Knowledge and Prevalence of Heart Disease Risk Factors Among Staff of a Tertiary Institution in Nigeria.

BACKGROUND: Cardiovascular disease is the most common cause of mortality worldwide. Hence, awareness of cardiovascular risk factors is an essential step towards effective reduction of the disease burden. This study determined the knowledge and prevalence of cardiovascular risk factors among Staff of Ekiti State University. Ado-Ekiti, Nigeria. METHODS: A cross-sectional study which comprised of 223 members of staff. RESULTS: There were 103 males (46.2%). Low knowledge of heart disease risk factors was found in 68.6% of the respondents. The prevalence of hypertension, diabetes mellitus, overweight, obesity, physical inactivity was 35.4%, 12.1%, 31.8%, 23.3%, and 83% respectively. Family history of hypertension was a predictor of a high level of knowledge. CONCLUSION: A low level of knowledge and increasing prevalence of cardiovascular risk factors existed among staff of Ekiti State University, Nigeria. Hence, there should be a step-up of awareness campaigns and promotion of healthy lifestyle among this category of people.

Dataset on the comparison of synthesized and commercial zeolites for potential solar adsorption refrigerating system.

The purpose of this dataset is to provide a comparison between synthesized and commercial 4A and 13X type zeolites. Metakaolin produced from the calcination of beneficiated kaolin at 750 °C for 4 h was dealuminated using sulphuric acid to get the required silica to alumina ratio for the zeolite synthesis. Zeolite 4A and 13X samples were characterized along-side with the commercial variants using X-ray fluorescence (XRF), X-ray diffraction (XRD), Brunauer, Emmett and Teller (BET) and scanning electron microscopy (SEM) techniques. These analyses revealed that, the zeolites synthesized are of comparatively acceptable quality. The pore size of 120.859 nm, pore volume of 0.0065 cm3/g and surface area of 22 m2/g were obtained from BET analyses for zeolite 4A synthesized from kaolin, while the commercial zeolite 4A used as control gave pore size of 58.143 nm, pore volume of 0.2462 cm3/g and surface area of 559.13 m2/g. In the same vein, the pore size of 10.5059 nm, pore volume of 0.135847 cm3/g and surface area of 324.584 m2/g were obtained from BET analyses for zeolite 13X synthesized from kaolin, while the commercial zeolite 13X gave pore size of 7.2752 nm, pore volume of 0.135951 cm3/g and surface area of 310.0906 m2/g.

Development of a kolanut peeling device.

A kolanut peeling machine was designed, constructed and evaluated for the postharvest processing of the seed. The peeling machine consists of a standing frame, peeling unit and hopper. The peeling unit consists of a special paddle, which mixes the kolanut, rubs them against one another and against the wall of the barrel and also conveys the kolanut to the outlet. The performance of the kolanut peeling machine was evaluated for its peeling efficiency at different moisture content (53.0, 57.6, 61.4 % w.b.) and speeds of operation of the machine. The result of the analysis of variance shows that the main factors and their interaction had significant effects (p < 0.05) on the peeling efficiency of the machine. The result also shows that the peeling efficiency of the machine increased as the moisture content increase and decreased with increase in machine speed. The highest efficiency of the machine was 60.3 % at a moisture content of 61.4 % w.b. and speed of 40 rpm.

Effect of Wainan Rogo on body weight and plasma glucose in Wistar rats.

Wainan Rogo (WR) is a deep-fat fried dough made from grated fresh cassava. It was found in a cross sectional case-control study to have a risk factor 3.2 times higher in diabetic than non diabetic indigenes of Borno State of Nigeria. This study examines the chemical composition, and effects of WR on body weight and blood glucose in Wistar rats. The study found a higher fat and lower protein composition of the WR diet, and found a higher plasma glucose in the WR fed rats and a more significant weight loss in this group than in the control (CF) fed rats. The findings of this study seem to support the high risk for diabetes associated with WR in the cross sectional study. The chemical composition of WR and its effect on body weight and blood glucose are further discussed, with a call for further studies of the food as a marker in the search for the pathophysiology of Malnutrition-Related Diabetes Mellitus (MRDM).

Adverse effects of early phenobarbital administration in term newborns with perinatal asphyxia.

Taking advantage of the lack of consensus in our neonatal unit regarding the early (prior to the onset of signs of hypoxic-ischaemic encephalopathy) administration of phenobarbital to term infants with perinatal asphyxia, we evaluated the possible cerebral sparing effect of phenobarbital by doing a retrospective case-control analysis. Fifty-seven infants who received 10 mg/kg loading dose of phenobarbital within one hour following resuscitation and before the onset of signs of hypoxic-ischaemic encephalopathy were compared with 91 infants who did not to determine the effect of early phenobarbital on the incidence of subsequent seizures, and mortality in the perinatal period. Early phenobarbital was associated with a threefold (P < 0.025) increase in the incidence of subsequent seizures, and consequently a trend towards increased mortality. Seizures per se were associated with almost a 20-fold increase in mortality (P < 0.0001). These findings suggest that early phenobarbital administration may produce adverse rather than beneficial effects following asphyxia. Because this is an observational study; these results need to be confirmed by appropriate randomized trials in similar clinical settings.

