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Browsing by Type "posted-content"

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    APOL1 risk variants and kidney transplantation: a protocol for systematic review andmeta-analysis
    (Research Square Platform LLC, 2021-02-09)
    Michael Abel Alao
    ;
    Yemi Raheem Raji
    ;
    Adanze Onyenunachi Asinobi
    ;
    Adeolu Oladayo Akinboro
    ;
    Samuel Osobuchi Ngene
    ;
    Ibrahim Rasheed Olayinka
    ;
    Prof Ifeoma Okoye
    ;
    Emmanuel Nna
    Abstract BackgroundGraft survival post-kidney transplant may be influenced by APOL1 risk variant status of both donors and recipients. There are several conflicting reports on screening, eligibility and inclusion of APOL1 risk variant testing in the Kidney Donor Risk Index. We aimed to produce a protocol for synthesizing evidence from available data on Apoprotein L1 risk variants and kidney transplantation.METHODS:We developed a search strategy using MeSH, text words and entry terms. Nine databases will be searched: PubMed, Embase, CINAHL, AJOL, Google Scholar, Web of Science, Cochrane Library, Research gate and Scopus. Only observational studies retrievable in the English Language will be included. The primary measurable outcome is the recipient’s post-transplant graft survival time from APOL1 high-risk variant donors. The secondary outcomes are the proportion of APOL1 high-risk variants in End-Stage Kidney Disease requiring a kidney transplant, the proportion in graft recipients and kidney donors; the effect of APOL1 high-risk variant on donor's kidney function post-kidney donation, recipient kidney allograft survival in APOL1 low and high-risk recipients. Deduplication, screening, and selection of identified studies will be done using Covidence software while CMA software version 3 will be used for meta-analysis. All studies will be assessed for methodological, clinical, and statistical heterogeneity. Publication bias will be visually assessed using the funnel plot. Results will be presented in forest plots with pooled survival time, standard error, and variance. Subgroup analysis will be performed using moderators such as socio-demographics: race, age, gender, and socio-economic status; hypertension, HIV status, forms of rejection, and other environmental factors.Discussion: The effect size for the primary outcome is a standardized mean difference in survival time for APOL1 high-risk variants in kidney transplants. The changes in kidney functions of donors and recipients pre and post-transplantation would be examined. The suitability of donors who have APOL1 high-risk variants will be explored in relation to graft survival time, donors' kidney function, and moderating effects of socio-demographic and environmental determinants.Trial Registration Number: This protocol is registered in PROSPERO, with registration number CRD42021230358
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    Challenges to rehabilitation services in Sub-Saharan Africa from a user, health system and service provider perspective: A scoping review (Preprint)
    (JMIR Publications Inc., 2024-03-26)
    Callixte Cyuzuzo
    ;
    Marie Josee Dukuzimana
    ;
    Clement Muhire
    ;
    Mathew Sheldon Ames
    ;
    Emmanuel Ngwakongnwi
    Background: Rehabilitation aims to restore and optimize the functioning of impaired systems. It is an integral part of universal health coverage and access to it is a human right for people with disabilities. It is important to identify the key challenges to rehabilitation services in Sub-Saharan Africa (SSA) from a user, health system and service provider perspective Objective: To identify the key challenges to rehabilitation services in Sub-Saharan Africa (SSA) from a user, health system and service provider perspective Methods: This scoping review was conducted in accordance with the five steps framework proposed by Arksey and O'Malley and a comprehensive electronic search was run to identify published articles on rehabilitation services in Sub-Saharan Africa. Of all 131 articles retrieved in the