This paper assessed the dynamics in the land use/land cover (LULC) within patterns of the land use/land cover (LULC) in Calabar metropolis. The thermal imageries for 2002, 2006, 2008, 2010, 2012, 2014 and 2016 were ob...This paper assessed the dynamics in the land use/land cover (LULC) within patterns of the land use/land cover (LULC) in Calabar metropolis. The thermal imageries for 2002, 2006, 2008, 2010, 2012, 2014 and 2016 were obtained and processed using remote sensing and Arc GIS software package in order to determine the changes that have occurred in the LULC in study area. The result of the LULC thematic maps overall accuracies was computed above 80 percent, which indicates an almost perfect agreement. The findings of this study reveal that, LULC classes by the year 2016 have assumed different dimensions of change from the sizes of their previous sizes in comparison to their current sizes. Land-use pattern changes in the study area were characterized by an increase in the built up class, waterbody (though with a slightly negative change from 2010 to 2012) and a predominant negative trend in dense vegetation and bare land classes;thus, indicating that the future changing trends will pose a depleting threat to the overall LULC. This study has shown that, the changing land use pattern of the area is capable affecting certain characteristics of the environment such as surface temperature. The study recommends that effort should be made by the government to increase urban vegetation around city centers and outliers by embarking on reforestation.展开更多
This study investigated the temporal and spatial changes of land surface temperature (LST) over Calabar Metropolis, Nigeria (2002 to 2016). The LST over Calabar metropolis was studied from the analysis of Landsat imag...This study investigated the temporal and spatial changes of land surface temperature (LST) over Calabar Metropolis, Nigeria (2002 to 2016). The LST over Calabar metropolis was studied from the analysis of Landsat imageries of the investigated years (2002, 2006, 2008, 2010, 2012, 2014 and 2016). The results of the LST imagery were classified using standard deviation. GIS was further applied to extract the coverage ratio of each land use in the context of Land surface temperature (LST) pixels and results were presented in degree Celsius. The result of this study revealed a great variation in the mean LST for the selected period. The highest mean LST of 25.38°C was observed in 2016, followed by 2002 with mean LST of 25.32°C whereas, the least LST was observed in 2010. This study has shown that, the changing land use pattern of the area is capable of affecting certain characteristics of the environment such as surface temperature. The study recommends that effort should be made by the government to increase urban vegetation in order to reduce potential future increased in LST.展开更多
This study focuses on the trace and rare earth elements(REE)geochemistry of the Nkporo and Ekenkpon Shales of the Calabar Flank.The main aim is to infer their depositional environment and the degree of their metal enr...This study focuses on the trace and rare earth elements(REE)geochemistry of the Nkporo and Ekenkpon Shales of the Calabar Flank.The main aim is to infer their depositional environment and the degree of their metal enrichment.The shale samples were analyzed using inductively coupled plasma mass spectrometry.The results indicated that the mean concentrations of K,Na,and Fe in Nkporo and Ekenkpon Shales are 1.45,0.4,and 4.17 wt%,and 1.11,0.44,and 5.42 wt%;respectively.The Nkporo Shale is enriched with the following trace elements;P>Mn>Sr>Ba>Zn>Ce>Rb>Zr>V>Cr>Ni and depleted in the following trace elements;Ta>Ge>Sb>Bi>Cd>Ag>Te>In>Hg.While the Ekenkpon Shale is enriched with the following trace elements;P>Mn>Ba>Sr>V>Ce>Zr>Rb>Cr>Zn>Ni and depleted in;Sb>Ge>Bi>Ag>Ce>Te>In>Hg.The concentration of redox-sensitive elements such as V,Ni,Mo,U,Cu,Cr,Re,Cd,Sb,Ti,Mn,and their ratio V/Mo and U/Mo in the black and grey shale samples show different patterns.The REE obtained from the Nkporo and Ekenkpon Shales were PAAS normalized.The Nkporo Shale showed a slightly flat light rare-earth element(LREE),middle rare-earth element(MREE),and heavy rare earth element(HREE)pattern enrichment.Ce/Ce*ranges from 0.95 to 1.09 in Nkporo Shale and 0.67 to 1.40 in Ekenkpon Shale.The Ekenkpon Shale showed a slight LREE,MREE enrichment,and depleted HREE patterns.The Mn contents and U/Mo ratio in Nkporo and Ekenkpon Shales suggests a poor oxygen transitional environment.The V/Mo and V/(V+Ni)ratios indicated that the Nkporo shales were deposited in an anoxic to suboxic conditions and Ekenkpon shales were also deposited under an anoxic to suboxic conditions.The V/Ni ratio indicated that the organic matter in the Nkporo shale is terrigenous while that of the Ekenkpon shales are both terrigenous and marine in origin.展开更多
