The effect of explicit convection on simulated malaria transmission across Africa.

Malaria transmission across sub-Saharan Africa is sensitive to rainfall and temperature. Whilst different malaria modelling techniques and climate simulations have been used to predict malaria transmission risk, most of these studies use coarse-resolution climate models. In these models convection, atmospheric vertical motion driven by instability gradients and responsible for heavy rainfall, is parameterised. Over the past decade enhanced computational capabilities have enabled the simulation of high-resolution continental-scale climates with an explicit representation of convection. In this study we use two malaria models, the Liverpool Malaria Model (LMM) and Vector-Borne Disease Community Model of the International Centre for Theoretical Physics (VECTRI), to investigate the effect of explicitly representing convection on simulated malaria transmission. The concluded impact of explicitly representing convection on simulated malaria transmission depends on the chosen malaria model and local climatic conditions. For instance, in the East African highlands, cooler temperatures when explicitly representing convection decreases LMM-predicted malaria transmission risk by approximately 55%, but has a negligible effect in VECTRI simulations. Even though explicitly representing convection improves rainfall characteristics, concluding that explicit convection improves simulated malaria transmission depends on the chosen metric and malaria model. For example, whilst we conclude improvements of 45% and 23% in root mean squared differences of the annual-mean reproduction number and entomological inoculation rate for VECTRI and the LMM respectively, bias-correcting mean climate conditions minimises these improvements. The projected impact of anthropogenic climate change on malaria incidence is also sensitive to the chosen malaria model and representation of convection. The LMM is relatively insensitive to future changes in precipitation intensity, whilst VECTRI predicts increased risk across the Sahel due to enhanced rainfall. We postulate that VECTRI's enhanced sensitivity to precipitation changes compared to the LMM is due to the inclusion of surface hydrology. Future research should continue assessing the effect of high-resolution climate modelling in impact-based forecasting.

Nonlinear inversion of electrical resistivity sounding data for multi-layered 1-D earth model using global particle swarm optimization (GPSO).

Interpreting geophysical data requires solving nonlinear optimization problem(s) in inversion. Analytical methods such as least-square have some intrinsic limitations, which include slow convergence and dimensionality, making heuristic-based swarm intelligence a better alternative. Large-scale nonlinear optimization problems in inversion can be solved effectively using a technique within the swarm intelligence family called Particle Swarm Optimization (PSO). This study evaluates the inversion of geoelectrical resistivity data with global particle swarm optimization (GPSO). We attempted to invert field vertical electrical sounding data for a multi-layered 1-D earth model using the developed particle swarm optimization algorithm. The result of the PSO-interpreted VES data was compared with that of the least square inversion result from Winresist 1.0. According to the PSO-interpreted VES results, satisfactory solutions may be attained with a swarm of 200 or fewer particles, and convergence can be reached in fewer than 100 iterations. The GPSO inversion approach has a maximum capacity of 100 iterations, more than the least square inversion algorithm of the Winresist, which has a maximum capacity of 30 iterations. The misfit error of GPSO inversion is 6.14×10-7, much lower than that of the least square inversion of 4.0. The GPSO inversion model has lower and upper limit values of the geoelectric layer parameters model to fit the true model better. The limitations of the developed PSO inversion scheme include a slower execution time of the inversion procedures than the least-square inversion. There is a need for a priori knowledge of the number of layers from borehole reports in the study area. The PSO inversion scheme, however, estimates inverted models closer to the true solutions with greater accuracy than the least-square inversion scheme.

Donor Nephrectomy Through Mini-Flank Incision: A Single-Centre Experience Among Nigerian Patients.

Background and objective The field of kidney transplantation in sub-Saharan Africa is still in the rudimentary stages. The majority of patients with chronic kidney disease have no access to renal replacement therapy, leading to very high mortality rates. Donor nephrectomy (DN) is an important aspect of kidney transplantation. Over the last two decades, open DN (ODN) has given way to minimally invasive techniques like laparoscopic DN (LDN) and robotic-assisted DN. In this study, we aimed to describe our experience with mini-flank incision donor nephrectomy (MIDN) at a Nigerian renal transplant center. Materials and methods We conducted a retrospective review of all DN cases performed at a single Nigerian kidney transplantation center over a three-year period. Information obtained from these patients was classified into pre-, intra-, and postoperative. The data included sociodemographic characteristics, preoperative preparation, details of intraoperative techniques, and postoperative findings. These were entered into a proforma and analyzed using SPSS Statistics version 21 (IBM Corp., Armonk, NY). Results A total of 230 patients underwent ODN during the study period. The majority of the donors were males (92.8%) with a mean age of 30.83 ±8.43 years. The body mass index (BMI) of most (76.1%) of the donors was within the normal range (18.5-24.9 kg/m2). The duration of DNs ranged from 72 to 154 minutes with a mean duration of 130 ±28 minutes. The length of flank incisions ranged from 7.8 to 12 cm with a mean incision length of 10.8 ±1.0 cm. Donors who had MIDN attained satisfactory postoperative pain control with about 90% of them having a BMI of <30 kg/m2. Oral intake and ambulation were commenced on the first postoperative day, and the cosmetic outcomes were deemed acceptable in over 90% of kidney donors. Conclusion Mini-incision for DN through the flank approach is a suitable alternative to LDN in the developing world where facilities and skills for LDN or robotic nephrectomies are largely unavailable. It offers a short recovery time, early ambulation, and excellent allograft outcomes.

Optimization of selected casting parameters on the mechanical behaviour of Al 6061/glass powder composites.