searches, 83 articles were assessed for eligibility and 15 papers met the inclusion criteria were considered Results: The results showed that people with disabilities in Sub-Saharan Africa face multifactorial challenges to access rehabilitation services. Poor access to rehabilitation services is associated with less attention given to rehabilitation by governments which led to less funding, cultural and social beliefs, less and poorly equipped rehabilitation centers, failure of the health systems, lack of trainings to professionals, logistical and financial constraints.This review also revealed that digital rehabilitation reduced costs and improved access to services in hard-to-reach geographical areas. However, it faced connectivity issues, inaccessibility to technology and lack of technical knowledge, lack of privacy and ethical challenges Conclusions: This review concludes that people with disabilities face multifactorial challenges to access rehabilitation services in SSA. It is therefore critical to address these challenges to optimize patients’ health outcomes and offer better rehabilitation services.
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    Diversity and Distribution of Spa types among Methicillin Resistant Staphylococcus Aureus Isolated from Humans and Livestock in Kabale District - South Western Uganda
    (Research Square Platform LLC, 2021-11-30)
    Andrew Baguma
    ;
    Benson Musinguzi
    ;
    Patrick Orikiriza
    ;
    Joel Bazira
    Abstract Background: S. aureus is a skin and mucosal bacterial commensal of both humans and animals which has evolved as an important pathogen implicated to cause various infections. High levels of antibiotic use have resulted into multi-drug resistance MRSA, especially among HA-MRSA, CA-and LA - MRSA. Awareness on coexistence and diversity of MRSA clones among humans and household Livestock particularly cattle and swine in our region is limited. We used spa typing method to determine spa diversity, distribution and coexistence in outpatients, household contacts and respective livestock (cattle and swine) in Kabale region, south western Uganda. Methods: This was a cross sectional study by design consisting of outpatients, household contacts and livestock. Outpatients (n =100) colonized with MRSA were traced back to their respective homesteads where household members, domestic cattle, and, swine were tested for S. aureus and subsequently MRSA colonization. High-resolution DNA melting analysis was used to determine spa types among MRSA isolates. Overlap of MRSA isolates among humans and livestock was based on the presence of similar spa types. Results A total of 3371 S.aureus isolates were collected from outpatients (n =376), household contacts (n = 1531), Cattle (n = 1159) and Swine (n = 305), among which 482 had mecA gene where 27% (100/376) and 8% (123/1531) were outpatients and household contacts respectively while 11% (132/1159) and 42% (127/305) were cattle and swine respectively. Twenty different spa types were identified; t034, t4677, t108, t1451, t9377, t1081, t040, t701, t041, t002, t044, t037,t121, t127, t922, t032, t019, t018, t012 and t030, among which t034 (109/482), t4677 (53/482), t9377 (63/482) and t1081 (53/482) were most prevalent and distributed among human and livestock. All the MRSA isolates were multidrug resistant to antibiotics tested. Conclusion:In Kabale region, there is high diversity of spa types among MRSA. Presence of similar spa types was found circulating among humans and their respective livestock which demonstrates a possible bidirectional transmission. Presence of MDR - MRSA highlights the need for effective prevention and control of MRSA among livestock and in the community using One Health approach.
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    GEOTACTICAL AND NEUROCHEMICAL PHENOTYPES OF DROSOPHILA MELANOGASTER FOLLOWING NIGELLA SATIVA EXPOSURE
    (Center for Open Science, 2019-05-28)
    Royhaan Folarin
    ;
    Ayodele Kayode
    ;
    Thomas Adenowo
    ;
    Muinat Adeyanju
    ;
    Joshua Olugbode
    ;
    Esther Obadeyin