Objective: To assess the prevalence of cervical cancer and histologic variants as seen in Calabar,Cross River state.Methods: This is a retrospective study involving histologically verified uterine cervix carcinoma bet...Objective: To assess the prevalence of cervical cancer and histologic variants as seen in Calabar,Cross River state.Methods: This is a retrospective study involving histologically verified uterine cervix carcinoma between January,1997 and December,2006.Results: There were 1,207 malignancies diagnosed during the study period;175(14.5%) were malignancies of the genital tract while 113(9.4.0%) were carcinoma of the cervix constituting 64.6% of female genital malignancies.Cervical cancer was commonest between the ages of 40-59 years.There was no patient with carcinoma of the cervix below the age of 20 years.Squamous cell carcinoma(87.6%) of the uterine cervix was the main histological type.Conclusion:Cervical cancer is still the most common female genital tract malignancy in Calabar with most of these patients in their middle age.The use of PAS/Alcian blue stain as was used in this study eliminates most false-positive squamous cell carcinomas compared with Haematoxylin and Eosin stains used in most reports from most centres in this part of the world.Epithelial malignancies continue to be the predominant histological variant with squamous cell variety the commonest.There is also an urgent need for introduction of efficient and affordable population based cervical screening programme for early detection,use of vaccines against Human Papilloma Virus(HPV) and treatment of pre-malignant cervical lesions.展开更多
Objective:To determine the prevalence,mean intensity,and abundance of monogenean parasites in Clarias gariepinus(C.gariepinus)from two selected fish farms in Calabar,Cross River State,Nigeria.Methods:Eighty specimens ...Objective:To determine the prevalence,mean intensity,and abundance of monogenean parasites in Clarias gariepinus(C.gariepinus)from two selected fish farms in Calabar,Cross River State,Nigeria.Methods:Eighty specimens of C.gariepinus from the two farms(40 each)were necropsied for parasitological analysis.Skin,gill and fin biopsies were prepared from each specimen following standard methods for microscopic analysis.Parasitological indices including dominance(D),prevalence,mean intensity and abundance were calculated according to standard formulae.Data were analyzed using the Fisher's exact test.Results:C.gariepinus from the two farms were infested with a total of ninety individuals of monogenean parasites belonging to three species including Macrogyrodactylus clarii(M.clarii),Gyrodactylus sp.and Dactylogyrus sp.D index showed that the three monogenean species were eudominant(D-value>10%).Gyrodactylus sp.was more abundant(46)followed by Dactylogyrus sp.(23)while M.clarii was the lowest(21).Prevalence,meaning intensity and abundance of monogenean parasites in the two farms,varied insignificantly higher(P>0.05).Prevalence in both farms were higher in female C.gariepinus than that in male.Monogenean parasites exhibited organ specificity as M.clarii and Dactylogyrus sp.were recovered from the gills while Gyrodactylus sp.colonized the skin and fin.Conclusions:High abundance of these parasites may lead to poor growth performance and high mortality in C.gariepinus,leading to huge monetary loss and low profit margin by increasing production cost due to the cost of treatments.展开更多
