LOGISTICS AND SUPPLY CHAIN MANAGEMENT: HUMAN RESOURCE CAPACITY AND TRAINING NEEDS ASSESSMENT OF PHARMACISTS IN NIGERIA

Objective: Logistics and supply chain management have received global attention since the early 1980s, but this concept is thought to still be unpopular in Nigeria as very little literature exists on it, especially in the pharmaceutical sector. This paper, therefore set out to investigate the human resource capacity and the needs assessment of pharmacists in Nigeria as regards logistics and supply chain management.Methods: This cross-sectional study was conducted among pharmacists in Nigeria. A total of 873 pharmacists participated in the study. A well-structured questionnaire was produced, validated, and administered to the registered pharmacists.Results: Out of the 873 retrieved questionnaires, 21 copies were not completely filled and were therefore discarded; hence the 852 completely filled questionnaires were taken as the number of participants in the study. The survey shows that out of the 51.76% pharmacists who have acquired trainings, 18.2% were exposed to supply chain management by virtue of their workplace, while 30.9% were self-trained through conferences and workshops. Also, 98.8% of the respondents were ready to be trained in this emerging field in Nigeria, with only 1.2% declining any interest in supply chain management training.Conclusion: These findings show that there is a low provision for proactive education on supply chain management for pharmacists. However, there is a promising opportunity to introduce such training as the majority of the respondents were receptive to such an innovation. This study may, therefore be useful for policymakers and health professionals to chart the path for the future to ensure adequate and proper delivery of medicines and other health commodities.

Ozone and peroxone disinfection of Toxocara canis eggs in water

@#Water pollution in developing countries continues to be a major health problem due to various anthropological activities that contribute to the spread of many parasitic diseases, including those caused by helminths. The aim of this study is to explore the ability of ozone and peroxone to disinfect drinking water contaminated samples with Toxocara canis eggs. The oxidants used were ozone and ozone-hydrogen peroxide combination. The treatment of Toxocara canis eggs was carried out in a 50 ml reactor with an operating volume of 10 ml. The pH conditions (5, 7 and 10) were varied for each treatment. The treatment effect was calculated by counting eggs and examining the condition of the larvae larval condition (whole, broken and hatched larvae) using an optical microscope. The experiment was carried out by exposing the eggs for 60 and 120 minutes to ozone and peroxone. The best results were obtained for helminths treated with the ozone/hydrogen peroxide combination at pH 10, with an inactivation of 79.2%. The synergistic effect of ozone combined with hydrogen peroxide allows higher helminth egg inactivation rates, demonstrating that advanced oxidation processes are a real alternative to apply in the inactivation of Toxocara canis eggs. The results obtained in this study show that the ozone and peroxone treatment could be a useful disinfection process to destroy or inactivate Toxocara canis eggs in processes commonly applied in water treatment.

Fish attractors when resources abound: prevalence of juveniles and lack of assemblage structure in a field experiment in the Amazon floodplain / Atratores de peixes quando os recursos são abundantes: prevalência de juvenis e falta de estrutura da assembleia em um experimento de campo na planície de inundação amazônica

Abstract Floating structures, both natural and artificial, attract fish by providing shelter, feeding areas, and nesting sites. Occupancy can be either more permanent, leading to a gradual gathering of the assembly, or transient, occurring randomly. The ability of an attractor to hold a fish assemblage may depend on the availability of habitat resources in the environment. New artificial attractors are more valuable when natural ones are scarce. Additionally, fish characteristics play a role; young and small fishes may need new habitat for shelter more than adult fish. As aquatic herbaceous areas are abundant during high water, coinciding with the period of fish reproduction, they are particularly relevant for juveniles. We constructed fish attractors composed of natural materials to investigate the structure of fish assemblages during the flood of an Amazonian floodplain lake. Our aim was to test the hypothesis that assembly processes during the flood period would be random, with a predominance of juveniles in the attractors. We collected fish at intervals of 5, 15, and 30 days, resulting in 39 observations, and classified them as either adult or juvenile. Species composition was compared among treatments using Principal Coordinates Analysis (PCoA). The assembly process was tested through species co-occurrence patterns employing null models and the C-score index. The proportion of juveniles and adults was compared using a Chi-square test. Species composition remained consistent throughout the experiment. The assembly was random, with a prevalence of juveniles, possibly serving only as temporary shelter and feeding areas. Our study contributes to understanding the role of habitat availability for floodplain fishes during high waters. The results suggest that floating attractors and new habitats may be more valuable for the juveniles than adult fish and can be used as a management strategy for population recovery, especially when floating herbaceous habitats are scarce.