Ophthalmological morbidity in very-low-birthweight infants with bronchopulmonary dysplasia.

This study was undertaken to determine the relationship between retinopathy of prematurity, ocular sequelae of retinopathy, and bronchopulmonary dysplasia in infants weighing < 1250 g at birth prior to the introduction of steroid therapy for chronic lung disease. Ophthalmological data from 67 infants (22 with severe bronchopulmonary dysplasia and 45 controls) who were enrolled prospectively in an early intervention program were analyzed. The infants had two or more eye examinations prior to discharge and a follow-up examination at 12 to 18 months postconceptual age. The incidence of any retinopathy of prematurity was 33%, and severe retinopathy was 25%. Infants with severe bronchopulmonary dysplasia were 1.7 times more likely to develop any retinopathy and 1.8 times more likely to develop severe retinopathy than controls. The incidence of ocular sequelae, was 45%. Infants with any retinopathy had a 2.3 odds of developing sequelae, and infants with severe retinopathy had a 2.64 odds ratio. When adjusted for bronchopulmonary dysplasia, the odds ratio for developing sequelae was 1.36 in infants with any retinopathy and 1.27 in those with severe retinopathy. The predictors of retinopathy were lower birthweight and gestational age, acidosis, and hypoxemia. Bronchopulmonary dysplasia per se has an adverse effect on ophthalmologic morbidity. Evaluation of the adverse effect of any therapy for chronic lung disease on retinopathy of prematurity should make adjustments for the underlying lung disease.

Evaluation of neonates with risk for infection/suspected sepsis: is routine lumbar puncture necessary in the first 72 hours of life?

To determine whether lumbar puncture is necessary in the evaluation of neonates with risk for infection or suspected sepsis in the first 72 hours of life, we reviewed the laboratory and medical records of 506 infants who had lumbar punctures between January 1988 and December 1990. Neonates < 72 hours of age accounted for 52% of all lumbar punctures, but no case of meningitis. This led to a policy shift from routinely performing lumbar punctures to reserving them for infants with signs of severe sepsis (i.e. lethargy, hypothermia, hypotonia, poor perfusion or apnoea), specific neurological signs or clinical deterioration. This new policy was monitored prospectively from July 1991 to December 1993. Three times fewer procedures were performed in neonates < 72 hours, and there was no diagnosed or missed case of meningitis. Given that meningitis is rare within the first 72 hours of life and the yield of lumbar puncture virtually zero, we recommend that lumbar punctures be reserved for selected infants.

Sonographic diagnosis of intracranial hemorrhage and periventricular leukomalacia in premature African neonates.

Transfontanelle ultrasound (US) was done prospectively and analyzed for intra-cranial hemorrhage (ICH) and periventricular leukomalacia (PVL) in 110 premature infants. The babies were divided into two subgroups according to their birth weights (BW): those with BW of 1500 g or less (n = 93) belonged to subgroup A while babies of BW between 1500 and 2500 g (n = 17) were placed in subgroup B. Overall incidence of ICH and PVL was 24.5 and 26.4%, respectively in the 110 cases studied. Under subgroup A, 26/93 (28.0%) cases had ICH while 22/93 (23.7%) cases had PVL. In subgroup B, 2/17 (11.8%) cases had ICH while PVL was noted in 7/17 (41.2%) cases. These results show that premature African children have a lower incidence of ICH but a higher incidence of PVL compared to babies from temperate regions. Genetic and environmental factors are probably responsible for these variations in the occurrence of both diseases in population groups from different geographical locations.

Nebulized furosemide in infants with bronchopulmonary dysplasia.

The effects of 0.1 mg, 0.25 mg, 0.50 mg, and 1.0 mg of nebulized furosemide per kilogram of body weight on pulmonary functions were studied in eight preterm infants with bronchopulmonary dysplasia who were supported by mechanical ventilation. Doses of 1 mg/kg significantly improved lung compliance (51% at 2 hours after nebulization), pulmonary resistance (28% at 1 hour), and tidal volume (43% at 1 hour), starting as early as 30 minutes after the dose; the effect lasted for at least 4 hours in many of the infants and was not associated with diuresis or renal side effects.

Evaluation of the relationship between cocaine and intraventricular hemorrhage.