    Drosophila melanogaster is a holometabolous frugivorous fly, with neurobiological and neurogenetic modelling importance owed to its small size, short life cycle, fast reproductive rate, low cost in maintenance and small tetra-chromosomal genome. Nigella sativa (Black seed) is a widely researched medicinal plant with numerous reported therapeutic activities in humans and rodents. Being the most abundant neurotransmitter in Drosophila, glutamate plays an important role in learning and memory, neuro-excitation but also neuro-inhibition. This research thus investigated the impacts of Nigella sativa on the survival rate, glutamate level and negative geotactical abilities in Harwich strains of Drosophila melanogaster. The experimental flies were exposed to varied concentrations of Nigella sativa oil for five days. The results showed a higher survival rate, glutamate level and negative geotactic ability for the lower dose flies, while the higher Nigella sativa dose flies recorded significantly lesser values in the trio. This indicates that Nigella sativa administered at 2.4ml/4ml (60%) of feed may be lethal to the general survival and physiological functions of adult Drosophila. The lower dose however shows a high potential of improving locomotive and neurochemical activities in flies, as further studies are on to further identify the most therapeutic dose of Nigella sativa in Drosophila melanogaster, with a range suggested based on the findings of this research

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    GEOTACTICAL AND NEUROCHEMICAL PHENOTYPES OF DROSOPHILA MELANOGASTER FOLLOWING NIGELLA SATIVA EXPOSURE
    (Center for Open Science, 2019-05-28)
    Royhaan Folarin
    ;
    Ayodele Kayode
    ;
    Thomas Adenowo
    ;
    Muinat Adeyanju
    ;
    Joshua Olugbode
    ;
    Esther Obadeyin

    Drosophila melanogaster is a holometabolous frugivorous fly, with neurobiological and neurogenetic modelling importance owed to its small size, short life cycle, fast reproductive rate, low cost in maintenance and small tetra-chromosomal genome. Nigella sativa (Black seed) is a widely researched medicinal plant with numerous reported therapeutic activities in humans and rodents. Being the most abundant neurotransmitter in Drosophila, glutamate plays an important role in learning and memory, neuro-excitation but also neuro-inhibition. This research thus investigated the impacts of Nigella sativa on the survival rate, glutamate level and negative geotactical abilities in Harwich strains of Drosophila melanogaster. The experimental flies were exposed to varied concentrations of Nigella sativa oil for five days. The results showed a higher survival rate, glutamate level and negative geotactic ability for the lower dose flies, while the higher Nigella sativa dose flies recorded significantly lesser values in the trio. This indicates that Nigella sativa administered at 2.4ml/4ml (60%) of feed may be lethal to the general survival and physiological functions of adult Drosophila. The lower dose however shows a high potential of improving locomotive and neurochemical activities in flies, as further studies are on to further identify the most therapeutic dose of Nigella sativa in Drosophila melanogaster, with a range suggested based on the findings of this research

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    Nigella Sativa Prevented Parkinson's-Like Motor Functions Impairment, Dopamine Depletion and Neuronal Degeneration in the Striatum of Mptp-Induced Balb/C Mice
    (Springer Science and Business Media LLC, 2021-06-17)
    Royhaan Folarin
    ;
    Akinola Olonade
    ;
    Imam Aminu
    ;
    Praise Ogunkunle
    ;
    Paul Folarin
    Abstract

    Background Parkinsonism is a neurological disease characterised by dopaminergic neuron degeneration in the substantial nigra and dopamine deficiency in the brain, with motor and psycho-cognitive implications, while limitations masked the efficacy of the available drugs, thus the need to find alternatives with less side effects are essential. Nigella sativa is a multi-potent plant with therapeutic potentials in the brain and other body organs. This study investigated the effects of Nigella sativa oil (NSO) on the cognitive and other Parkinsonism endophenotypes elicited by MPTP in the BALB/c strain mice. Materials and Methods Body weights, brain-body ratios, recognition memory (through novel object recognition test), as well as fronto-cortical, striatal and cerebellar dopamine and neuronal density were assayed in thirty-two (32) male BALB/c mice (18 g − 25 g). They were randomized into four groups exposed to; normal feed, 18 mg/kg MPTP i.p, 1 ml/kgbw NSO p.o., and NSO + MPTP respectively, for 5 consecutive days. Behaviours were analysed 24 hours after the last exposure, subsequently euthanized, the brains removed and processed for biomarkers analysis and histochemistry. Results Parkinsonism-like traits such as mild tremor, down-regulation of striatal and fronto-cortical dopamine and neurons were recorded in the BALB/c mice administered with MPTP only. However, significant increase (p < 0.05) in appetite, body weight, brain-body weight ratio, and recognition memory was also recorded in the MPTP-administered mice, though Nigella sativa was significantly prophylactic against the negative Parkinsonic features, and ‘moderative’ of the up-regulations induced by MPTP. Conclusion While this suggests selective MPTP sensitivity and resistance in BALB/c strains, this study recommends the investigation of possible (though ironic) beneficial potentials of MPTP.