Resumo As estruturas flutuantes, naturais ou artificiais, atraem os peixes, fornecendo abrigo, áreas de alimentação e locais de nidificação. A ocupação pode ser mais permanente, resultando em um recolhimento gradativo da assembleia, ou transitória, ocorrendo aleatoriamente. A capacidade de um atrator de manter uma assembleia de peixes pode depender da disponibilidade de recursos de habitat no ambiente. Novos atratores artificiais são mais valiosos quando os naturais são escassos. Além disso, as características dos peixes desempenham um papel, já que peixes jovens e pequenos podem necessitar de novos habitats como abrigo mais do que peixes adultos. Como as áreas com herbáceas aquáticas são abundantes durante as cheias, coincidindo com o período de reprodução dos peixes, elas são especialmente relevantes para peixes juvenis. Construímos atratores de peixes compostos de material natural para investigar a estrutura das assembleias de peixes durante a cheia de um lago de várzea amazônico, a fim de testar a hipótese de que durante o período de cheia, os processos de montagem seriam aleatórios e com predominância de juvenis nos atratores. Os peixes foram coletados em intervalos de 5, 15 e 30 dias, resultando em 39 observações, e classificados como adultos ou juvenis. A composição de espécies foi comparada entre os tratamentos usando uma Análise de Coordenadas Principais (PCoA). O processo de montagem foi testado por meio de padrões de coocorrência de espécies usando modelos nulos e o índice C-score. A proporção de jovens e adultos foi comparada usando um teste Qui-quadrado. A composição de espécies permaneceu a mesma ao longo do experimento. A montagem da assembleia foi aleatória com prevalência de juvenis nos atratores, que possivelmente serviam apenas como abrigo temporário e áreas de alimentação. Nosso estudo contribui para entender o papel da disponibilidade de novos habitats para peixes de várzea durante a cheia. Os resultados sugerem que atratores flutuantes e novos habitats podem ser mais valiosos para os peixes jovens do que para adultos e podem ser usados como estratégia de manejo para a recuperação populacional, especialmente quando habitats de herbáceas flutuantes são escassos.

Rheumatic Heart Disease in India in 2020: Advances in Diagnostic and Therapeutic Options

Rheumatic Fever (RF)/ Rheumatic Heart Disease (RHD) is the result of autoimmune response triggered by group A Beta-haemolytic streptococcal pharyngitis leading to immune-inflammatory injury to cardiac valves. It is practically disappeared in developed countries. However, it continues to be a major cause of disease burden among children, adolescents, and young adults in low-income countries and even in high-income countries with socioeconomic inequalities. For decades, many cases of Acute Rheumatic Fever (ARF) and RHD were missed and were denied the secondary prophylaxis, as a result these patients used to end up with complications and untimely death. Advanced understanding of the echocardiography can prevent both under diagnosis and over diagnosis and thus help in management strategy. Another new advancement in recent past is the mitral valve repair, which is technically demanding, and the results are acceptable in experienced cardiac surgical units. Whenever feasible, valve repair should be preferred over valve replacement since it precludes the need for anticoagulation and future risks of prosthesis dysfunction.

Outcomes of the Surgical Treatment of Periprosthetic Fractures Around the Knee with Locking Plates: A Single Centre Experience

@#Introduction: Surgical treatment options for periprosthetic fractures (PPF) include internal fixation with plate, intramedullary nailing and revision arthroplasty. We aimed at evaluating the surgical outcomes of patients who we had treated PPF with locking compression plates (LCP). Materials and methods: Twenty patients with PPF after primary total knee arthroplasty (TKA) between 2009 and 2016 were included in to the study. Knee Society Knee Scoring System (KSKSS) was used in the evaluation of radiologic and functional outcomes. There were periprosthetic supracondylar femoral fractures in 15 patients, and that of tibial fractures in 5 patients. For internal fixation, locking compression plate was preferred. Results: The mean age was 69 (range 61 to 78) years and the mean follow-up period was 72.25 (range 24 to 110) months. Union was achieved by 15.8 weeks in all the cases. Superficial infection and implant fracture were each seen in two patients. Revision operations were done to those patients with implant fracture. Mean KSKSS was 81.4 (75-87) and the mean functional score was 78.75 (75-85). Degenerative osteoarthritis patients were found to have higher age values than post-traumatic osteoarthritis patients (p = 0.001). When the union times were compared, it was found that the degenerative osteoarthritis patient group had a significantly shorter union than the post-traumatic osteoarthritis patient group (p = 0.036). Conclusion: Internal fixation with LCP is an effective treatment method in managing of PPF for patients with good bone stock. Rigid fixation should be done with the right surgical technique and an early movement must be initiated so that a good function can be achieved.