Objective:To assess the pollution status of Calabar River in relation to the levels of heavy metal in the tissue of the African catfish[Clarias gariepinus(C.gariepinus)].Methods:A total of 45 samples of C.gariepinus w...Objective:To assess the pollution status of Calabar River in relation to the levels of heavy metal in the tissue of the African catfish[Clarias gariepinus(C.gariepinus)].Methods:A total of 45 samples of C.gariepinus were purchased from fishermen on landing at Nsidung beach along Calabar River within three months(15 samples monthly)from June to August,2014.The samples were then put into a cold box containing ice blocks immediately after buying from the fishermen.The fish samples were transported immediately to the Chemistry Laboratory,University of Calabar for digestion and heavy metal analysis.Portions of the muscle,gills and liver were removed from the fresh samples and oven dried at temperature of 120°C to constant weight and digested using standard methods.The digested tissue portions were analyzed for lead,iron,manganese,cobalt,chromium and cadmium concentrations using atomic absorption spectrophotometer.Results:Mercury was not detected at all in the muscle,liver and gills of C.gariepinus.The mean±SD of metals in liver of C.gariepinus were:(0.080±0.014),(0.110±0.014),(6.480±1.279)and(0.295±0.021)mg/kg for Cd,Cr,Fe and Mn,respectively.In the gills,heavy metals values were:(0.065±0.021),(0.115±0.035),(5.843±0.558),and(0.345±0.007)mg/kg for Cd,Cr,Fe and Mn,respectively.In the muscles,heavy metals values were(0.045±0.021),(0.115±0.353),(5.150±1.075),and(0.187±0.045)mg/kg for Cd,Cr,Fe and Mn,respectively.The general trend of metals accumulation in tissues of C.gariepinus showed a decreasing trend of Fe>Mn>Cr>Cd.Also,the metal accumulation in the three tissues showed a decreasing trend of liver>gills>muscle.Conclusions:The metal concentrations in the muscle,gills and liver of C.gariepinus were all below the World Health Organization acceptable range,and as such fishery resources from Calabar River are safe for consumption.展开更多
Progestogen-only injectable contraceptive is a highly effective, long lasting and reversible agent of fertility control. The objective is to determine the profile of the acceptors, side effects and indication for disc...Progestogen-only injectable contraceptive is a highly effective, long lasting and reversible agent of fertility control. The objective is to determine the profile of the acceptors, side effects and indication for discontinuation of progestogen-only injectable contraceptives at UCTH, Calabar. This was a retrospective study of the clients who used progestogen-only injectable contraceptives at the family planning unit between 1<sup>st</sup> January 2008 and 31<sup>st</sup> December 2014. A total of 1392 clients used the injectable progestogen-only contraceptive out of 5986 total contraceptive users giving the prevalence rate of 23.3% over the period. Of these, 60.4% of the clients accepted the depot medroxyprogesterone acetate, while 39.6% accepted the norethisterone enanthate. It was mostly utilized by multiparous women, clients with tertiary education and those in their third decade of life. Secondary amenorrhea was the commonest side effect in 47.7% of the clients. Over the study period, 243 (19.8%) discontinued the method and 48.1% discontinued due to secondary amenorrhea while 31.4% was due to desire to get pregnant. Progestogen-only injectable contraceptive was associated with multiple side-effects, with secondary amenorrhea being the most common, and menstrual irregularity was the main reason for discontinuation. Providing adequate information to clients about this method of contraception and its probable side effects, supportive counseling during initiation of contraception and re-enforcement during follow-up visit can go a long way in enhancing patient satisfaction and hence continuation of progestogen-only injectable contraceptive despite minor side effects.展开更多
Antibiotic resistant bacteria pathogens remain the leading cause of shellfish borne diseases and a major health threat to humans worldwide. The objectives of this study were to isolate, identify, and determine the ant...Antibiotic resistant bacteria pathogens remain the leading cause of shellfish borne diseases and a major health threat to humans worldwide. The objectives of this study were to isolate, identify, and determine the antibiotic resistance patterns of Gram-negative bacteria from shellfish. We analyzed a total of 540 shellfish (117 clams, 88 oysters, and 136 periwinkles) samples collected from different vendors at Iko and Douglas Creeks in Akwa Ibom State, South-South Nigeria. Conventional cultural techniques, morphological, biochemical characteristics, and PCR amplification were used to identify the bacterial isolates. Antibiotic susceptibility tests (Kirby-Bauer disk diffusion method) and ESBL phenotype (disk) of the isolates were performed. One hundred and thirty-five (135) Gram-negative bacteria comprising 5 genera and 14 species