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    Peripartum traditional medicine use and surgical site infections: A prospective cohort of women delivering via cesarean section in rural Rwanda
    (Research Square Platform LLC, 2021-11-03)
    Laban Bikorimana
    ;
    Andrew Oryono
    ;
    Elizabeth Miranda
    ;
    Anne Niyigena
    ;
    Barnabas Alayande
    ;
    Mathieu Niyonkuru
    ;
    Andreas S. Goodman
    ;
    Fredrick Kateera
    ;
    Robert Riviello
    ;
    Sadoscar Hakizimana
    ;
    Adeline Boatin
    ;
    Christian Mazimpaka
    ;
    Bethany Hedt-Gauthier
    Background Traditional medicine is commonly used in low- and middle-income countries (LMICs). Little is known about the use of traditional medicine among women undergoing cesarean section (c- section) and the association to surgical site infections (SSIs) in LMICs. In this study, we describe peripartum use of traditional medicines and the risk of SSIs among women delivering via c-section in rural Rwanda. Methods This prospective cohort study enrolled women who underwent c-section at Kirehe District Hospital in rural Rwanda between September 2019 and February 2020. We collected self-reported data regarding traditional medicine use before and during pregnancy and after discharge up to postoperative day (POD) 11. On POD 11 (+/- 3 days), the women returned to the hospital for a study follow-up visit. We used Fisher’s exact test to assess the relationship between sociodemographic characteristics and traditional medicine use, and logistic regression to determine the association between traditional medicine use and SSI development while controlling for confounders. Results Of the 841 women enrolled in this study, 45 (5.4%) reported using traditional medicine to get pregnant. Nearly 39% used traditional medicine during pregnancy; the majority (96.9%) for a pregnancy-related reason. Only four women (0.5%) reported traditional medicine use between c- section and the POD 11 study visit. Of the 775 women who responded at all time-points, 341 2 (44.0%) reported using traditional medicine at some point during pregnancy or c-section recovery. No demographic characteristics were significantly associated with traditional medicine use (p>0.05), except for smoking (p=0.048) and alcohol consumption (p=0.010). Both traditional medicine use during pregnancy (p=0.04, aOR=2.0, 95% CI: 1.05, 3.85) and at any time point (p=0.04, aOR=2.0, 95% CI: 1.04, 3.83) were associated with development of SSI. Conclusions Traditional medicine use among c-section patients was high in the peripartum period, particularly during pregnancy, and was significantly associated with SSI. Knowing patterns of traditional medicine use during the peripartum period can help providers collaborate with traditional healers and give appropriate, culturally-sensitive pregnancy and postoperative care and counseling to patients.
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    PPEs From Nigerian Academia: Flattening The COVID-19 Curve With 3D Printing And Locally Sourced Intervention
    (Springer Science and Business Media LLC, 2021-07-29)
    Royhaan Folarin
    ;
    Andre Chagas
    ;
    Mahmoud Bukar
    ;
    Abisola Akinbo
    ;
    Tamra Runsewe-Abiodun
    ;
    Omobola Ogundahunsi
    ;
    Ahmed Adedeji
    Abstract