ABO Blood Group Distribution and its Association with Myopia among First Year Medical Students in Bangalore - A Cross Sectional Study

Introduction: It has been hypothesized that there existssome correlation between myopia and ABO blood group.Current study aimed to study the distribution of ABO bloodgroup among first year medical students and also to assess theassociation of myopia among different blood groups.Material amd method: A cross sectional study conducted byDepartment of Physiology on first year medical students ina medical college in Bangalore.Blood group of the subjectswas determined by slide method and microscopy and detailsregarding myopia and family history of myopia were collectedvia questionnaire from participants who confirmed usage ofspectacles or contact lenses for vision correction.Results: Of the total 142 subjects, 77(54.2%)were males and65 (46%) were females. Most common ABO blood group inthis population was found to be B positive (33%) followedby O positive (30%). Out of 142 participants, 46(32.39%)were Myopics, i.e 24(16.9%) females and 22 (15.49%) males.B blood group showed higher prevalence of myopia whencompared to other ABO blood groups. Odds ratio done tocompare risk of Myopia between B and Non B blood groupsrevealed that B blood group showed higher risk (Odd’s ratio1.70) of myopia but this was not statistically significant.Relative risk of myopia was higher in Rh positive group(1.09) in comparison to Rh negative blood group and it wasnot statistically significant.Conclusions: B blood group participants showed slightlyhigher prevalence of myopia as compared to other bloodgroups but it was not statistically significant.

The Results of Two-stage Revision for Methicillin-resistant Periprosthetic Joint Infection (PJI) of the Hip

@#Introduction: Periprosthetic joint infection (PJI) of the hip due to methicillin-resistant bacteria is difficult to treat and remain a challenge for arthroplasty surgeon. Material and Methods: Retrospective review was done to the patients who received two-stage revisions with an antibiotic loaded cement-spacer for PJI of the hip between January 2010 to May 2015. We found 65 patients (65 hips) with positive culture findings. Eight patients were lost to follow-up and excluded from the study. Among the rest of the 57 patients, methicillin-resistant infection (MR Group) was found in 28 cases. We also evaluate the 29 other cases that caused by the other pathogen as control group. We compared all of the relevant medical records and the treatment outcomes between the two groups. Results:The mean of follow-up period was 33.7 months in the methicillin-resistant group and 28.4 months in the control group (p = 0.27). The causal pathogens in the methicillinresistant group were: Methicillin-resistant Staphylococcus aureus (MRSA) in 10 cases, Methicillin-resistant Staphylococcus epidermidis (MRSE) in 16 cases and Methicillin-resistant coagulase-negative Staphylococcus (MRCNS) in two cases. The reimplantation rate was 92.8% and 89.6% in the methicillin-resistant and control group, respectively (p= 0.66). The rates of recurrent infection after reimplantation were 23.1% (6/26) in the methicillin-resistant group and 7.6% (2/26) in the control group (p= 0.12). The overall infection control rate was 71.4% (20/28) and 89.6% (26/29) in the methicillin-resistant and control group, respectively (p = 0.08). Both groups showed comparable baseline data on mean age, BMI, gender distribution, preoperative ESR/CRP/WBC and comorbidities. Conclusions: Two-stage revision procedure resulted in low infection control rate and high infection recurrency rate for the treatment of methicillin-resistant periprosthetic joint infection (PJI) of the hip. Development of the treatment strategy is needed to improve the outcome of methicillin resistant periprosthetic joint infection (PJI) of the hip.