Aluminum alloy and its composites have versatile applications and can be produced via a cost-effective stir casting technique. However, stir casting is faced with some challenges including segregation, occurrence of intermetallic phases, agglomeration, and inducement of residual stress. In view of minimizing these defects, casting should be done applying optimal parameters that will yield the desired outcome. The present study focused on the optimization of stirring parameters of temperature, speed, and time in the production of Al 6061/glass powder composite. Evaluated responses are tensile strength, compressive strength, impact strength, and hardness. The results showed that the process parameters had statistical significance on all properties at 95 % confidence level. Combined interactions of these parameters also presented significant effects on the property responses. Optimum setting for process factors as regards tensile strength were evaluated to be 600 °C, 400 rpm, and 30 min for temperature, speed, and time, respectively. For compressive strength, it is 600 °C, 500 rpm, and 30 min; for hardness, the optimum settings are 700 °C, 400 rpm, and 30 min, while in the case of impact strength, the optimum settings are 500 °C, 400 rpm, and 30 min respectively. Optimization of the combined characteristics was obtained at the optimum conditions of 500 °C, 400 rpm, and 30 min for stirring temperature, speed, and time. Moreso, the significance of the parameters on the composite in descending order is temperature, time, and speed.

Mechanical and optimization studies of polypropylene hybrid biocomposites.

Towards developing a polymeric matrix characterized by high strength to cost ratio, polypropylene (PP) was hybridized with low-cost particulate snail shell (PSS) and kenaf fiber (KF) via compression moulding at 180 °C and 0.2 MPa. The developed composites were grouped into three and labeled as mix 2, 4, and 10. Each group entailed the blend of 5, 10, 20, and 30 wt% KF with 2, 4, 10 wt% PSS respectively. From the results, it is observed that the hardness value was enhanced by the blend of 5 to 30 wt% KF and 2, 4, and 10 wt% PSS. However, 2 wt% PSS mix with 5 to 30 wt% KF resulted in progressive improvement in impact, compressive, flexural, and tensile strengths values. The 4 wt% PSS yielded consecutive increase in impact, compressive and flexural strength when combined with 5 and 10 wt% KF. However, it was observed that subsequent addition of 20 and 30 wt% KF led to a marginal reduction in the strength values. The tensile strength attained optimum value when 4 wt% PSS was commixed with 30 wt% KF. Conversely, the combinations of 10 wt% PSS with 5, 10, 20, and 30 wt% KF had no significant improvement to the mechanical properties of PSS/KF-bio-PP composite (except for hardness) siring strength decrease. Taguchi optimization revealed that the collage of 4 wt% PSS and 10 wt% KF presented optimum mix for hybrid bio-PP composite.

Efficacy of Hexetidine, Thymol and Hydrogen Peroxide-Containing Oral Antiseptics in Reducing Sars-Cov-2 Virus in the Oral Cavity: A Pilot Study.

BACKGROUND: Studies have demonstrated the role of sputum as a site of severe acute respiratory syndrome-coronavirus-2 (SARSCoV-2) transmission. However, there is limited literature on the virucidal efficacy of oral antiseptics against SARS-CoV-2 virus. This study investigated the virucidal efficacy of three oral-antiseptics compared to a placebo-control in the sputum of SARS-CoV-2 infected individuals. METHODOLOGY: A pilot study of adults with SARS-CoV-2 positive results, as determined by reverse transcription-polymerase chain reaction (RT-PCR) of <7 days. The oral antiseptics investigated were: Hexetidine (0.1% w/v); Thymol (0.063% w/v) and H2O2(1.5%) compared to de-mineralized sterile water (Placebo-control). The primary outcome measure was the proportion of negative RT-PCR results at 15-mins, 30-mins, 1-hour, 2-hours and 4-hours After Oral antiseptics Interventions (AOI) compared to the placebo-control. Statistical analysis was done using STATA 15.0 software with p-values of <0.05 considered statistically significant. RESULTS: Data from a total of 66 participants that were RT-PCR SARS-CoV-2 positive at baseline (0-min) was analysed. At 15-mins AOI, the highest proportion of negativation from sputum samples was observed in the Hexedine group, with 69.2% of the baseline PCR positive cases converting to negative compared to 46.7% in the placebo-control group. In addition, H2O2 demonstrated efficacy at 2-hours AOI compared to placebo-control (62.5% vs 37.5% respectively) and other oral-antiseptics. Across all time-points, the oral-antiseptic groups compared to the placebo-control group, there was no statistically significant difference in the proportion of sputum samples which converted to a negative status (p>0.05). CONCLUSION: The findings in this study suggest there was no significant difference in the proportion of participants who converted to a negative sputum status across the treatment groups at various time points. Future studies could compare the cycle threshold (ct) viral titre values of sputum samples to determine quantitative differences.

CONTEXTE: Des études ont démontré le rôle des expectorations comme un site de transmission du syndrome respiratoire aigu sévère-coronavirus- 2 (SRAS-CoV-2). Cependant, il existe peu de documentation sur l'efficacité virucide des antiseptiques oraux contre le virus du SRASCoV-2. Cette étude a examiné l'efficacité virucide de trois antiseptiques oraux par rapport à un contrôle placebo dans les expectorations de personnes infectées par le SRAS-CoV-2. MÉTHODOLOGIE: Une étude pilote menée auprès d'adultes dont les résultats sont positifs pour le SRAS-CoV-2, tels que déterminés par la réaction en chaîne de la polymérase par transcription inverse (RT-PCR) pendant 7 jours. Les antiseptiques oraux étudiés étaient : Hexetidine (0,1% p/v) ; Thymol (0,063% p/v) et H2O2 (1,5%) par rapport à l'eau stérile déminéralisée (Placebo-contrôle). Le principal critère d'évaluation était la proportion de résultats RT-PCR négatifs 15 minutes, 30 minutes, 1 heure, 2 heures et 4 heures après les interventions antiseptiques orales (AOI) par rapport au contrôle placebo. L'analyse statistique a été réalisée à l'aide du logiciel STATA 15.0, les valeurs p de <0,05 étant considérées comme statistiquement significatives. RÉSULTATS: Les données d'un total de 66 participants qui étaient positifs à la RT-PCR SARS-CoV-2 au départ (0 minute) ont été analysées. Au bout de 15 minutes, la plus forte proportion de négativation des échantillons d'expectoration a été observée dans le groupe Hexedine, 69,2 % des cas positifs au départ par PCR devenant négatifs, contre 46,7 % dans le groupe témoin placebo. En outre, l'H2O2 a démontré son efficacité à 2 heures après l'apparition de la maladie par rapport au groupe placebo (62,5 % contre 37,5 % respectivement) et aux autres antiseptiques oraux. Pour tous les points temporels, les groupes d'antiseptiques oraux comparés au groupe placebo n'ont pas présenté de différence statistiquement significative dans la proportion d'échantillons d'expectoration qui sont devenus négatifs (p>0,05). CONCLUSION: Les résultats de cette étude suggèrent qu'il n'y a pas de différence significative dans la proportion de participants qui sont passés à un statut négatif d'expectoration dans les groupes de traitement à différents moments. Les études futures pourraient comparer les valeurs du titre viral au seuil de cycle (ct) des échantillons d'expectoration afin de déterminer les différences quantitatives. MOTS CLÉS: SRAS-CoV-2, antiseptiques oraux, hexétidine, peroxyde d'hydrogène.

