ABSTRACT
Introduction: the rising prevalence of diabetes mellitus (DM) around the world has dramatically increased the number of people bearing the complications of this potentially incapacitating disease. One of these complications is foot ulcers that may result in amputation. This study sets out to determine the profiles of the "foot-at-risk" for ulceration and the associated socio-medical factors in DM patients. Methods: this study was conducted at Bowen University Teaching Hospital, Ogbomoso, Southwest, Nigeria. This was a descriptive cross-sectional study comprising 299 outpatient adults aged 18 years and above with diabetes mellitus of at least 6 months in duration. Comprehensive Foot Examination and Risk Assessment tool was used to identify the foot-at-risk categories of the participants. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 20. Results: the prevalence of foot-at-risk among the participants was 64.9% (194). Among the 194 participants with foot-at-risk, 35.1% (105) belonged to the foot-at-risk categories 0, 37.8% (113) in category 1, 16.1% (48) in category 2, and 11.0% (33) in category 3. Other factors that had a statistically significant association with foot-at-risk included; age, religion, level of education, duration of diabetes, history of smoking, and glycemic control. Conclusion: foot-at-risk was found to have an alarming prevalence among the participants. In addition, the level of glycemic control in this group was unacceptably poor. Clinicians need to intensify preventive measures like foot screening and health education to prevent foot ulcerations, which may result in limb amputation in DM patients.
Subject(s)
Humans , Male , Female , Diabetes Mellitus , Hospitals, TeachingABSTRACT
The quality of potable water depends not only on its physical and chemical characteristics but also on its biological characteristics. Potable water is often sourced from surface water, mainly rivers, streams, lakes and groundwater - boreholes and wells; of which boreholes are supposedly superior. In the present study, the physicochemical and microbiological status of six newly drilled boreholes in Rafi Local Government Area, Minna, Niger State was assessed. Twenty-two physicochemical parameters and coliform count were determined. Water samples were collected from newly drilled borehole water sources in Tsofomension 1, TsofoMension 2, Katako, Tunga Bako, Kagara and Kwana. The colour, odour, taste, temperature, turbidity, conductivity, pH, chloride and copper ions were within acceptable limits. Iron and manganese content of the three regions were highly elevated above the recommended level. It is of concern that the level of hydrogen sulphide (0.2 - 0.27) was far above the permissible level (0.05), being newly drilled sources of water. Only one of the studied boreholes was free of both total and faecal coliforms, other boreholes were contaminated with either total or faecal coliforms or both. The findings in this study necessitate a call for increased hygiene and construction of lined soak-away to eradicate indiscriminate discharge of human and animal wastes. Appropriate water treatment methods such as coagulation, filtration and boiling of water should be encouraged. Most importantly, newly dug water sources should be tested, monitored and elaborately treated before consumption.
ABSTRACT
The effects of enriching two cultivars of yam (DioscorearotundataPoir) flour with sesame seed (SesamumindicumL) flour on their physicochemical and nutritional characteristics were studied. Yam flours were produced from Abujaand Efuruyams by parboiling at 60°C for 10 minutes and left overnight, followed by sun drying for four days. Enriched yam flour samples were prepared by thoroughly mixing the yam and sesame seed flour in ratios95:5, 90:10, 85:15 and 80:20 respectively. Proximate, mineral and anti-nutrientcontent, as well as functional properties of enriched flours, were determined using standard methods of AOAC. The two yam-flour samples were low in moisture, crude protein, fat and ash content, high in carbohydrate and macro minerals, while Sesame seed was very low in moisture and carbohydrate, but very high in crude protein, fat, ash and macro minerals. The moisture, crude protein, fat, ash and carbohydrate content of the yams and enriched samples ranged between 11.9-13.8g, 3.3-7.5g, 0.5-13.8g, 2.0-2.6_g and 63.3-81.8_g/100g respectively. Addition of sesame seed flour resulted in the reduction of moisture and carbohydrate content and significant increase (p=0.05) in protein, fat and ash values of enriched samples. The protein, fat and mineral content of the enriched samples increased with increased level of sesame seed flour inclusion (p=0.05). Both yam and sesame flours were low in the antinutritional factors studied. Sesame flour was high in trypsin inhibitors and polyphenols. Enrichment with sesame flour resulted in further reduction in the antinutritional factors content with increase in trypsin inhibitors and polyphenols content of the products. Efuruvariety flour with its enriched products had higher water and oil absorption capacity, loose and packed bulk density and swelling capacity than Abujavariety flour. Enriching yam flour with sesame flour can improve the nutrients and functional properties of their products which can improve the nutritional status, health and well-being of consumers
ABSTRACT
Objective.To test the hypothesis that optimal management of postoperative pain may reduce the risk of developing chronic pelvic pain in women who undergo caesarean section.Methods. In a randomised trial in 2006/2007; ropivacaine was infiltrated through all the layers of the anterior abdominal wound in patients undergoing caesarean section. The outcome was a reduction in severe pain or the need for rescue narcotic analgesia within 1 hour after the operation in the ropivacaine group compared with a placebo group (relative risk 0.51; 95 confidence interval 0.38 - 0.69). A follow-up study 4 years later was designed to assess the prevalence of chronic pelvic pain by carrying out telephonic interviews with these women; of whom 77 were contactable and 75 were analysed. Data and statistical analysis were done using Microsoft Excel (2007); Epi Info (version 343) statistical and Review Manager 5 software.Results. Three out of 40 women in the ropivacaine group and 3/35 in the placebo group had persistent pelvic pain (total rate of chronic pelvic pain 8.1).Conclusion. There was no significant difference in the prevalence of chronic pelvic pain between the ropivacaine wound infiltration group (7.5) and the placebo group (8.6) after 4 years' follow-up