Local adaption of intrapartum clinical guidelines, United Republic of Tanzania

Problem Gaps exist between internationally derived clinical guidelines on care at the time of birth and realistic best practices in busy, low-resourced maternity units. Approach In 2014­2018, we carried out the PartoMa study at Zanzibar's tertiary hospital, United Republic of Tanzania. Working with local birth attendants and external experts, we created easy-to-use and locally achievable clinical guidelines and associated in-house training to assist birth attendants in intrapartum care. Local setting Around 11 500 women gave birth annually in the hospital. Of the 35­40 birth attendants employed, each cared simultaneously for 3­6 women in labour. At baseline (1 October 2014 to 31 January 2015), there were 59 stillbirths per 1000 total births and 52 newborns with an Apgar score of 1­5 per 1000 live births. Externally derived clinical guidelines were available, but rarely used. Relevant changes Staff attendance at the repeated trainings was good, despite seminars being outside working hours and without additional remuneration. Many birth attendants appreciated the intervention and were motivated to improve care. Improvements were found in knowledge, partograph skills and quality of care. After 12 intervention months, stillbirths had decreased 34% to 39 per 1000 total births, while newborns with an Apgar score of 1­5 halved to 28 per 1000 live births. Lessons learnt After 4 years, birth attendants still express high demand for the intervention. The development of international, regional and national clinical guidelines targeted at low-resource maternity units needs to be better attuned to input from end-users and the local conditions, and thereby easier to use effectively

Detection of immunoglobulin M and immunoglobulin G antibodies to Mycoplasma pneumoniae in children with community-acquired lower respiratory tract infections

Context: Mycoplasma pneumoniae (M. pneumoniae) causes up to 40% of community-acquired pneumonia in children. It is impossible to identify M. pneumoniae infection on the basis of clinical signs, symptoms, and radiological features. Therefore, correct etiological diagnosis strongly depends on laboratory diagnosis. Aims: This study aims to investigate the role of M. pneumonia e in pediatric lower respiratory tract infections (LRTIs) employing enzyme-linked immunosorbent assays (ELISA) and particle agglutination (PA) test. Settings and Design: Two hundred and eighty children, age 6 months to 12 years with community-acquired LRTIs were investigated for M. pneumoniae etiology. Materials and Methods: We investigated 280 children hospitalized for community-acquired LRTIs, using ELISA and PA test for detecting M. pneumoniae immunoglobulin M (IgM) and immunoglobulin G antibodies. Statistical Analysis Used: The difference of proportion between the qualitative variables was tested using the Chi-square test and Fischer exact test. P ≤ 0.05 was considered as statistically significant. Kappa value was used to assess agreement between ELISA and PA test. Results: M. pneumoniae was positive in 51 (23.2%) <5 years and 33 (54.0%) children in ≥5 years of age group, and this difference was statistically significant (P < 0.001). Clinical and radiological findings in M. pneumoniae positive and negative groups were comparable. ELISA detected M. pneumoniae in 78 (27.8%) and PA test 39 (13.9%) patients; 33 (84.6%) ELISA positive and 6 (15.4%) ELISA negative. ELISA/PA test together detected M. pneumoniae infection in 84 (30%) children. Conclusions: Our data underline that M. pneumoniae plays an important role in children with community-acquired LRTIs and more particularly in children >5 years of age.

Thermographic analysis of the effect of composite type, layering method, and curing light on the temperature rise of photo-cured composites in tooth cavities

Objective: The purpose of this study was to investigate temperature rise in the composite and dentin of a class I cavity in extracted human molars under different restoration conditions, including the use of different composite types, layering methods, and curing lights

Methods: Open occlusal cavities were prepared on 28 extracted human molars. A conventional [Filtek Z250] and a bulk-fill [Filtek Bulk Fill Posterior; BFP] composite were used to restore the preparations. BFP was incrementally layered or bulk-filled. Bulk-filled BFP was cured with two different lights, the Elipar S10 and the BeLite. Each layer was illuminated for 20s, while thermograms of the specimens were recorded for 100s using an infrared thermal camera. Temperature changes on the composite and dentin surfaces were obtained at points of interest [POI] pertaining to successive incremental distances of 0.75mm from the top of the cavity to the pulp. The polymerization kinetics of each composite was determined using photo-differential scanning calorimetry

Results: The greatest temperature rise was observed 0.75mm apical from the top of the cavity. All groups showed over 6°C maximum temperature rise [ATmax] at the pulpal side of the dentin. Upon curing, Z250 reached AT=5°C faster than BFP; however, ATmax of the two composites were comparable at any POI. Bulk filling showed greater ATmax than incremental filling at 0.75mm apical from the top and in the middle of the cavity. The Elipar SI 0 light generated faster temperature changes in the curing composite at all recorded positions throughout the depth of the cavity and greater ATmax in all POIs compared to BeLite