were detected at a prevalence of: <i>Alcaligenes faecalis</i> <i><b>TRB</b></i>-7 38 (28.2%), <i>Pseudomonas oryzihabitans strain <b>KCB</i>005</b> 16 (11.9%), <i>Paenalcaligenes retgerii strain <b>B</i>5</b> 12 (8.9%) <i>Pseudomonas aeruginosa <b>JB</i>2</b> 10 (7.4%), <i>Providencia stuartii <b>DMC</i>-28b</b> 9 (6.7%), <i>Alcaligenes species <b>TLT</i>151</b> 8 (5.9%), <i>Pseudomonas aeruginosa <b>CIFRI DTSB</i>1</b> 7 (5.2%), <i>Paenalcaligenes species <b>UN</i>24</b> 7 (5.2%), <i>Alcaligenes faecalis <b>BT</i>10</b> 7 (5.2%), <i>Vibrio species strain <b>PrVy</i>108</b> 6 (4.4%), <i>Pseudomonas xiamenensis <b>C</i>10-2</b> 5 (3.7%), <i>Providencia vemicola <b>Bu</i>15_38</b> 4 (2.9%), <i>Pseudomonas anguillisceptica</i> <b>4029</b> 3 (2.2%), and <i>Pseudomonas aeruginosa <b>N</i>15-01092</b> 3 (2.2%). All tested isolates showed various degrees of resistance to the thirteen antimicrobials evaluated. High levels of resistance (100%) to cefepime and imipenem were expressed by all isolates except the <i>Providencia</i> species. For the EBSL indicators, all isolates apart from <i>Alcaligenes</i> species were resistant (100%) to ceftriaxone. All <i>Vibrio</i> species were susceptible to norfloxacin, nalidixic acid, and ceftazidime. The identification of antibiotic resistant Gram-negative bacteria (GNARB) from shellfish in this study highlights the risk of disseminated multi-drug resistance—a serious public health concern.展开更多
Objective: To determine the risk of adverse maternal outcome associated with obstetric intervention in labour.Methods:All cases of macrosomic births conducted at the University of Calabar Teaching Hospital,Calabar,bet...Objective: To determine the risk of adverse maternal outcome associated with obstetric intervention in labour.Methods:All cases of macrosomic births conducted at the University of Calabar Teaching Hospital,Calabar,between January 1st 1994 and December 31st 2000 were reviewed.Measure of treatment/intervention effect was calculated as relative risk for adverse maternal outcome,using spontaneous vaginal births as control.Results:Frequency of mode of delivery was as follow: vaginal births,139(60.7%);instrumental vaginal deliveries,16(7%);and abdominal deliveries,74(32.3%).Obstetric intervention occurred in 90(39.3%) cases.Sixty-four(28%) cases did not book for antenatal care,with 42 cases(18.3%) requiring obstetric intervention.About one in every two parturients(1: 2.1) in this study,requiring obstetric intervention at delivery had been interfered with at unorthodox health facilities.Relative risks for postpartum haemorrhage,wound sepsis and paralytic ileus were significantly high in parturients with abdominal delivery;while in parturients with instrumental vaginal delivery relative risks were significantly high for puerperal sepsis,paralytic ileus and obstetric palsy.There were no maternal deaths.Conclusion:Obstetric intervention in parturients with macrosomic births was high due to labour complications;and was associated with significant risk for adverse maternal outcome,especially in parturients with unskilled interference.展开更多
文摘This paper assessed the dynamics in the land use/land cover (LULC) within patterns of the land use/land cover (LULC) in Calabar metropolis. The thermal imageries for 2002, 2006, 2008, 2010, 2012, 2014 and 2016 were obtained and processed using remote sensing and Arc GIS software package in order to determine the changes that have occurred in the LULC in study area. The result of the LULC thematic maps overall accuracies was computed above 80 percent, which indicates an almost perfect agreement. The findings of this study reveal that, LULC classes by the year 2016 have assumed different dimensions of change from the sizes of their previous sizes in comparison to their current sizes. Land-use pattern changes in the study area were characterized by an increase in the built up class, waterbody (though with a slightly negative change from 2010 to 2012) and a predominant negative trend in dense vegetation and bare land classes;thus, indicating that the future changing trends will pose a depleting threat to the overall LULC. This study has shown that, the changing land use pattern of the area is capable affecting certain characteristics of the environment such as surface temperature. The study recommends that effort should be made by the government to increase urban vegetation around city centers and outliers by embarking on reforestation.