To evaluate the relationship of cocaine to intraventricular hemorrhage in preterm (< or = 37 weeks gestation) infants, the charts of infants admitted to an intensive care nursery over a 2-year period were reviewed. Data were extracted regarding intrauterine exposure to cocaine, head ultrasonography, and specific independent variables: gestational age, 5-minute Apgar score, and the presence of pneumothorax. These variables were classified into high-, moderate-, and low-risk groups for the development of intraventricular hemorrhage. Analysis was done using chi-square, Mantel-Haentzel tests, crude odds ratio with 95% tests, crude odds ratio with 95% confidence intervals, and stepwise multiple logistic regression analysis. Intraventricular hemorrhage developed in 24 (22%) cocaine-exposed infants versus 49 (20%) nonexposed infants. Thirteen (12%) infants exposed to cocaine developed grades I to II and 11 (10%) developed grades III to IV intraventricular hemorrhage. The figures in the nonexposed infants were 29 (12%) and 20 (8%), respectively. Intraventricular hemorrhage was more likely to occur in infants who belonged to the high-risk groups: gestational age < or = 30 weeks, 5-minute Apgar score < or = 5, and the presence of pneumothorax. Pneumothorax was the single most significant factor associated with intraventricular hemorrhage grades III to IV. Intrauterine exposure to cocaine does not seem to influence the prevalence or severity of intraventricular hemorrhage in the preterm infant.

Clinical trial of riboflavin in sickle cell disease.

The effect of riboflavin supplementation (5mg twice daily for 8 weeks) on reduced blood glutathione (GSH) and iron status was assessed in 18 patients with sickle cell disease (SCD-HbSS). Twelve SCD patients and 13 normal (Hb-AA) subjects served as the control. The total iron binding capacity (TIBC) and serum ferritin (SF) were significantly higher (p < 0.01), but GSH level, haemoglobin and transferrin saturation (TS) were significantly lower (p < 0.001) in SCD patients than in normal subjects. The administration of riboflavin elicited a significant increase (p < 0.01) in serum iron and TS but a non significant increase in SF and circulating Hb. The GSH level varied little in riboflavin supplemented but decreased significantly in unsupplemented SCD. The disparity in GSH concentration might reflect availability of FAD for regeneration of GSH from glutathione. Likewise, the haematological improvement in the supplemented group supports the assertion that riboflavin enhances erythropoiesis. For an effective management of SCD in Africa, a closer attention should be directed to the riboflavin status in haemolytic disorders.

Plasma vitamin B6 concentrations in Nigerian adolescents.

Vitamin B6 status was assessed from dietary and plasma vitamin B6 concentration using Saccharomyces uvarum as test organism, and erythrocyte alanine amino transferase activity (E-ALAT). The subjects participating in the study were 72 males and 30 females (aged 10-18 years) who resided in a boarding institution. Mean daily dietary vitamin B6 and protein intakes were 1.56 +/- 0.42 mg and 63.0 +/- 9.6 g respectively. The corresponding mean plasma vitamin B6 concentration was 194 +/- 44.2 nmol/l. Neither age, sex nor menarche had significant effect (P less than 0.05) on plasma vitamin B6 concentration of these adolescents. Dietary vitamin B6 but not protein intake correlated with plasma vitamin B6 (r = 0.3076, P less than 0.002). However, low dietary vitamin B6/protein ratio (less than 0.02 mg/g) was not reflected in plasma vitamin B6 concentration, but low plasma vitamin B6 concentration (120-179 nmol/l) corresponded to low E-ALAT activity after in vitro addition of pyridoxal phosphate (E-ELAT 16 per cent). A stimulation above 25 per cent, 16-25 per cent and below 16 per cent was used as an indicator of poor, marginal and adequate vitamin B6 status, respectively. Based on these criteria 30.7 per cent, 17.8 per cent and 51.5 per cent of subjects, with corresponding mean plasma vitamin B6 of 150 +/- 28.4, 192 +/- 8.5 and 237 +/- 18.7 nmol/l are of deficient, marginal and adequate vitamin B6 status, respectively.

Haematological response to supplements of riboflavin and ascorbic acid in Nigerian young adults.

The effect of supplementing a regular diet with riboflavin or a combination of riboflavin and ascorbic acid on haematological indices was studied in 27 young Nigerian adults. Vitamin supplementation produced a significant increase (p less than 0.001) in haemoglobin concentration, haematocrit level and erythrocyte count. Both males and females responded similarly to the supplementation. The effect of riboflavin was similar to the combined effect of riboflavin and ascorbic acid. A significant association suggestive of enhanced erythropoiesis existed between Hb concentration and erythrocyte count in vitamin-supplemented subjects (r = 0.9722, p less than 0.002). The withdrawal of vitamin(s) supplements significantly diminished Hb concentration, haematocrit level and erythrocyte count to values similar to placebo. The data further showed that, even in malarial infection, Hb concentration, Hct level and erythrocyte count were maintained if high vitamin status was established through supplementation.