A multi-centre, randomized, double-blind, placebo-controlled clinical trial of the efficacy and safety of chloroquine phosphate, hydroxychloroquine sulphate and lopinavir/ritonavir for the treatment of COVID-19 in Lagos State: study protocol for a randomized controlled trial.

BACKGROUND: The coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that was first identified in Wuhan, Hubei, China, in December 2019. It was recognized as a pandemic by the World Health Organization on 11 March 2020. Outbreak forecasting and mathematical modelling suggest that these numbers will continue to rise. Early identification of effective remedies that can shorten the duration and severity of illness is critical for Lagos State, which is the epi-centre of the disease in Nigeria. METHODS: This is a multi-centre, randomized, double-blind placebo-controlled superiority trial. The study investigates the efficacy of chloroquine phosphate, hydroxychloroquine sulphate and lopinavir/ritonavir added on to standard of care compared to standard of care only in patients with COVID-19 disease. The primary outcome is the clinical status of patients measured using a 7-point ordinal scale at day 15. Research participants and clinicians will be blinded to the allocated intervention. Outcome measures will be directly assessed by clinicians. Statistical analysis will be done by a team blinded to the identity and allocation of research participants. Data analysis will follow intention-to-treat methods, using R software. DISCUSSION: The current study is of strategic importance for Lagos State in potentially curbing the health, social and economic burden of COVID-19 disease. Should the current study demonstrate that either of the three intervention drugs is more efficacious than standard therapy alone, the State Ministry of Health will develop an evidence-based guideline for the management of COVID-19 in Lagos State. The findings will also be shared nationally and with other states which may lead to a standardized national guideline for the treatment of COVID-19 in Nigeria. TRIAL REGISTRATION: Pan African Clinical Trials Register PACTR202004801273802 . Registered prospectively on April 2, 2020.

Comparative Bioaccumulation of PAH and BTEX in Malapterurus electricus (Siluriformes: Malapteruridae) and its Enteric Parasite, Electrotaenia malopteruri Sampled from Lekki Lagoon, Lagos, Nigeria / Bioacumulação comparativa de HAP e BTEX em Malapterurus electricus (Siluriformes: Malapteruridae) e seu parasita entérico, Electrotaenia malopteruri, coletado na lagoa Lekki, Lagos, Nigéria

Abstract Contamination of Lekki lagoon by petrogenic chemicals such as polycyclic aromatic hydrocarbons (PAH) and benzene, toluene, ethylbenzene, and xylene (BTEX) has been widely reported. The study was aimed at investigating the bioaccumulation of PAH and BTEX in Malapterurus electricus collected from Lekki lagoon in Lagos, Nigeria. BTEX was analyzed in the intestine, water, and sediment samples using 8260B Agilent 7890B gas chromatograph coupled to a mass spectrometer (GC-MS). While PAHs were tested in the same media using a gas chromatograph coupled to a flame ionization detector (GC-FID). Histopathological analysis of the fish intestine was conducted using haematoxylin and eosin (H&E) stains. Parasite intensity, antioxidant enzymes, and lipid peroxidation activities were investigated in the fish. The parasitic infection detected in Malapterurus electricus was Electrotaenia malopteruri. The parasite showed weak and no depurative capacities for BTEX and PAH respectively. The decrease in superoxide dismutase (SOD), catalase (CAT), and reduced glutathione (GSH) in conjunction with an increase in Malondialdehyde (MDA) characterized relatively higher susceptibility among the male fish. Varieties of tissue injuries increased with the standard length of the fish groups. Results suggest that lengthier and uninfected M. electricus were more susceptible to PAH in Lekki lagoon than the shorter and infected ones. The study demonstrated a promising tendency of the enteric parasite, E. malopteruri to depurate chlorobenzene, ethylbenzene, o-xylene, m+p-xylene, and 1,4-dichlorobenzene from the intestine of its host fish, M. electricus, while PAHs were poorly mediated by the parasite.

Resumo A contaminação da lagoa Lekki por produtos químicos petrogênicos, como hidrocarbonetos aromáticos policíclicos (HAP) e benzeno, tolueno, etilbenzeno e xileno (BTEX), foi amplamente relatada. O estudo teve como objetivo investigar a bioacumulação de HAP e BTEX em Malapterurus electricus, coletados na lagoa Lekki, em Lagos, Nigéria. O BTEX foi analisado no intestino, na água e nas amostras de sedimento usando o cromatógrafo de gás Agilent 7890B 8260B acoplado a um espectrômetro de massa (GC-MS). Já os HAP foram testados no mesmo meio utilizando cromatógrafo gasoso acoplado a detector de ionização de chama (GC-FID). A análise histopatológica do intestino do peixe foi conduzida usando colorações de hematoxilina e eosina (H&E). Intensidade de parasitas, enzimas antioxidantes e atividades de peroxidação lipídica foram investigadas nos peixes. A infecção parasitária detectada em Malapterurus electricus foi Electrotaenia malopteruri. O parasita mostrou fraca e nenhuma capacidade depurativa para BTEX e HAP, respectivamente. A diminuição da superóxido dismutase (SOD), catalase (CAT) e glutationa reduzida (GSH), em conjunto com o aumento do Malondialdeído (MDA), caracterizou a suscetibilidade relativamente maior entre os peixes machos. Variedades de lesões nos tecidos aumentaram com o comprimento padrão dos grupos de peixes. Os resultados sugerem que os M. electricus maiores e não infectados foram mais suscetíveis aos HAP na lagoa Lekki do que os menores e infectados. O estudo demonstrou uma tendência promissora do parasita entérico E. malopteruri de depurar clorobenzeno, etilbenzeno, o-xileno, m + p-xileno e 1,4-diclorobenzeno do intestino de seu peixe hospedeiro, M. electricus, enquanto os HAP foram mal mediados pelo parasita.