文摘This study investigated the temporal and spatial changes of land surface temperature (LST) over Calabar Metropolis, Nigeria (2002 to 2016). The LST over Calabar metropolis was studied from the analysis of Landsat imageries of the investigated years (2002, 2006, 2008, 2010, 2012, 2014 and 2016). The results of the LST imagery were classified using standard deviation. GIS was further applied to extract the coverage ratio of each land use in the context of Land surface temperature (LST) pixels and results were presented in degree Celsius. The result of this study revealed a great variation in the mean LST for the selected period. The highest mean LST of 25.38°C was observed in 2016, followed by 2002 with mean LST of 25.32°C whereas, the least LST was observed in 2010. This study has shown that, the changing land use pattern of the area is capable of affecting certain characteristics of the environment such as surface temperature. The study recommends that effort should be made by the government to increase urban vegetation in order to reduce potential future increased in LST.
文摘This study focuses on the trace and rare earth elements(REE)geochemistry of the Nkporo and Ekenkpon Shales of the Calabar Flank.The main aim is to infer their depositional environment and the degree of their metal enrichment.The shale samples were analyzed using inductively coupled plasma mass spectrometry.The results indicated that the mean concentrations of K,Na,and Fe in Nkporo and Ekenkpon Shales are 1.45,0.4,and 4.17 wt%,and 1.11,0.44,and 5.42 wt%;respectively.The Nkporo Shale is enriched with the following trace elements;P>Mn>Sr>Ba>Zn>Ce>Rb>Zr>V>Cr>Ni and depleted in the following trace elements;Ta>Ge>Sb>Bi>Cd>Ag>Te>In>Hg.While the Ekenkpon Shale is enriched with the following trace elements;P>Mn>Ba>Sr>V>Ce>Zr>Rb>Cr>Zn>Ni and depleted in;Sb>Ge>Bi>Ag>Ce>Te>In>Hg.The concentration of redox-sensitive elements such as V,Ni,Mo,U,Cu,Cr,Re,Cd,Sb,Ti,Mn,and their ratio V/Mo and U/Mo in the black and grey shale samples show different patterns.The REE obtained from the Nkporo and Ekenkpon Shales were PAAS normalized.The Nkporo Shale showed a slightly flat light rare-earth element(LREE),middle rare-earth element(MREE),and heavy rare earth element(HREE)pattern enrichment.Ce/Ce*ranges from 0.95 to 1.09 in Nkporo Shale and 0.67 to 1.40 in Ekenkpon Shale.The Ekenkpon Shale showed a slight LREE,MREE enrichment,and depleted HREE patterns.The Mn contents and U/Mo ratio in Nkporo and Ekenkpon Shales suggests a poor oxygen transitional environment.The V/Mo and V/(V+Ni)ratios indicated that the Nkporo shales were deposited in an anoxic to suboxic conditions and Ekenkpon shales were also deposited under an anoxic to suboxic conditions.The V/Ni ratio indicated that the organic matter in the Nkporo shale is terrigenous while that of the Ekenkpon shales are both terrigenous and marine in origin.