Diagnostic implications of associated defects in patients with typical orofacial clefts / Implicações diagnósticas de defeitos associados em pacientes com fendas orofaciais típicas

ABSTRACT OBJECTIVES: To describe prevalence of associated defects and clinical-genetic characteristics of patients with typical orofacial clefts seen at a reference genetic service. METHODS: Descriptive study conducted between September of 2009 and July of 2014. Two experienced dysmorphologists personally collected and coded clinical data using a validated, standard multicenter protocol. Syndromic cases were defined by the presence of four or more minor defects, one or more major defects, or recognition of a specific syndrome. Fisher's exact and Kruskal-Wallis tests were used for statistics. RESULTS: Among 141 subjects, associated defects were found in 133 (93%), and 84 (59.5%) were assigned as syndromic. Cleft palate was statistically associated with a greater number of minor defects (p < 0.0012) and syndromic assignment (p < 0.001). Syndromic group was associated with low birth weight (p < 0.04) and less access to surgical treatment (p < 0.002). There was no statistical difference between syndromic and non-syndromic groups regarding gender (p < 0.55), maternal age of 35 years and above (p < 0.50), alcohol (p < 0.50) and tobacco consumption (p < 0.11), consanguinity (p < 0.59), recurrence (p < 0.08), average number of pregnancies (p < 0.32), and offspring (p < 0.35). CONCLUSIONS: There is a lack of information on syndromic clefts. The classification system for phenotype assignment adopted in this study has facilitated recognition of high prevalence of associated defects and syndromic cases. This system may be a useful strategy to gather homogeneous samples, to elect appropriate technologies for etiologic and genotype-phenotype approaches, and to assist with multiprofessional care and genetic counseling.

RESUMO OBJETIVOS: Descrever a prevalência de defeitos associados e as características genético-clínicas de pacientes com fendas orofaciais típicas (FOT) em um serviço de referência em genética. MÉTODOS: Estudo descritivo feito entre setembro/2009 e julho/2014. Os dados foram colhidos e codificados por dois observadores clínicos com experiência em dismorfologia, com protocolo validado em estudo multicêntrico. Presença de quatro ou mais defeitos minor, um ou mais defeitos major e diagnóstico de síndrome reconhecida foram critérios usados para classificar o caso como sindrômico. Usou-se teste exato de Fisher para análise de variáveis categóricas e o de Kruskal-Wallis para igualdade de médias. RESULTADOS: Entre 141 sujeitos, 133 (93%) apresentavam ao menos um defeito minor ou major associado, 84 (59,5%) classificados como sindrômicos. As fendas de palato estiveram associadas com maior número de defeitos minor (p < 0,0012) e com a classificação sindrômica (p < 0,01). O grupo sindrômico apresentou maior taxa de baixo peso (p < 0,04) e menor acesso a tratamento cirúrgico (p < 0,02). Não houve diferenças entre os grupos quanto ao gênero (p < 0,55), idade materna ≥ 35 anos (p < 0,50), ingestão de álcool (p < 0,50) e tabagismo (p < 0,11), consanguinidade (p < 0,59), recorrência familial (p < 0,08) e média de gestações (p < 0,32) e de filhos nascidos vivos (p < 0,35). CONCLUSÕES: Existe escassez de informações sobre fendas sindrômicas. O método de classificação fenotípica usado possibilitou a identificação de alta prevalência de defeitos associados e de casos sindrômicos. Esse método seria uma opção para homogeneizar amostras, determinar tecnologias com vistas à investigação etiológica e estudos de correlação genótipo-fenótipo, além de colaborar para intervenção multiprofissional e aconselhamento genético.

Antinociceptive and anti-inflammatory effects of Lantana camara L. extract in mice / Efeitos antinociceptivos do extrato de Lantana camara L. em camundongos

ABSTRACT: he Lantana camara L. belongs to the family Verbenaceae, which contains several active compounds in leaves and roots and which are reported to have medicinal and insecticidal properties. Studies of plants within the same family show the existence of anti-inflammatory activity in paw edema induced by carrageenan, serotonin and histamine and analgesic activity in the acetic acid writhing and tail-flick tests. The present study investigated whether the L. camara extract (ACE) also exerts these effects. The ACE toxicity was studied in male mice, and the percentage of mortality recorded 7 days after treatment was assessed. The ACE was evaluated as an antinociceptive agent in the hot plate, tail-flick and acetic acid writhing tests at a nontoxic dose of 1.0 g/Kg. The results showed that 1.5 g/Kg of ACE was not able to cause death, and doses of 3.0 and 4.0 g/Kg caused 50% and 60% death, respectively, in male mice. In all of the antinociceptive tests, 1 g/Kg of ACE markedly reduced responses to pain. Our findings suggest that ACE may have active anti-inflammatory and antinociceptive properties in much smaller doses than toxic.