Optimization studies of stir casting parameters and mechanical properties of TiO2 reinforced Al 7075 composite using response surface methodology.

Stir casting is a common metallurgical route in the casting of aluminum composites. Series of work done in this aspect considered the development of the composites with fixed stir casting parameters without applying an optimization approach. These parameters affect the microstructure and performance of the composites. The study is focused on the optimization of the stir casting parameters in the production of Al 7075 reinforced with TiO2 microparticles for performance improvement. Three stir casting parameters of stirring temperature, speed, and time were varied and optimized using the central composite design technique of the response surface method. Properties evaluated were ultimate tensile strength, hardness, impact strength, elastic modulus, and compressive strength. ANOVA results showed that the three stir casting parameters had a significant impact on the property responses. Five quadratic models were established for the properties linking them to the factors. The models were confirmed to be statistically significant at a confidence level of 95% and variations were observed to be < 5%. The interaction profile of the parameters as per response surface was analyzed. Contour plots associated with each interaction gave different ranges of stirring parameters in which each property can be maximized. Simultaneous optimization of the properties using Minitab 19 software showcased 779.3 °C, 574.2 rpm, and 22.5 min as the optimal stir casting parameters for temperature, speed and time respectively.

Bioaccumulation of Pyrethroid in Parasite Wenyonia acuminata (Cestoda: Caryophyllaeidae) and Host fish Synodontis clarias (Linnaeus, 1758) from Lekki Lagoon, Lagos Nigeria / Bioacumulação de piretroide no parasita Wenyonia acuminata (Cestoda: Caryophyllaeidae) e peixe hospedeiro Synodontis clarias (Linnaeus, 1758) da lagoa de Lekki, Lagos, Nigéria

Abstract This study was aimed at determining the concentration of pyrethroid in the surface water, sediment, Weyonia acuminata and Synodontis clarias fish in Lekki lagoon, Lagos, Nigeria. In-situ physicochemical analysis of the surface water was conducted using a calibrated handheld multi-parameter probe (Horiba Checker Model U-10). Intestinal samples from infected and uninfected fish were analyzed for pyrethroid concentrations, microbial colonization, proteins (PRO), superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH), malonaldehyde (MDA) and glutathione peroxidase (GPx). The histopathology of infected and uninfected intestinal tissues were analyzed using Haematoxylin and Eosin (H&E) stains and examined under a binocular light microscope (Model 230485). A total of 39 out of 98 S. clarias fish were infected with cestode parasite, Wenyonia acuminate, amounting to 39% parasite prevalence. Among the tested pyrethroids, Cyfluthrin and Alpha -cypermethrin had significant sorption of 1.62 and 3.27 respectively from the aqueous phase to the bottom sediment of the lagoon. Pyrethroid concentration was in the order of sediment > parasite> water > intestine> liver. The cholesterol, triglycerides, and LDL (low density lipids) in the parasite were higher than in the host fish (p<0.05). On the other hand, the fish hepatic protein, high density lipids (HDL) and glucose were higher than the levels in the parasites (p<0.05). There was a high prevalence of gut microbes (30 - 40%), which include Salmonella sp, Escherichia coli, Pseudomonas sp and Bacillus sp among individuals infected with gut Cestodes, Wenyonia sp compared with uninfected individual which had higher gut Staphylococcus sp., Klebsiella sp., and Proteus sp. (10- 40%). among the congeners of pyrethroids analyzed, Cyfluthrin > Alpha-Cyermethrin had significant sorption on the sediment, however unlike a benthopelagic fish, no pyrethroid was accumulated in the S. clarias from the sediment. The fish however accumulated Alpha-Cypermethrin from the aqueous phase. The parasite on the other hand accumulated Bathroid significantly from the surface water and bottom sediment which may be linked to the higher stress levels observed in the parasite than the host fish. The parasite in turn inflicted histological alterations on the host intestine, marked by moderate inflammation of mucosa, alteration of the villi microstructure, moderate stunting of the villous structure and moderate fibrosis of villous structure. The study demonstrated the efficiency of histopathological and microbial analysis in biomonitoring studies enteric parasites and early detection of pyrethroid toxicity respectively compared to bioaccumulation analysis.

