Frequency of Gallbladder Stones Among Patients Underwent Abdominal Ultrasound in a Tertiary Hospital in Sana’a City, Yemen

@#Introduction: The Gallbladder stone (GBS) disease is most commonly asymptomatic that may lead to several complications such as ascending cholangitis and obstructive jaundice. In this study the frequency of gallbladder stones among patients referred for abdominal ultrasound at the University of Science and Technology hospital (USTH), Sana’a – Yemen, have been estimated during the period between January and June 2013. Methods: This study is a record-based and conducted at the radiology department in USTH, on cases underwent abdominal ultrasound during the period from January – June 2013. Information were collected from abdominal ultrasonography reports. Results: In this study 4935 patients’ records are included. Of them, 2541 were males and 2394 were females. The frequency of patients with GBS was 5.53%. Multiple stones were observed in 3.57% of patients and 4.34% patients had large stones with size ≥ 5 mm. Females had significantly higher frequency of GBS (8.0%: 191/2394) than males (3.2%: 82/2541) (P < 0.001). It was found that, no significant difference between males and females in harboring small stones (< 5mm) (P = 0.251). However, significantly higher frequency of large GBS (≥ 5 mm) was found among females compared to males (P < 0.001). The frequencies of GBS, small size of GBS and large size of GBS have significantly increased with increasing age (P < 0.001). Conclusion: In this study it was found that females had significantly higher frequency of GBS than males. No significant difference between males and females in harboring small stones. There was a significantly higher frequency of large GBS was found among females compared to males. The frequencies of GBS, small size of GBS and large size of GBS have significantly increased with increasing age.

In vitro Antibacterial Activity and In vivo Acute Toxicological Studies of Nelsonia campestris Aqueous Leaf Exrtact.

Aim: To investigate In vitro antibacterial activity and in vivo toxicological studies of aqueous extract of Nelsonia campestris. Study Design: Experimental design. Methodology: Standard laboratory procedures were used. Results and Discussion: The extract was highly active against Pseudomonas aeruginosa, Staphylococcus aureus, Salmonella typhi, Escherichia coli and Klebsiella pneumonia and moderately active against Bacillus subtilis and Shigella dysenteriae with inhibition diameters in the range of (20 mm-30 mm). The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) recorded for the extract ranges between (80-90) mg/ml, and (70-90) mg/ml respectively. 100, 500, 1000, 2000 and 500 mg/kg bodyweight of the extract were orally administered to rats in their respective groups, while 0.5 ml of normal saline was administered to the rats in the control group for a period of one week. At the end of the experiment, the animals were anaesthetized under chloroform, and sacrificed. Blood samples were collected by jugular puncture and used for the analyses of biochemical and haematological parameters. The packed cell volume (PCV) in 100 mg/kg bodyweight group increased (38.0±1.00) in reference to other groups. Red blood cell, and white blood cell also increased significantly (p<0.05) when compared with the control group. Total protein decreased (p>0.05) in all the treated groups in reference to the control. Activities of Aspartate transaminase (AST) increased in all groups in a dose dependent manner while that of alanine transaminase (ALT) and alkaline phosphatase (ALP) decreased but showing increase in the same dose dependent fashion. Triglyceride increased significantly (p<0.05) in all groups, while cholesterol decreased in all groups. Urea increased significantly in a dose dependent manner when compared to the control group while creatinine decreased in the same way. Conclusion: Aqueous extract of Nelsonia campestris has activity against the microbes resulting from the suppression of immunity by morbillivirus, but with mild toxicity to kidney, and liver.

Traditional oral hygiene practices in Malawi

In most rural areas of Malawi the chewing stick is used either on its own or with ash as a paste by people who cannot afford to buy a toothbrush and toothpaste. Those near the lakeshore or near a river use fine sand. Among those using the chewing stick it is known that only a few plants are preferred. Results show that the chewing stick gives the best results and is cheap and easily available in rural areas