responses. Results: Responses from the doctors suggest that most errors were made because of slips in attention. Lack of drug knowledge was not the single causative factor in any incident. Risk factors identified included individual; team; environment; and task factors. Junior doctors were affected by the prescribing habits of their seniors. Organizational factors identified included inadequate training/experience; absence of reference materials and absence of self-awareness of errors. Defenses against error such as other clinicians and guidelines were absent or deficient; and supervision was inadequate. Conclusions: To reduce the risk of prescribing errors; a number of strategies addressing individual; task; team; and environmental factors such as training of junior doctors; enforcing good practice in prescription writing; supervision; and reviewing the workload of junior doctors must be established. Aims: The aims of this study were to identify and understand the factors underlying prescribing errors in order to determine how to prevent them. Materials and Methods: A prospective qualitative study that involved face-to-face interviews and human factor analysis in a Tertiary Referral Hospital in Central Nigeria; from July 2011 to December 2011. Pharmacists in the study hospital prospectively reviewed prescription orders generated by doctors in selected wards (male and female medical; pediatric and the private wing wards) and identified prescribing errors. The 22 prescribers involved in the errors were interviewed; and given questionnaires to discover factors causing the errors. A model of human error theory was used to analyze the responses. Results: Responses from the doctors suggest that most errors were made because of slips in attention. Lack of drug knowledge was not the single causative factor in any incident. Risk factors identified included individual; team; environment; and task factors. Junior doctors were affected by the prescribing habits of their seniors. Organizational factors identified included inadequate training/experience; absence of reference materials and absence of self-awareness of errors. Defenses against error such as other clinicians and guidelines were absent or deficient; and supervision was inadequate. Conclusions: To reduce the risk of prescribing errors; a number of strategies addressing individual; task; team; and environmental factors such as training of junior doctors; enforcing good practice in prescription writing; supervision; and reviewing the workload of junior doctors must be established


Asunto(s)
Prescripciones de Medicamentos , Hospitales , Cuerpo Médico , Errores de Medicación , Nigeria , Médicos
16.
Afr J Med Med Sci ; 34(2): 167-72, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16749342

RESUMEN

The effects of honey (Hoc) and aqueous suspensions of garlic (Allium sativum) (Ga) and bitter kola (Garcina kola seed) (Bi) on the toxicities induced by 2-acetylaminofluorene (2-AAF) a model carcinogen, were investigated in mice. The animals were dosed for seven consecutive days with Ho, Ga and Bi as dietary supplements. They were then challenged with a single intraperitoneal (i.p.) dose of 2-AAF at 50 mg/kg bd. wt on the seventh day. The degree of clastogenicity was assessed using the mouse micronucleus assay while liver damage was monitored by measuring the level of gamma glutamyltransferase (gamma-GT) in serum and liver homogenates respectively. The results revealed that 2-AAF induced micronuclei formation in the polychromatic erythrocytes (PCEs) of the bone marrow by about five fold in comparison to the PCEs formed in control mice. Ho, Ga, and Bi also induced micronucleus formation on their own. However. feeding of any of Ho, Ga or Bi and the administration (i.p) of 2-AAF reduced significantly, the ability of 2-AAF to induce micronuclei formation in the order Ho>Ga>Bi. Furthermore, 2-AAF induced gamma-GT activity in the serum and liver homogenate by about two and a half and three folds respectively. A combination of 2-AAF and any of Ga or Bi or Ho significantly decreased 2-AAF-induced activity of gamma-GT in the order Ho>Bi>Ga (serum) and Bi>Ga=Ho (liver). These findings suggest that honey, garlic and bitter kola protect against 2-AAF-induced gamma-GTactivity and micronuleated PCEs formation.


Asunto(s)
2-Acetilaminofluoreno/toxicidad , Suplementos Dietéticos , Exposición a Riesgos Ambientales/prevención & control , Garcinia kola , Ajo , Miel , Hígado/efectos de los fármacos , Hígado/enzimología , gamma-Glutamiltransferasa/efectos de los fármacos , Animales , Masculino , Ratones
17.
Phytother Res ; 18(10): 862-4, 2004 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-15551375

RESUMEN

An in vivo micronucleus assay using albino mice was used to examine the anticlastogenic effects of a crude aqueous extract of Hibiscus sabdariffa fruits in bone marrow cells of mice. Various doses of freshly prepared crude extract of Hibiscus sabdariffa (50, 100 and 150 mg/kg b.w.) were given by gavaging to male laboratory bred Swiss albino mice for 7 days as a dietary supplement followed by a single dose of sodium arsenite (2.5 mg/kg b.w.) After 24 h, the animals were killed and bone marrow smears were prepared and stained in Giemsa. The results show that sodium arsenite effectively induced micronuclei in polychromatic erythrocytes (PCEs). Administration of a crude extract of Hibiscus sabdariffa led to a significant reduction of micronuclei in PCEs. The results also show that a combination of Hibiscus sabdariffa and sodium arsenite reduced significantly the frequencies of micronucleated PCEs induced by sodium arsenite.


Asunto(s)
Eritrocitos/efectos de los fármacos , Hibiscus , Fitoterapia , Extractos Vegetales/farmacología , Sustancias Protectoras/farmacología , Animales , Arsenitos , Células de la Médula Ósea/efectos de los fármacos , Frutas , Masculino , Ratones , Pruebas de Micronúcleos , Extractos Vegetales/administración & dosificación , Extractos Vegetales/uso terapéutico , Sustancias Protectoras/administración & dosificación , Sustancias Protectoras/uso terapéutico , Compuestos de Sodio
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