Effect of ascorbic acid supplementation on haematological response and ascorbic acid status of young female adults.

Haematological response and ascorbic acid (AA) status were evaluated in 32 young adult females (age 20-34 years) 8 weeks after supplementation with two levels of AA (50 and 100 mg). Both levels of AA intake produced a similar response marked by significant elevation (p less than 0.01) in Hb concentration, Hct level, RBC count, serum and leucocyte ascorbate concentrations. Ten weeks after withdrawal of the supplements, values for all parameters evaluated decreased significantly (p less than 0.01) to presupplementation levels. Haemoglobin concentration and leucocyte ascorbate remained relatively higher (p less than 0.01) than initial values in subjects who received 100 mg AA. This study showed that AA supplementation improved erythropoietic activity and AA status of our female population. However, the higher dose of AA (100 mg) sustained Hb concentration and tissue ascorbate longer after withdrawal of supplementation.

Bioavailability of riboflavin from fortified palm juice.

The bioavailability of riboflavin from fortified palm juice was assessed in young adult men, Riboflavin status was assessed from urinary riboflavin excretion and erythrocyte glutathione reductase activity coefficient (EGR-AC) while iron status was assessed from haemoglobin and serum ferritin concentrations. Although the consumption of unfortified palm juice made significant contribution to the meager riboflavin intake, it conferred no metabolic advantage. The consumption of fortified palm juice produced a marked reduction in EGR-AC values and a significant increase in urinary riboflavin excretion. Since iron release from storage sites may be flavin dependent, riboflavin deficiency may affect iron utilization. Fortification may prove effective in alleviating nutrient deficiencies, but the carrier vehicle must be acceptable to all age groups.

Metabolic rate and energy balance in infants with bronchopulmonary dysplasia.

To determine energy use and growth of infants with bronchopulmonary dysplasia (BPD), we studied metabolic rate and energy balance in five infants with stage III-IV BPD (birth weight 1309 +/- 530 gm, gestational age 32 +/- 3 weeks, postnatal age 59.8 +/- 14.2 days) and in five control infants (birth weight 1540 +/- 213 gm, gestational age 33 +/- 2 weeks, postnatal age 42.0 +/- 4.2 days). Infants with BPD had significantly lower energy intake but higher energy expenditure than did control infants. Weight gain and energy cost of growth were significantly less in BPD infants than in control infants, as were urine output and output/intake ratio. We conclude that infants with BPD (1) absorbed caloric intake as well as did normal control infants, (2) had low energy intake and high energy expenditure, resulting in poor weight gain, and (3) had low energy cost of growth, suggesting an alteration in composition of tissue gain, with relatively high water content.

Iron stores in pregnant Nigerians and their infants at term.

Serum ferritin and blood haemoglobin were evaluated as indices of iron status in 65 pregnant Nigerians and in the cord blood of their full-term infants. All the mothers had taken iron and folate supplementation throughout pregnancy. The mean gravidity was 3.3 +/- 2.0. The mean cord ferritin concentration of 135.9 micrograms/l (77.6-238.2 micrograms/l) was 3.6 times the maternal level of 38.1 micrograms/l (17.3-83.8 micrograms/l). Parity had no effect on the haemoglobin or serum ferritin concentrations of the mothers or those of their babies. Maternal haemoglobin or serum ferritin concentrations correlated significantly (P less than 0.01) with cord levels, in babies with mothers of parity greater than or equal to 5. Infants of mothers with low iron stores (less than 20 micrograms/l) had significantly lower serum ferritin concentrations than infants of iron-replete mothers, which suggests variation in amounts of iron received during intrauterine growth. In order to ensure adequate iron stores in newborn infants, continual use of supplementary oral iron should be encouraged in pregnant Nigerians.

Erythrocyte protoporphyrin in screening for iron deficiency anaemia among children in Nigeria.

Erythrocyte protoporphyrin (EPP) concentration was determined in 87 children who presented at the Adeoyo General Hospital and the University Teaching Hospital (Ibadan, Nigeria) for various ailments. Presence or absence of anaemia was based on haemoglobin concentration. There was a significant difference (p less than 0.01) between the mean haemoglobin values of the severely anaemic, mildly anaemic and control children. There was no significant difference (p greater than 0.05) between the mean haematocrit, mean EPP and mean EPP:Hb ratio of the mildly anaemic and control groups, but corresponding values for the severely anaemic group differed significantly (p less than 0.001) from the values for the others. The increase in EPP was correlated with the decrease in Hb concentration (r = -0.8263, p less than 0.001), suggesting that iron deficiency was a major cause of severe anaemia. EPP alone or in combination with Hb is effective in identifying anaemic individuals, while Hb alone tends to over-estimate the occurrence of iron deficiency anaemia. EPP values above 100 micrograms/100 ml of erythrocytes identified severe anaemia.