文摘Objective: To assess the prevalence of cervical cancer and histologic variants as seen in Calabar,Cross River state.Methods: This is a retrospective study involving histologically verified uterine cervix carcinoma between January,1997 and December,2006.Results: There were 1,207 malignancies diagnosed during the study period;175(14.5%) were malignancies of the genital tract while 113(9.4.0%) were carcinoma of the cervix constituting 64.6% of female genital malignancies.Cervical cancer was commonest between the ages of 40-59 years.There was no patient with carcinoma of the cervix below the age of 20 years.Squamous cell carcinoma(87.6%) of the uterine cervix was the main histological type.Conclusion:Cervical cancer is still the most common female genital tract malignancy in Calabar with most of these patients in their middle age.The use of PAS/Alcian blue stain as was used in this study eliminates most false-positive squamous cell carcinomas compared with Haematoxylin and Eosin stains used in most reports from most centres in this part of the world.Epithelial malignancies continue to be the predominant histological variant with squamous cell variety the commonest.There is also an urgent need for introduction of efficient and affordable population based cervical screening programme for early detection,use of vaccines against Human Papilloma Virus(HPV) and treatment of pre-malignant cervical lesions.
文摘Objective:To determine the prevalence,mean intensity,and abundance of monogenean parasites in Clarias gariepinus(C.gariepinus)from two selected fish farms in Calabar,Cross River State,Nigeria.Methods:Eighty specimens of C.gariepinus from the two farms(40 each)were necropsied for parasitological analysis.Skin,gill and fin biopsies were prepared from each specimen following standard methods for microscopic analysis.Parasitological indices including dominance(D),prevalence,mean intensity and abundance were calculated according to standard formulae.Data were analyzed using the Fisher's exact test.Results:C.gariepinus from the two farms were infested with a total of ninety individuals of monogenean parasites belonging to three species including Macrogyrodactylus clarii(M.clarii),Gyrodactylus sp.and Dactylogyrus sp.D index showed that the three monogenean species were eudominant(D-value>10%).Gyrodactylus sp.was more abundant(46)followed by Dactylogyrus sp.(23)while M.clarii was the lowest(21).Prevalence,meaning intensity and abundance of monogenean parasites in the two farms,varied insignificantly higher(P>0.05).Prevalence in both farms were higher in female C.gariepinus than that in male.Monogenean parasites exhibited organ specificity as M.clarii and Dactylogyrus sp.were recovered from the gills while Gyrodactylus sp.colonized the skin and fin.Conclusions:High abundance of these parasites may lead to poor growth performance and high mortality in C.gariepinus,leading to huge monetary loss and low profit margin by increasing production cost due to the cost of treatments.
文摘Objective:To assess the pollution status of Calabar River in relation to the levels of heavy metal in the tissue of the African catfish[Clarias gariepinus(C.gariepinus)].Methods:A total of 45 samples of C.gariepinus were purchased from fishermen on landing at Nsidung beach along Calabar River within three months(15 samples monthly)from June to August,2014.The samples were then put into a cold box containing ice blocks immediately after buying from the fishermen.The fish samples were transported immediately to the Chemistry Laboratory,University of Calabar for digestion and heavy metal analysis.Portions of the muscle,gills and liver were removed from the fresh samples and oven dried at temperature of 120°C to constant weight and digested using standard methods.The digested tissue portions were analyzed for lead,iron,manganese,cobalt,chromium and cadmium concentrations using atomic absorption spectrophotometer.Results:Mercury was not detected at all in the muscle,liver and gills of C.gariepinus.The mean±SD of metals in liver of C.gariepinus were:(0.080±0.014),(0.110±0.014),(6.480±1.279)and(0.295±0.021)mg/kg for Cd,Cr,Fe and Mn,respectively.In the gills,heavy metals values were:(0.065±0.021),(0.115±0.035),(5.843±0.558),and(0.345±0.007)mg/kg for Cd,Cr,Fe and Mn,respectively.In the muscles,heavy metals values were(0.045±0.021),(0.115±0.353),(5.150±1.075),and(0.187±0.045)mg/kg for Cd,Cr,Fe and Mn,respectively.The general trend of metals accumulation in tissues of C.gariepinus showed a decreasing trend of Fe>Mn>Cr>Cd.Also,the metal accumulation in the three tissues showed a decreasing trend of liver>gills>muscle.Conclusions:The metal concentrations in the muscle,gills and liver of C.gariepinus were all below the World Health Organization acceptable range,and as such fishery resources from Calabar River are safe for consumption.