Resumo Este estudo teve como objetivo determinar a concentração de piretroide nos peixes de águas superficiais, sedimentos, Wenyonia acuminata e Synodontis clarias na lagoa de Lekki, Lagos, Nigéria. A análise físico-química in situ da água de superfície foi realizada usando uma sonda multiparâmetro manual calibrada (Horiba Checker Modelo U-10). Amostras intestinais de peixes infectados e não infectados foram analisadas quanto a concentrações de piretroides, colonização microbiana, proteínas (PRO), superóxido dismutase (SOD), catalase (CAT), glutationa reduzida (GSH), malonaldeído (MDA) e glutationa peroxidase (GPx). A histopatologia dos tecidos intestinais infectados e não infectados foi analisada usando manchas de Hematoxilina e Eosina (H&E) e examinada sob um microscópio de luz binocular (Modelo 230485). Um total de 39 dos 98 peixes de S. clarias foi infectado com o parasita cestoide Wenyonia acuminata, totalizando 39% de prevalência do parasita. Entre os piretroides testados, ciflutrina e alfa-cipermetrina tiveram sorção significativa de 1,62 e 3,27, respectivamente, da fase aquosa ao sedimento de fundo da lagoa. A concentração de piretroides estava na ordem de sedimentos > parasita > água > intestino > fígado. O colesterol, os triglicerídeos e o LDL (lipídios de baixa densidade) no parasita foram maiores que no peixe hospedeiro (p < 0,05). Por outro lado, a proteína hepática dos peixes, os lipídios de alta densidade (HDL) e a glicose foram superiores aos níveis nos parasitas (p < 0,05). Houve uma alta prevalência de micróbios intestinais (30-40%), incluindo Salmonella sp., Escherichia coli, Pseudomonas sp. e Bacillus sp. entre indivíduos infectados no intestino com o parasita cestoide Wenyonia sp. em comparação com indivíduos não infectados com Staphylococcus sp., Klebsiella intestinal sp. e Proteus sp. (10-40%). Entre os congêneres dos piretroides analisados, ciflutrina > alfa-cipermetrina teve sorção significativa no sedimento, porém, diferentemente de um peixe bentopelágico, nenhum piretroide foi acumulado no S. clarias do sedimento. No entanto, os peixes acumularam alfa-cipermetrina a partir da fase aquosa. O parasita, por outro lado, acumulou Bathroid significativamente da água superficial e do sedimento do fundo, o que pode estar relacionado aos níveis mais altos de estresse observados no parasita do que no peixe hospedeiro. O parasita, por sua vez, causou alterações histológicas no intestino hospedeiro, marcadas por inflamação moderada da mucosa, alteração da microestrutura das vilosidades, atrofia moderada da estrutura das vilosidades e fibrose moderada da estrutura das vilosidades. O estudo demonstrou a eficiência da análise histopatológica e microbiana nos estudos de biomonitoramento de parasitas entéricos e detecção precoce da toxicidade dos piretroides, respectivamente, em comparação à análise de bioacumulação.

Influence of alkaline modification on selected properties of banana fiber paperbricks.

In a bid to develop paper bricks as alternative masonry units, unmodified banana fibers (UMBF) and alkaline (1 Molar aqueous sodium hydroxide) modified banana fibers (AMBF), fine sand, and ordinary Portland cement were blended with waste paper pulp. The fibers were introduced in varying proportions of 0, 0.5, 1.0 1.5, 2.0, and 2.5 wt% (by weight of the pulp) and curing was done for 28 and 56 days. Properties such as water and moisture absorption, compressive, flexural, and splitting tensile strengths, thermal conductivity, and specific heat capacity were appraised. The outcome of the examinations carried out revealed that water absorption rose with fiber loading while AMBF reinforced samples absorbed lesser water volume than UMBF reinforced samples; a feat occasioned by alkaline treatment of banana fiber. Moisture absorption increased with paper bricks doped with UMBF, while in the case of AMBF-paper bricks, property value was noted to depreciate with increment in AMBF proportion. Fiber loading resulted in improvement of compressive, flexural, and splitting tensile strengths and it was noted that AMBF reinforced samples performed better. The result of the thermal test showed that incorporation of UMBF led to depreciation in thermal conductivity while AMBF infusion in the bricks initiated increment in value. Opposite behaviour was observed for specific heat capacity as UMBF enhanced heat capacity while AMBF led to depreciation. Experimental trend analysis carried out indicates that curing length and alkaline modification of fiber were effective in maximizing the properties of paperbricks for masonry construction.

Experimental evaluation of bamboo fiber/particulate coconut shell hybrid PVC composite.

Bamboo fibers (BF) treated in 1.3 Molar NaOH and particulate coconut shell (PCS) sieved to - 45 µm were incorporated into polyvinyl chloride (PVC) matrix towards improving the properties of PVC composite for ceiling boards and insulating pipes which sags and degrade with time needing improvement in properties. The process was carried out via compression moulding applying 0.2 kPa pressure and carried out at a temperature of 170 °C. Composites developed were grouped according to their composition. Groups A, B, C, and D were infused with 2, 4, 6 and 8 wt% PCS at constant amount, respectively. Each group was intermixed with a varying proportions of BF (0-30 wt% at 5% interval). Tests carried out on the samples produced revealed that the yield strength, modulus of elasticity, flexural strength, modulus of rupture were enhanced with increasing BF proportion from 0 to 30 wt% BF at 2 wt% constant PCS input. Thermal and electrical properties trended downward as the fiber content reduced even as the hardness was enhanced with PCS/BF intermix which was also reflected in the wear loss index. Impact strength was highest on the infix of 4 wt% PCS and 15 wt% BF. Compressive strength was better boasted with increasing fiber and PCS amount but 8 wt% PCS amounted to depreciation in trend. It was generally observed that PCS performed optimally at 2 wt% incorporation while beyond that resulted in lowering of strength. Blending of the two variable inputs; 0-30 wt% BF and 2 wt% PCS presented better enhancement in properties.

Effect of Surface Modification on the Properties of Polypropylene Matrix Reinforced with Coir Fibre and Yam Peel Particulate.

Polypropylene composites reinforced with coir fibre and yam peel particulate were produced using compression moulding machine. Treated and untreated coir fibres were used; 1.5 M NaOH was used for the treated coir fibres. Yam peel was grouped into two, treated and untreated; the treated was modified using 1 M solution of NaOH and HCl in the proportion of 30% and 70%, respectively. The yam peel which was sun-dried for 14 days was pulverized and sieved to -45 µm. Samples were developed using treated and untreated reinforcements (TCF/YPP and UCF/YPP) at constant coir fibre proportion (15%) and varied amount of yam peel particulate (2, 4, 6, and 8 wt.%). The hybrid composite samples developed were probed for mechanical properties and thermal and wear behaviour. The level of particles agglomeration at the fibre-matrix interface was examined using scanning electron microscope. The results show that sample reinforced with treated 4 wt.% coir fibre and yam peel particulate had optimum mechanical properties. However, the thermal conductivity of composite samples increased with fibre addition. All composite samples developed had better resistance to abrasion when compared to the control sample.