    Background:Personal protective equipment (PPE) supply shortages were a big issue in the fight against COVID-19 around the world at the onset of the pandemic, requiring all communities to find innovative ways to make and supply PPE for health workers, vulnerable people and the general public. To this end and in line with the WHO’s call for 40% raise in PPE production across the world, we sought to alleviate the PPE shortage and to support our local communities using 3D printing (additive manufacturing) and free and open-source hardware (FOSH). Methods:Utilising a 3D printer and off-the-shelf components, reusable face shields and face masks were produced based on open source designs. Off-the-shelf components included transparent polyvinyl chloride (PVC) visor, ribbon tapings and elastic bands for the face shields, as well as cushioning pads (clothed foams) and filters (sensitive tissues) for the face masks. Hygienic measures employed during fabrication included the assembly following safety protocols, disinfection of products with ultraviolet bactericidal lamps, ensuring hygiene during collection and distribution. Users’ real-life experience and feedback were utilised to modify and improve on quality and adaptability of the designs.Results:In a period of three months, over 400 reusable 3D-printed face shields and face masks were produced by a team of academics, for health practitioners, other professionals and people across the Olabisi Onabanjo University community and other cities within Ogun and Lagos states. Conclusions:More awareness is generally required on the potentials of 3D printing and FOSH in the global south, particularly in universities and research institutions where innovative alternatives to expensive equipment remain vital. Our feat corroborated and advocated these potentials in a low-income setting like Nigeria, where the immediate response and synergy between academics, and researchers yielded a substantial number of PPE to front line workers, in a timely manner at the peak of the viral transmission and lockdowns- a period wherein manufacturers of PPEs struggled to establish their commercial logistics. We emphasize the need for university managements to support academics and researchers strongly to deliver on much needed community support in crises time, and encourage governmental and non-governmental bodies to consider investing in this innovative self-reliant perspective through their research funding and managemnt programmes in a bid to achieving a lot more with the less funds.Trial registration:Not applicable.

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    SUB-CHRONIC MPTP-INDUCED PARKINSONISM: SELECTIVE SENSITIVITY OF THE BALB/c MICE AND THE PROPHYLACTIC ROLES OF NIGELLA SATIVA OIL
    (Center for Open Science, 2019-07-30)
    Royhaan Folarin
    ;
    Akinola Olonade
    ;
    Praise Ogunkunle
    ;
    Philemon Shallie
    ;
    Thomas Adenowo
    ;
    Muinat Adeyanju
    ;
    Paul Folarin
    ;
    Tarilayefa Amangele

    Parkinsonism is a degenerative neurological syndrome characterised by dopamine deficiency in the basal ganglia. Despite ages of research, there is still lack of holistic and side-effect-free therapy for the disease. Nigella sativa is a multi-potent plant known for its historical and scientifically proven therapeutic potentials in the brain and other body organs. Despite the validity debates on the use of BALB/c mice strains in the modelling of Parkinsonism using MPTP, this study re-appraised the sensitivity versus resistance of the BALB/c mice strain to MPTP and further investigated the possible neuro-thrapeutic role of Nigella sativa oil (NSO) in the Parkinsonic endophenotypes elicited by MPTP in the BALB/c strain. Body weights, relative brain weights, striatal dopamine, striatal neuron density and recognition memory were studied in thirty-two (32) male albino mice, weighing between 18g -25g. They were divided equally into Control (administered with normal feed for 5 days), MPTP (administered with 18mg/kg MPTP i.p for 5 days), NS (administered with 1ml/kgbw NSO p.o. for 5 days), and NS+MPTP (administered with 1ml/kgbw NSO p.o. followed by 18mg/kg MPTP i.p for 5 days). Recognition memory was assayed through Novel Object Recognition test (NORT), and the animals were weighed and euthanised 24 hours after last administration. The brains were excised and the striatum assayed neurochemically for dopamine and illustrated histologically for neuronal density using the H&amp;E stain. Parkinsonic traits such as mild tremor, significant down-regulation of dopamine and striatal neurons (p&lt;0.05) were recorded in the BALB/c mice administered with MPTP only, confirming MPTP-sensitivity for these features. However, significant increase (p&lt;0.05) in appetite, body weight, brain-body weight ratio, and recognition memory was also recorded in the MPTP-administered mice, though Nigella sativa was significantly prophylactic against the negative Parkinsonic features, and ‘moderative’ of the up-regulations induced by MPTP. While this suggests selective MPTP sensitivity and resistance in BALB/c strains, this study recommends the investigation of possible beneficial potentials of MPTP as observed. The research was conducted in conformance with the Animal Research Ethics Committee (AREC) guidelines of the Olabisi Onabanjo University.

