Perception among NHIS-HMO Enrolees of the Attitudes of Medical Personnel during Outpatient Care in Lagos Hospitals.

The quality of healthcare services depends on the interactions between administrators, customers, and healthcare providers. This study seeks to examine how National Health Insurance Scheme (NHIS)-Health Maintenance Organization (HMO) enrolees perceive the attitudes of medical personnel while receiving outpatient care in Lagos hospitals. Mixed methods were used, i.e., distributing questionnaires and in-depth interviews with participants. Quantitative data were analysed using Statistical Product and Service Solutions (SPSS) version 20, and approaches that involved frequency statistics, factor analysis, contingency chi-square and correlation analysis were applied. The results indicate that the variables "humane" and "empathetic" have a direct impact on enrolees' perception and an indirect impact on motivation to adhere to medical advice among enrolees. This research has practical implications, especially in light of new initiatives of NHIS collaboration with HMO to deliver quality healthcare services to enrolees.

Impacts of a glyphosate-based herbicide on the gut microbiome of three earthworm species (Alma millsoni, Eudrilus eugeniae and Libyodrilus violaceus): A pilot study.

While the impact of glyphosate-based herbicides (GBHs) on earthworms has been studied, little is known about their effects on the earthworm gut microbiome. This study investigated the impact of a GBH on the gut microbial communities of three earthworm species (Alma millsoni, Eudrilus eugeniae and Libyodrilus violaceus). Earthworm species accommodated in soil were sprayed with 115.49 mL/m² of Roundup® Alphée or water. Gut microbiome composition was analysed using 16S rRNA Bacterial Tag-Encoded FLX Amplicon Pyrosequencing (bTEFAP) at the 8th week post-herbicide application. A profound shift in bacterial populationswas observed in all exposed earthworms with Proteobacteria becoming the dominant phylum. Affected bacteria were mostly from the genus Enterobacter, Pantoea and Pseudomonas, which together represented approximately 80 % of the total abundance assigned at the genus level in exposed earthworms, while they were present at a minor abundance (∼1%) in unexposed earthworms. Although consistent results were observed between the three groups of worm species, it is not possible to generalize these outcomes due to a lack of biological replicates, which does not allow for inferential statistical analysis. Nevertheless, our study is the first to report the effects of a GBH on the earthworm gut microbiome and paves the way for future more comprehensive investigations.

Efficacy of Vermiremediation to Remove Contaminants from Soil.

BACKGROUND: In addition to improving soil fertility and crop production, earthworms have been found to be useful in the removal of contaminants from soil, known as vermiremediation. Previous studies on vermiremediation have focused primarily on organic wastes, with relatively less attention paid to inorganic contaminants. In addition, some basic terms used in environmental health studies have often not been properly clarified. OBJECTIVES: The present study is a review of the state of the literature on the effectiveness of using earthworms to remediate organic and inorganic (metal) soil contaminants. Earthworms' actions in remediation of organic and inorganic contaminants are described. Some terms that are used interchangeably in environmental health are clarified. The challenges and limitations of vermiremediation are highlighted. METHODS: A systematic literature search was conducted to access online academic publications indexed in Google Scholar, PubMed, Scopus, Clarivate Analytics (Web of Science), ScienceDirect, ResearchGate and Springer Link. A total of 165 publications on the subject matter were accessed, out of which 47 were used for the review. DISCUSSION: Empirical and theoretical information from the literature showed evidence of the significant contributions of earthworms to the removal of soil organic contaminants and metals. Earthworms indirectly facilitate the conversion of organic contaminants by promoting microbial and enzyme activities. Some organic contaminants are directly taken up through dermal and intestinal absorption and accumulated by preferential sequestration in sub-organismic and tissue fractions of earthworms. Metals are directly removed and accumulated by the mechanism of detoxification and sequestration, via metallothioneins induction. The terms 'contaminants' and 'pollutants' have different meanings and should not be used interchangeably. Although vermiremediation presents an ideal clean-up technique, it is limited in application to only mildly contaminated soil environments. Ethical concerns should not pose a serious issue because vermiremediation simply takes advantage of earthworms' natural soil-conditioning abilities. Many vermiremediation processes, especially of organic wastes, are harmless to earthworms, improving the soil for their growth and survival. CONCLUSIONS: Vermiremediation presents a good long-term biological option to clean up mildly contaminated soil. It may be deployed as a secondary measure to rid the soil of residual contaminants after applying physicochemical remediation techniques to an overtly polluted soil environment. COMPETING INTERESTS: The authors declare no competing financial interests.

Assessment of reproductive function in male albino rat fed dietary meal supplemented with Mucuna pruriens seed powder.

The occurrence of conflicting reports on the improvement of male reproductive function among humans fed diet containing the seed of Mucuna pruriens (MP) have raised a major concern in Nigeria. We assessed the effect of MP seed powder on the reproductive function in 32 adult male albino rats randomized to 4 groups of 8 rats each for 8 weeks. Group 1 (control) was given standard rat chow while groups 2, 3 and 4 were fed diets containing MP seed powder at 0.75 g, 1.5 g and 2.25 g respectively. Serum level of follicle stimulating hormone, testosterone, luteinizing hormone, oxidative stress markers in the testis, epididymal sperm quality and cytoarchitectural structure of the testis were monitored using standard methods. Significant improvements (p < 0.05) in the serum levels of all the hormones, testicular antioxidant defence, epididymal sperm quality without testicular degenerative changes were observed in group 2 compared to other groups. Oxidative stress, severe degenerative architectural lesions in the testis as well as significant reductions (p < 0.05) in epididymal sperm count, percentage motility and significant (p < 0.05) increased in abnormal sperm cells were observed in group 4. MP seed enhances reproductive function in male rats only at a dose level of 0.75g. A dose value higher than 0.75 g may be toxic to the male reproductive system.