Antimicrobial use among hospitalized patients: A multi-center, point prevalence survey across public healthcare facilities, Osun State, Nigeria.

INTRODUCTION: In order to inform sub-national action plan for control of antimicrobial resistance (AMR) and benchmark interventions to improve antibiotic use, it is essential to define situations on antibiotic use using standardized tools. We sought to assess quality of antimicrobial prescription across all government healthcare facilities with capacities for in-patient care in the first of the 36 states in Nigeria as part of ongoing state-wide situation analysis on AMR. METHODS: A survey was conducted between 10-27 June 2019 using the WHO methodology for point prevalence survey on antibiotic use in hospitals. Data was collected from hospital administrators and records of hospitalized patients. Data analysis was done using Microsoft Excel 2010 (Redmond Washington). RESULTS: Prevalence of antibiotic use amongst all 321 included patients was 76.6% (246/321). Of all indications recorded, the highest was surgical prophylaxis (96/260, 36.9%) for which there were multiple doses beyond 24 hours in almost all cases (91/96, 94.8%). The largest volume of prescribing took place in the surgical wards, and the most common prescriptions were metronidazole (142/564, 25.2%), cefuroxime (104/564, 18.4%), and ceftriaxone (77/564, 13.7%). Overall, 46.3% of the antibiotics used belong to Access group, 53.5% to watch and only 0.2% to Reserve. Treatment in almost all instances 544/563 (96.6%) was empiric. CONCLUSIONS: The majority of patients received multiple antibiotics mostly without compliance to guidelines. There was low prescribing of Access antibiotics and excessive use of antibiotics in the Watch group. Antibiotics were used most commonly for surgical prophylaxis but inappropriately. Inappropriate use of antibiotics in this study underscores the crucial need for an action plan incorporating antimicrobial stewardship.

Comparative Bioaccumulation of PAH and BTEX in Malapterurus electricus (Siluriformes: Malapteruridae) and its Enteric Parasite, Electrotaenia malopteruri Sampled from Lekki Lagoon, Lagos, Nigeria.

Contamination of Lekki lagoon by petrogenic chemicals such as polycyclic aromatic hydrocarbons (PAH) and benzene, toluene, ethylbenzene, and xylene (BTEX) has been widely reported. The study was aimed at investigating the bioaccumulation of PAH and BTEX in Malapterurus electricus collected from Lekki lagoon in Lagos, Nigeria. BTEX was analyzed in the intestine, water, and sediment samples using 8260B Agilent 7890B gas chromatograph coupled to a mass spectrometer (GC-MS). While PAHs were tested in the same media using a gas chromatograph coupled to a flame ionization detector (GC-FID). Histopathological analysis of the fish intestine was conducted using haematoxylin and eosin (H&E) stains. Parasite intensity, antioxidant enzymes, and lipid peroxidation activities were investigated in the fish. The parasitic infection detected in Malapterurus electricus was Electrotaenia malopteruri. The parasite showed weak and no depurative capacities for BTEX and PAH respectively. The decrease in superoxide dismutase (SOD), catalase (CAT), and reduced glutathione (GSH) in conjunction with an increase in Malondialdehyde (MDA) characterized relatively higher susceptibility among the male fish. Varieties of tissue injuries increased with the standard length of the fish groups. Results suggest that lengthier and uninfected M. electricus were more susceptible to PAH in Lekki lagoon than the shorter and infected ones. The study demonstrated a promising tendency of the enteric parasite, E. malopteruri to depurate chlorobenzene, ethylbenzene, o-xylene, m+p-xylene, and 1,4-dichlorobenzene from the intestine of its host fish, M. electricus, while PAHs were poorly mediated by the parasite.

Bioaccumulation of Pyrethroid in Parasite Wenyonia acuminata (Cestoda: Caryophyllaeidae) and Host fish Synodontis clarias (Linnaeus, 1758) from Lekki Lagoon, Lagos Nigeria.

This study was aimed at determining the concentration of pyrethroid in the surface water, sediment, Weyonia acuminata and Synodontis clarias fish in Lekki lagoon, Lagos, Nigeria. In-situ physicochemical analysis of the surface water was conducted using a calibrated handheld multi-parameter probe (Horiba Checker Model U-10). Intestinal samples from infected and uninfected fish were analyzed for pyrethroid concentrations, microbial colonization, proteins (PRO), superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH), malonaldehyde (MDA) and glutathione peroxidase (GPx). The histopathology of infected and uninfected intestinal tissues were analyzed using Haematoxylin and Eosin (H&E) stains and examined under a binocular light microscope (Model 230485). A total of 39 out of 98 S. clarias fish were infected with cestode parasite, Wenyonia acuminate, amounting to 39% parasite prevalence. Among the tested pyrethroids, Cyfluthrin and Alpha -cypermethrin had significant sorption of 1.62 and 3.27 respectively from the aqueous phase to the bottom sediment of the lagoon. Pyrethroid concentration was in the order of sediment > parasite> water > intestine> liver. The cholesterol, triglycerides, and LDL (low density lipids) in the parasite were higher than in the host fish (p<0.05). On the other hand, the fish hepatic protein, high density lipids (HDL) and glucose were higher than the levels in the parasites (p<0.05). There was a high prevalence of gut microbes (30 - 40%), which include Salmonella sp, Escherichia coli, Pseudomonas sp and Bacillus sp among individuals infected with gut Cestodes, Wenyonia sp compared with uninfected individual which had higher gut Staphylococcus sp., Klebsiella sp., and Proteus sp. (10- 40%). among the congeners of pyrethroids analyzed, Cyfluthrin > Alpha-Cyermethrin had significant sorption on the sediment, however unlike a benthopelagic fish, no pyrethroid was accumulated in the S. clarias from the sediment. The fish however accumulated Alpha-Cypermethrin from the aqueous phase. The parasite on the other hand accumulated Bathroid significantly from the surface water and bottom sediment which may be linked to the higher stress levels observed in the parasite than the host fish. The parasite in turn inflicted histological alterations on the host intestine, marked by moderate inflammation of mucosa, alteration of the villi microstructure, moderate stunting of the villous structure and moderate fibrosis of villous structure. The study demonstrated the efficiency of histopathological and microbial analysis in biomonitoring studies enteric parasites and early detection of pyrethroid toxicity respectively compared to bioaccumulation analysis.