RESUMO: Lantana camara L. pertence à família Verbenaceae, a qual contem muitos princípios ativos em suas folhas e raízes com propriedade medicinais e inseticidas. Estudos com plantas da mesma família mostram a existência de propriedades antinflamatórias no modelo de edema de pata induzido pela carragenina, serotonina e histamina, além da atividade analgésica nos testes de contorção induzida pelo ácido acético e da retirada da cauda por estímulo térmico. O presente trabalho investigou os efeitos tóxicos e antinociceptivos do extrato de L. camara (ACE) em camundongos. Para tanto, investigou-se a porcentagem de mortes em 7 dias após a administração de diferentes doses do extrato. Avaliou-se também os efeitos antinociceptivos do ACE pelos testes da placa quente, estimulação térmica da cauda e contorções abdominais induzidas pelo ácido acético com a dose não-tóxica [1,0 g/Kg]. Os resultados mostraram que 1,5 g/Kg do ACE não causou mortalidade, enquanto que 3,0 e 4,0 g/Kg promoveram 50 e 60% de mortalidade, respectivamente. Em todos os testes antinociceptivos, a dose de 1,0 g/Kg do ACE reduziu a resposta à dor. Os presentes resultados indicam que o ACE apresenta propriedades antinflamatórias e analgésicas em doses muito menores que a tóxica.

Extratos aquosos de inhame (Dioscorea rotundata Poirr. ) e de mastruz (Chenopodium ambrosioides L. ) no desenvolvimento da lagarta-do-cartucho-do-milho Spodoptera frugiperda (J. E. Smith, 1797) / Aqueous extracts of yam (Dioscorea rotundata Poirr. ) and chenopodium (Chenopodium ambrosioides L. ) in the development of fall armyworm Spodoptera frugiperda (J. E. Smith, 1797)

RESUMO: Estudou-se o efeito de extratos aquosos de inhame (0; 5; 10; e 20% p/p) e de mastruz (0; 2; 4; 6; 8 e 10% p/p) na biologia da lagarta-do-cartucho. Secções de folhas de milho foram mergulhadas por 30 segundos em soluções de cada concentração; após a secagem, colocou-se em cada secção uma lagarta recém-eclodida. Foram avaliadas a viabilidade e a duração das fases larval e pupal, peso e comprimento das lagartas e pupas. Em relação ao extrato de inhame, a concentração de 20% causou maior influência na fase larval, sendo a viabilidade reduzida para 12%, com duração de 7 dias, diferindo da testemunha com 17 dias. O extrato da mesma planta a 10% causou 48% de mortalidade. Em todas as concentrações esse extrato também afetou a fase de pupa; na testemunha, 85% das pupas foram viáveis, enquanto nos demais tratamentos a viabilidade não excedeu a 25%. Para o peso e comprimento das lagartas, os resultados não foram significativos. Para o mastruz, o extrato a 20% causou influência na fase larval com baixa viabilidade e mortalidade logo nos primeiros seis dias de avaliação. Outras concentrações de mastruz não deferiram entre si nas fases larval e pupal. Verificou-se que a alimentação das lagartas com folhas tratadas com mastruz diminuiu o peso das pupas.

ABSTRACT: The effect of aqueous extracts of yam (0, 5, 10, and 20% h/h) and chenopodium (0, 2, 4, 6, 8 and 10% h/h) on the biology of fall armyworm was studied. Sections of maize leaves were dipped for 30 seconds in solutions of each concentration; after the section dried, a recently hatched caterpillar was placed onto each treated section. The viability and duration of the larval and pupal stages and the weight and length of the caterpillars and pupae were evaluated. For yam, the extract at 20% concentration caused the greatest influence on the larval stage of the insect, significantly reducing larval viability to 12%, with 7 day larval stage duration, differing from the control at 17 days. The extract of the same plant at 10% caused 48% larval mortality. At all concentrations, that extract also affected the pupal stage; in the control, pupal viability was 85%, whereas for the other concentrations the viability did not exceed 25%. No significant differences were observed for the weight and length of caterpillars. For chenopodium, the extract at 20% concentration caused influence on the larval stage, as it showed the lowest viability, causing mortality in six days. Other chenopodium concentrations did not show differences for the larval and pupal stages. Feeding caterpillars with leaves treated with the extract of chenopodium decreased pupal weight.

