ABSTRACT
Aim: Haematological and anthropometric profile of pregnant women who had gestational diabetes and non-diabetic pregnant women attending antenatal clinic in a Tertiary Hospital in Rivers State, Nigeria were evaluated, Methods: This was a cross sectional study involving 70 pregnant women comprising of 40 diabetic and 30 non-diabetics for the purpose of comparing haematological and anthropometrical parameters in diabetic and non-diabetic pregnant women. Using standard venipuncture technique,5ml blood sample was aseptically drawn from the subjects and 2.5ml dropped into each of two different anticoagulant sample bottles -Ethylene Diamine Tetra acetic Acid(EDTA) and fluoride-oxalate bottles respectively. The methods of choice for estimation of parameters were Enzymatic Colorimetric method for glucose and Automation using Sysmex KX-21N Haematology Analyzer for full blood count. Results were statistically analyzed using Graph Pad prism version 5.0 and statistical significance set at P<0.05.Results: Mean± SD results for diabetic and non-diabetic pregnant women respectively showed Haemoglobin concentration (10.99±0.69g/dl versus 10.69±1.01g/dl), Packed cell volume (31.7±1.96% versus 32.89±3.89%), Red blood cell(3.99±0.29106/µl versus 3.85±0.39×106/µl), Mean cell haemoglobin (27.51±1.22pg versus 27.54±2.22pg), Platelets count (223.3±52.67103/µl versus 205.5±45.09×103/µl), Mean cell haemoglobin concentrations(34.49±1.19g/dl versus 32.54±3.17g/dl)these results were not statistically significantly different(P>0.05). The mean± SD of white blood cell (9.73±0.49103/µl versus 7.27±1.66×103/µl) and mean cell volume (79.3±4.16 fl and 85.24±0.39fl) were statistically significantly different (P<0.05).Mean± SD of subject’s blood pressure showed, Systolic (116±11.52 mm/Hg and 105±5.72 mm/Hg),Diastolic (77±17.86 and 68±1.11 mm/Hg), results were statistically significantly different (P<0.001).Age did not show statistical significant difference (P>0.05).Body mass index (BMI) 28.33±3.81 kg/m2, 32.86±5 kg/m2, 37.96±.3.44 kg/m2 showed statistically significant difference (P<0.05) at the Gestational ages of(1-3), (4-6) and (7-9) months respectively while that of the non-diabetic were obviously not statistically significantly different (P>0.05).Conclusion: Gestational diabetes is capable of causing changes in haematological parameters; but it could improve or disappear after child birth. Factors such as lifestyle activities and diet can predispose pregnant women to gestational diabetes mellitus and this can lead to complications for both the mother and the baby.
ABSTRACT
Introduction: Accurate rapid diagnosis is one of the most important steps in the effort to reduce morbidity and mortality of malaria. Blood-specific malaria rapid diagnostic tests (RDTs) are currently in use but reports on their sensitivity and specificity and comparison with the established blood film microscopy methods are dearth. The aim of the present study was to evaluate the performance characteristics of Nova and SD bioline RTDs and comparewith microscopic method as a reference standard to detect the presence of malaria parasites in the blood.Methods:A total of 100 subjects were conveniently selected from consented subjects attending out-patient Department of Rivers State University Teaching Hospital, Port Harcourt, and the samples were analyzed using blood film examined with Giemsa staining technique and Nova and SD bioline kits.Results: Of the 100 samples examined, 57(57%) were positive for malaria parasite by light microscopy, 37(37%) were positive by Nova and 22 (22%) were positive by SD bioline. The sensitivity of the two RDTs used were found to be 54% for Nova and 30% for SD bioline,the specificity were 86% for Nova and 88% for SD bioline, the PPV for Nova was 83% and 77% for SD bioline while the NPV for Novawas 59% and 49% for SD bioline. Percentage positivity of 50.9% and 49.1% for males and females respectively means that both sexes are equally susceptible to malaria parasites. There was a slight increase in parasitaemia in females (1931±2801) than males (1139±2415) but these results were not statistically significant (P>.27).Conclusion:The SD bioline showed a very poor sensitivity in contrast to Nova and light microscopy. Inspite of the relative advantages of RDTs, microscopy remains the bestmethod of detecting malaria parasite and Nova should be preferred to other RDTs
ABSTRACT
Acetaminophen, used for antipyretic and analgesic purposes has been known to exhibit toxic effects on the organs because of its ability to generate free radicals, causing varieties of diseases. This study investigated the impact of the combined formed ofGarcinia kolaseed and Vitamin E pretreatment exposure on hepatotoxicity and oxidative stress induced by acetaminophen in Albino Rats. Five groups of animals were used for this study. Group 1 as the control received distilled water orally only, group 2 astoxicity control intoxicated with 800mg acetaminophen intraperitoneally. The other three groups were pretreated with various doses of either Garcinia kolaseed extract or vitamin E or a combined form respectively by oral gavagemethod for 7 days before induction with acetaminophen intraperitoneally on the 8thday and sacrificed under chloroform anaethesia. Acetaminophen induction significantly rise (p<0.05) the hepatic enzyme levels (ALT, AST, and ALP) and a marked reduction of the antioxidant enzymes (SOD, CAT and GPX) in group 2 animals when compared with the control. There was also a significant rise (p<0.05) in the MDA levels. Meanwhile the combined form of Garcinia kolaseed extract and Vitamin E pretreatment exposure on theorgans showed no synergetic ameliorative potentials as compared with the single pretreatment exposure with Garcinia kola and Vitamin E respectively. The morphology of the tissue cells pretreated with these combined formed exhibited features showing signs of cell damages and slow recovery from the toxicity. Therefore combining Garcinia kola andVitamin E may lost its ameliorative and protective effect as seen in this induced acetaminophen albino rats implying that Garcinia kolaseed and Vitamin E should notbe taken in a combined form.