Incidence of Hodgkin lymphoma in HIV-positive and HIV-negative patients at a tertiary hospital in South Africa (2005 - 2016) and comparison with other African countries.

BACKGROUND: Hodgkin lymphoma (HL) is the most common non-AIDS-defining cancer in HIV-positive patients. Studies on South African (SA) populations have described the prevalence as 7 - 17% of all lymphomas, 8 - 27% of head and neck lymphomas, 9% of lymph node biopsies and 4% of HIV-related malignancies. OBJECTIVES: To describe the incidence of HL at our centre between 2005 and 2016 by year, gender, HIV status, histological subclassification and bone marrow involvement, and compare these findings with similar SA and African studies. METHODS: This was a retrospective study of all incident HL cases diagnosed in the Department of Pathology, National Health Laboratory Service, Tygerberg Academic Hospital, Cape Town. Follow-up, relapsed and referral cases were excluded. A positive diagnosis of HL was confirmed by either lymph node or bone marrow biopsy and was based on morphological and immunohistochemical findings in accordance with the World Health Organization classification. RESULTS: There were 303 incident cases of HL diagnosed. The incidence increased from 2005 to 2011, with a spike in cases in 2008 and a subsequent decline overall after 2011. The highest proportion of cases was in the 25 - 49-year-old age category (51.1%). There were 77 HIV-positive patients (25.4%), of whom 53 (68.8%) had CD4+ counts <500 cells/µL. In keeping with other African studies, the main subtypes were nodular sclerosis HL (49.8%) and mixed-cellularity HL (23.1%). Bone marrow biopsy following lymph node diagnosis of HL confirmed involvement in 23.7% of patients. CONCLUSIONS: Absolute numbers of cases of HL at our centre have increased since the roll-out of antiretroviral therapy (ART) to the public sector. The recent change in policy to make ART available to all HIV-positive patients independent of CD4+ count suggests that patients will survive longer and are therefore at increased risk of developing HL. We anticipate that numbers of HL cases will increase or remain high in the coming years, and we need to prepare for this.

Bioaccumulation of Pyrethroid in Parasite Wenyonia acuminata (Cestoda: Caryophyllaeidae) and Host fish Synodontis clarias (Linnaeus, 1758) from Lekki Lagoon, Lagos Nigeria

Abstract This study was aimed at determining the concentration of pyrethroid in the surface water, sediment, Weyonia acuminata and Synodontis clarias fish in Lekki lagoon, Lagos, Nigeria. In-situ physicochemical analysis of the surface water was conducted using a calibrated handheld multi-parameter probe (Horiba Checker Model U-10). Intestinal samples from infected and uninfected fish were analyzed for pyrethroid concentrations, microbial colonization, proteins (PRO), superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH), malonaldehyde (MDA) and glutathione peroxidase (GPx). The histopathology of infected and uninfected intestinal tissues were analyzed using Haematoxylin and Eosin (H&E) stains and examined under a binocular light microscope (Model 230485). A total of 39 out of 98 S. clarias fish were infected with cestode parasite, Wenyonia acuminate, amounting to 39% parasite prevalence. Among the tested pyrethroids, Cyfluthrin and Alpha cypermethrin had significant sorption of 1.62 and 3.27 respectively from the aqueous phase to the bottom sediment of the lagoon. Pyrethroid concentration was in the order of sediment > parasite> water > intestine> liver. The cholesterol, triglycerides, and LDL (low density lipids) in the parasite were higher than in the host fish (p 0.05). On the other hand, the fish hepatic protein, high density lipids (HDL) and glucose were higher than the levels in the parasites (p 0.05). There was a high prevalence of gut microbes (30 - 40%), which include Salmonella sp, Escherichia coli, Pseudomonas sp and Bacillus sp among individuals infected with gut Cestodes, Wenyonia sp compared with uninfected individual which had higher gut Staphylococcus sp., Klebsiella sp., and Proteus sp. (10- 40%). among the congeners of pyrethroids analyzed, Cyfluthrin > Alpha-Cyermethrin had significant sorption on the sediment, however unlike a benthopelagic fish, no pyrethroid was accumulated in the S. clarias from the sediment. The fish however accumulated Alpha-Cypermethrin from the aqueous phase. The parasite on the other hand accumulated Bathroid significantly from the surface water and bottom sediment which may be linked to the higher stress levels observed in the parasite than the host fish. The parasite in turn inflicted histological alterations on the host intestine, marked by moderate inflammation of mucosa, alteration of the villi microstructure, moderate stunting of the villous structure and moderate fibrosis of villous structure. The study demonstrated the efficiency of histopathological and microbial analysis in biomonitoring studies enteric parasites and early detection of pyrethroid toxicity respectively compared to bioaccumulation analysis.

