Knowledge of preeclampsia and its associated factors among pregnant women: a possible link to reduce related adverse outcomes.

BACKGROUND: Pre-eclampsia (PE) is one of the leading causes of maternal morbidity and mortality globally. Adequate knowledge about a disorder contributes greatly to its prevention, control and management. This study assessed the level of knowledge of PE and evaluated the factors associated with knowledge adequacy among pregnant women attending antenatal care at a University Hospital in Kumasi-Ghana. METHODS: This cross-sectional study was conducted at the University Hospital in Kumasi, Ghana. A validated closed-ended questionnaire was used to collect socio-demographic information and history of PE. Knowledge of PE was assessed based on a series of questions regarding the awareness, signs/symptoms, risk factors and complications of PE. Responses were scored percentage-wise and grouped into low (< 60%), moderate (60-80%) and high (80-100%). Knowledge score was then re-stratified into adequate (% score of ≥60%) and inadequate knowledge of PE (% score of < 60%). RESULTS: The prevalence of inadequate and adequate knowledge of PE was 88.6% (mean score = 55.5 ± 4.3%) and 11.4% (mean score = 76.3 ± 5.9%), respectively. For participants with adequate knowledge of PE, 9.1% (mean score = 67.4 ± 6.9%) and 2.3% (mean score = 85.2 ± 5.1%) had moderate and high knowledge, respectively. Using univariate logistic regression models, being older (> 35 years old) [cOR = 3.09, 95%CI (0.88-10.88), p = 0.049] and having a higher level of education (> SHS education) [cOR = 4.45, 95%CI (2.18-9.10), p < 0.0001] were significantly associated with greater odds of having adequate knowledge of PE. After controlling for potential confounders in multivariate logistic regression analysis, we found higher level of education to be independently associated with adequate knowledge of PE [aOR = 2.87, 95%CI (1.31-6.30), p = 0.008]. CONCLUSION: The knowledge of PE among pregnant women in Ghana is low. The prominent factor that facilitates adequacy of knowledge of PE is higher level of education.

In-vitro antioxidant, antimicrobial and phytochemical properties of extracts from the pulp and seeds of the African baobab fruit (Adansonia digitata L.).

Adansonia digitata, commonly known as the African Baobab plant is used widely in traditional medicine for treating of many diseases. The current study investigates the antioxidant and antimicrobial properties, and nutritional composition of the pulp and seeds from the fruit of African Baobab plant. Matured fruits were harvested and processed by separating the fruit pulp and seeds. Water, 70 % Ethanol/water mixture, and Hexane were used as solvents for extraction. Antioxidant properties of extracts in this study were investigated using the 2,2-diphenyl-1-picrylhydrazyl, hydrogen peroxidescavenging assays., Total Flavonoid Content, Total Phenolic Content, Total Tannin Content, and Total Antioxidant Capacity were also investigated. Agar Well Diffusion and Broth Dilution methods were used to estimate the antimicrobial properties of the extracts. The proximate composition of the seeds and fruit pulps was also determined. GC-MS was employed to determine the fatty acid composition. Results obtained showed the presence of Total phenolics (range 4.1-5.5 mg GAE/g), Total flavonoids (range 10.1-16.5 mg QE/g), Total Tannins (range 1.7-15.6 mg CE/g), and Antioxidants (range 2.0-14.5 mg AAE/g). The H2O2 and DPPH assays gave IC50s in the ranges of 300-1800 mg/L and 700-1600 mg/L respectively. Extract from the fruit pulp was found to inhibit the growth of a panel of 2 g-positive bacteria, 2 g-negative bacteria, and two fungi microorganisms. Fatty acids such as myristic acid, palmitic acid, and stearic acid were found to be present in oil from the seeds. Proximate components such as crude protein, crude fat, and crude fibre were found to be high. From the results, seeds and the fruit pulp of the African Baobab plant have significant antioxidant properties and can inhibit microbial growth.

Antibiotic producing microorganisms from River Wiwi, Lake Bosomtwe and the Gulf of Guinea at Doakor Sea Beach, Ghana.

BACKGROUND: Microorganisms have provided a wealth of metabolites with interesting activities such as antimicrobial, antiviral and anticancer. In this study, a total of 119 aquatic microbial isolates from 30 samples (taken from water bodies in Ghana) were screened by the agar-well diffusion method for ability to produce antibacterial-metabolites. RESULTS: Antibacterial activity was exhibited by 27 of the isolates (14 bacteria, 9 actinomycetes and 4 fungi) against at least one of the indicator microorganisms: Enterococcus faecalis (ATCC 29212), Bacillus thuringiensis (ATCC 13838), Pseudomonas aeruginosa (ATCC 27853), Staphylococcus aureus (ATCC 25923), Proteus vulgaris (NCTC 4635) and Bacillus Subtilis (NCTC 10073). A sea isolate MAI2 (identified as a strain of Pseudomonas aeruginosa) exhibited the highest antibacterial activity (lowest zone of inhibition = 22 mm). The metabolites of MAI2 extracted with chloroform were stable to heat and gave minimum inhibitory concentrations ranging between 250 and 2000 µg/ml. Bioautography of the extract revealed seven active components. CONCLUSION: This study has therefore uncovered the potential of water bodies in the West African sub-region as reservoirs of potent bioactive metabolite producing microorganisms.

Antioxidant and anti-inflammatory properties of "Limolanii" grass and perceptions of locals on its survival in the era of changing climate.

The aromatic Spear grass Hyparrhena rufa (locally called "Limolanii") found in the Saboba District of the Northern Region of Ghana is ingeniously used for dietary, medicinal, and other purposes. Focus group discussions were conducted in communities where "Limolanii" grows to assess the local perception of the importance of the grass and changing climate impacts on its continued existence. Findings indicated that the plant is of immense importance to the locals but has not been validated scientifically and reported for its current use. The communities are also hopeful of future socio-economic benefits of "Limolanii" but expressed concern about the lack of remediation practices to address issues of climate change, increased use of agrochemicals, urbanization, etc., which can lead to the extinction of the grass. "Limolanii" was therefore evaluated for its nutritional and anti-nutritional content by proximate analysis and ethanolic extract evaluated for some medicinal properties. The extract was assessed for its anti-inflammatory property using the carrageenan-induced oedema in chicks' model while antioxidant property evaluated using DPPH (2,2-diphenyl-1-picrylhydrazyl) radical scavenging activity, Phosphomolybdenum (Total Antioxidant Capacity), Total Phenol (Folin-Ciocalteu), and Total Flavonoid Content (Aluminium-chloride colorimetric) assays. The plant showed good nutritional content, extract exhibited a dose-dependent inhibition of oedema with maximal percentage inhibition of 41.05% at 300 mg/kg body weight and noticeable antioxidant activities. Flavonoids, coumarins, and other phytochemicals detected in the plant could be responsible for these activities, however, at certain levels, these phytochemicals could act as anti-nutrients. "Limolanii" exhibits medicinal properties backing its use traditionally as food supplements and herbs, hence the need to explore its possible commercial cultivation and embark on community sensitization to encourage people to protect and expand its production.