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    The Use of Simulation for Undergraduate Surgical Education in Sub-Saharan Africa: A Scoping Review
    (Research Square Platform LLC, 2023-01-17)
    Barnabas Tobi Alayande
    ;
    Callum Forbes
    ;
    Ornella Masimbi
    ;
    Paul KingPriest
    ;
    Natnael Shimelash
    ;
    Felix Wina
    ;
    Matthew T. Hey
    ;
    Godfrey Sama Philipo
    ;
    Egide Abahuje
    ;
    Jamie M. Robertson
    ;
    Steven Yule
    ;
    Robert Riviello
    ;
    Abebe Bekele
    Abstract Background The implementation of simulation-based learning for surgical training in sub-Saharan Africa can help prepare trainees to address surgical burden. The current status of simulation for surgical skills training in undergraduate medical education in Africa South of the Sahara needs to be better defined. In this scoping review we aimed to identify gaps in the application of simulation to undergraduate surgical education in sub-Saharan Africa. Methods We conducted a scoping literature search using PubMed, Embase, and African Index Medicus in August 2021. Studies reporting data on the use of simulation-based learning for undergraduate or internship surgical training in SSA specific to surgical clerkships, programs or procedures were included in the analysis. There were no language or date restrictions. Results We identified 119 studies and included 19 in the final analysis. Most simulation-based learning for undergraduate surgical training in sub-Saharan Africa began recently (2017–2021), and were reported from Eastern Africa (78%). Half were planned as recurring, sustained simulation programs, and only 25% of programs applied simulation to early undergraduate training. Up to 44% of primary care and 32% of first-level hospital essential surgical procedures, as defined by the Disease Control Priority Program (DCP3), are reported as taught by simulation. Only 15% of programs taught non-technical skills and 14% had engineering collaborations. Conclusions We found a lack of published simulation-based learning for undergraduate medical education in sub-Saharan Africa for 65% of World Health Organization/World Bank Disease Control Priorities 3-defined essential operations. There is need to expand the range and depth of content, and participant spread. Interdisciplinary, trans-sectoral collaboration will enrich simulation program quality, and assist with expansion to other African regions.
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    Vernonia Amygdalina Del (Bitter Leaf) extract ameliorates isoniazid (INH) induced liver injury in Swiss Albino Mice
    (Cold Spring Harbor Laboratory, 2018-11-28)
    Gebreselassie Addisu Tilaye
    ;
    Muluken Fekadie Zerihun
    ;
    Kasaw Adane Chuffa
    ;
    Mahelet Arayaselassie
    ;
    Daniel Seifu
    Liver plays a central role in the metabolism of drugs. Drug clearance and transformation exposes liver to toxic injury. Antitubercular drugs have been found to be hepatotoxic and potentially lead to drug-induced liver injury. Isoniazid is one of the most hepatotoxic first line antitubercular drugs. Conventional drugs used in the treatment of liver disease are often inadequate and a search for supplementation or alternative drugs for the treatment of hepatic damage is indispensible. Therefore our study aims to investigate the hepatoprotective potential of Vernonia Amygdalina Del (bitter leaf) extract against Isoniazid-induced liver injury in Swiss Albino Mice. Treatment of Mice orally with Vernonia Amygdalina Del extract at dose of 250mg/kg and 375 mg/kg significantly lowered (P<0.05) the serum level of liver enzymes in Isoniazid pretreated mice. The hepatoptotective activity of the extract found to be comparable with the standard drug, Silymarin (100 mg/kg, P.o.). Moreover, treatment with the extract significantly alleviated Isoniazid induced hepatic injury as supported by the photomicrographs of liver section of mice. The data shows aqueous Vernonia Amygdalina Del extract has a very promising hepatoprotective potential against isoniazid-induced liver injury.
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