Resumo Este estudo teve como objetivo determinar a concentração de piretroide nos peixes de águas superficiais, sedimentos, Wenyonia acuminata e Synodontis clarias na lagoa de Lekki, Lagos, Nigéria. A análise físico-química in situ da água de superfície foi realizada usando uma sonda multiparâmetro manual calibrada (Horiba Checker Modelo U-10). Amostras intestinais de peixes infectados e não infectados foram analisadas quanto a concentrações de piretroides, colonização microbiana, proteínas (PRO), superóxido dismutase (SOD), catalase (CAT), glutationa reduzida (GSH), malonaldeído (MDA) e glutationa peroxidase (GPx). A histopatologia dos tecidos intestinais infectados e não infectados foi analisada usando manchas de Hematoxilina e Eosina (H&E) e examinada sob um microscópio de luz binocular (Modelo 230485). Um total de 39 dos 98 peixes de S. clarias foi infectado com o parasita cestoide Wenyonia acuminata, totalizando 39% de prevalência do parasita. Entre os piretroides testados, ciflutrina e alfa-cipermetrina tiveram sorção significativa de 1,62 e 3,27, respectivamente, da fase aquosa ao sedimento de fundo da lagoa. A concentração de piretroides estava na ordem de sedimentos > parasita > água > intestino > fígado. O colesterol, os triglicerídeos e o LDL (lipídios de baixa densidade) no parasita foram maiores que no peixe hospedeiro (p 0,05). Por outro lado, a proteína hepática dos peixes, os lipídios de alta densidade (HDL) e a glicose foram superiores aos níveis nos parasitas (p 0,05). Houve uma alta prevalência de micróbios intestinais (30-40%), incluindo Salmonella sp., Escherichia coli, Pseudomonas sp. e Bacillus sp. entre indivíduos infectados no intestino com o parasita cestoide Wenyonia sp. em comparação com indivíduos não infectados com Staphylococcus sp., Klebsiella intestinal sp. e Proteus sp. (10-40%). Entre os congêneres dos piretroides analisados, ciflutrina > alfa-cipermetrina teve sorção significativa no sedimento, porém, diferentemente de um peixe bentopelágico, nenhum piretroide foi acumulado no S. clarias do sedimento. No entanto, os peixes acumularam alfa-cipermetrina a partir da fase aquosa. O parasita, por outro lado, acumulou Bathroid significativamente da água superficial e do sedimento do fundo, o que pode estar relacionado aos níveis mais altos de estresse observados no parasita do que no peixe hospedeiro. O parasita, por sua vez, causou alterações histológicas no intestino hospedeiro, marcadas por inflamação moderada da mucosa, alteração da microestrutura das vilosidades, atrofia moderada da estrutura das vilosidades e fibrose moderada da estrutura das vilosidades. O estudo demonstrou a eficiência da análise histopatológica e microbiana nos estudos de biomonitoramento de parasitas entéricos e detecção precoce da toxicidade dos piretroides, respectivamente, em comparação à análise de bioacumulação.

Comparative Bioaccumulation of PAH and BTEX in Malapterurus electricus (Siluriformes: Malapteruridae) and its Enteric Parasite, Electrotaenia malopteruri Sampled from Lekki Lagoon, Lagos, Nigeria

Abstract Contamination of Lekki lagoon by petrogenic chemicals such as polycyclic aromatic hydrocarbons (PAH) and benzene, toluene, ethylbenzene, and xylene (BTEX) has been widely reported. The study was aimed at investigating the bioaccumulation of PAH and BTEX in Malapterurus electricus collected from Lekki lagoon in Lagos, Nigeria. BTEX was analyzed in the intestine, water, and sediment samples using 8260B Agilent 7890B gas chromatograph coupled to a mass spectrometer (GC-MS). While PAHs were tested in the same media using a gas chromatograph coupled to a flame ionization detector (GC-FID). Histopathological analysis of the fish intestine was conducted using haematoxylin and eosin (H&E) stains. Parasite intensity, antioxidant enzymes, and lipid peroxidation activities were investigated in the fish. The parasitic infection detected in Malapterurus electricus was Electrotaenia malopteruri. The parasite showed weak and no depurative capacities for BTEX and PAH respectively. The decrease in superoxide dismutase (SOD), catalase (CAT), and reduced glutathione (GSH) in conjunction with an increase in Malondialdehyde (MDA) characterized relatively higher susceptibility among the male fish. Varieties of tissue injuries increased with the standard length of the fish groups. Results suggest that lengthier and uninfected M. electricus were more susceptible to PAH in Lekki lagoon than the shorter and infected ones. The study demonstrated a promising tendency of the enteric parasite, E. malopteruri to depurate chlorobenzene, ethylbenzene, o-xylene, m+p-xylene, and 1,4-dichlorobenzene from the intestine of its host fish, M. electricus, while PAHs were poorly mediated by the parasite.

Resumo A contaminação da lagoa Lekki por produtos químicos petrogênicos, como hidrocarbonetos aromáticos policíclicos (HAP) e benzeno, tolueno, etilbenzeno e xileno (BTEX), foi amplamente relatada. O estudo teve como objetivo investigar a bioacumulação de HAP e BTEX em Malapterurus electricus, coletados na lagoa Lekki, em Lagos, Nigéria. O BTEX foi analisado no intestino, na água e nas amostras de sedimento usando o cromatógrafo de gás Agilent 7890B 8260B acoplado a um espectrômetro de massa (GC-MS). Já os HAP foram testados no mesmo meio utilizando cromatógrafo gasoso acoplado a detector de ionização de chama (GC-FID). A análise histopatológica do intestino do peixe foi conduzida usando colorações de hematoxilina e eosina (H&E). Intensidade de parasitas, enzimas antioxidantes e atividades de peroxidação lipídica foram investigadas nos peixes. A infecção parasitária detectada em Malapterurus electricus foi Electrotaenia malopteruri. O parasita mostrou fraca e nenhuma capacidade depurativa para BTEX e HAP, respectivamente. A diminuição da superóxido dismutase (SOD), catalase (CAT) e glutationa reduzida (GSH), em conjunto com o aumento do Malondialdeído (MDA), caracterizou a suscetibilidade relativamente maior entre os peixes machos. Variedades de lesões nos tecidos aumentaram com o comprimento padrão dos grupos de peixes. Os resultados sugerem que os M. electricus maiores e não infectados foram mais suscetíveis aos HAP na lagoa Lekki do que os menores e infectados. O estudo demonstrou uma tendência promissora do parasita entérico E. malopteruri de depurar clorobenzeno, etilbenzeno, o-xileno, m + p-xileno e 1,4-diclorobenzeno do intestino de seu peixe hospedeiro, M. electricus, enquanto os HAP foram mal mediados pelo parasita.