Post-Traumatic Stress Disorder And Its Associated Factors Among School-Going Children Exposed To A Tsunami Disaster In Malaysia

Posttraumatic stress disorder (PTSD) is a psychiatric diagnosis made when someone including children who experiences traumatic stressor. Those who are exposed to a more severe trauma have highest level of PTSD. The aim of this study was to measure the prevalence of PTSD and its associated factors among 219 children who were affected by a form of natural disaster which is the tsunami waves in a rural area in Malaysia. A cross sectional study was carried out among children aged 10-12 years 6 months after the traumatic event. Child Posttraumatic Stress Disorder –Reaction Index (CPTSD-RI) was used as a screening instrument which was answered by the affected children through a self-administered questionnaire. Forty six percent of these children had PTSD symptoms; 31.1% of these children had mild, 11.4% had moderate, 3.7% had severe PTSD and none had very severe PTSD. Result also showed that 91.8% had re-experiencing symptoms, 28.3% had numbing/avoidance symptoms and 49.3% had hyperarousal symptoms. Children with low social support (Adj OR = 2.3 (95% CI: = 1.3- 4.2)), and children who experienced deaths among someone close to them (Adj OR = 3.7 (95% CI =1.2 - 11.5)) were more likely to have symptoms of PTSD. This showed that children are at higher risk of developing PTSD as early as 6 months after the event and thus early intervention should be offered to them. Future longitudinal study can be carried out among affected children to assess whether these PTSD symptoms persist over time.

Enhancement of vitamin A combined vitamin D supplementation on immune response to Bacille Calmette-Guérin vaccine revaccinated in Chinese infants

OBJECTIVE@#To investigate whether there is an association between diameter of bacille Calmette-Guérin (BCG) scars and effect of purified protein derivative (PPD) reaction and to determine whether vitamin A (VA) combined vitamin D (VD) supplementation influences the immune response to BCG revaccinated in Chinese infants.@*METHODS@#A cross-section and 3-month community-randomised trial was conducted. A total of 5 629 infants at 3, 6 and 12 months of age in Junan County of China were examined for BCG scar formation. Then, 597 revaccinated infants were randomly assigned to supplementation (n=307) and control (n=290) groups. The supplementation group were daily assigned to 1 500 IU VA and 500 IU VD for 3 months. Then all infants were subjected to skin test with PPD.@*RESULTS@#The diameter of BCG scars was positively correlated with diameter of skin indurations of PPD (r=0.17, P<0.05) in the 5 629 infants. The rate of positive response to PPD was higher in the supplementation group than in the control group (96.1% versus 89.7%, P<0.05, prevalence ratio 1.07, 95% CI 1.02-1.12). The prevalence ratio of PPD response for the supplementation group compared with that for the control group was 1.07 (95% CI 1.01-1.13) for the males and 1.08 (95% CI 1.00-1.17) for the females. For the supplementation group, the males got larger tuberculin induration than the females [(0.73±0.21) cm versus (0.67±0.20) cm, P<0.05) after intervention.@*CONCLUSIONS@#The diameter of BCG scars was effectively correlated with PPD response, which indicates BCG scar formation may be an useful tool to evaluate the effect of tuberculosis prevention. VA combined VD supplementation may play an immuno-regulatory role in BCG revaccination. This may contribute to the prevention of childhood tuberculosis.

Cordoma de región sacra: comunicación de un caso / Chordoma in sacra region: report of a case

Estudio de caso: Paciente de sexo masculino de 77 años. Consultó por dolor lumbar. Una radiografía directa de columna vertebral reveló a nivel sacro, una voluminosa lesión solitaria osteolítica. El material fue procesado con la técnica de inclusión en parafina, coloración con H-E, P.A.S. y tricrómico de Masson.

Case Study: Male patient 77 years. He consulted by back pain. A direct X-column sacral spine revealed a voluminous solitary lesion osteolytic. The material was processed with the technique paraffin embedding, HE staining, PAS Y Masson trichrome.