文摘Progestogen-only injectable contraceptive is a highly effective, long lasting and reversible agent of fertility control. The objective is to determine the profile of the acceptors, side effects and indication for discontinuation of progestogen-only injectable contraceptives at UCTH, Calabar. This was a retrospective study of the clients who used progestogen-only injectable contraceptives at the family planning unit between 1<sup>st</sup> January 2008 and 31<sup>st</sup> December 2014. A total of 1392 clients used the injectable progestogen-only contraceptive out of 5986 total contraceptive users giving the prevalence rate of 23.3% over the period. Of these, 60.4% of the clients accepted the depot medroxyprogesterone acetate, while 39.6% accepted the norethisterone enanthate. It was mostly utilized by multiparous women, clients with tertiary education and those in their third decade of life. Secondary amenorrhea was the commonest side effect in 47.7% of the clients. Over the study period, 243 (19.8%) discontinued the method and 48.1% discontinued due to secondary amenorrhea while 31.4% was due to desire to get pregnant. Progestogen-only injectable contraceptive was associated with multiple side-effects, with secondary amenorrhea being the most common, and menstrual irregularity was the main reason for discontinuation. Providing adequate information to clients about this method of contraception and its probable side effects, supportive counseling during initiation of contraception and re-enforcement during follow-up visit can go a long way in enhancing patient satisfaction and hence continuation of progestogen-only injectable contraceptive despite minor side effects.
文摘Antibiotic resistant bacteria pathogens remain the leading cause of shellfish borne diseases and a major health threat to humans worldwide. The objectives of this study were to isolate, identify, and determine the antibiotic resistance patterns of Gram-negative bacteria from shellfish. We analyzed a total of 540 shellfish (117 clams, 88 oysters, and 136 periwinkles) samples collected from different vendors at Iko and Douglas Creeks in Akwa Ibom State, South-South Nigeria. Conventional cultural techniques, morphological, biochemical characteristics, and PCR amplification were used to identify the bacterial isolates. Antibiotic susceptibility tests (Kirby-Bauer disk diffusion method) and ESBL phenotype (disk) of the isolates were performed. One hundred and thirty-five (135) Gram-negative bacteria comprising 5 genera and 14 species were detected at a prevalence of: <i>Alcaligenes faecalis</i> <i><b>TRB</b></i>-7 38 (28.2%), <i>Pseudomonas oryzihabitans strain <b>KCB</i>005</b> 16 (11.9%), <i>Paenalcaligenes retgerii strain <b>B</i>5</b> 12 (8.9%) <i>Pseudomonas aeruginosa <b>JB</i>2</b> 10 (7.4%), <i>Providencia stuartii <b>DMC</i>-28b</b> 9 (6.7%), <i>Alcaligenes species <b>TLT</i>151</b> 8 (5.9%), <i>Pseudomonas aeruginosa <b>CIFRI DTSB</i>1</b> 7 (5.2%), <i>Paenalcaligenes species <b>UN</i>24</b> 7 (5.2%), <i>Alcaligenes faecalis <b>BT</i>10</b> 7 (5.2%), <i>Vibrio species strain <b>PrVy</i>108</b> 6 (4.4%), <i>Pseudomonas xiamenensis <b>C</i>10-2</b> 5 (3.7%), <i>Providencia vemicola <b>Bu</i>15_38</b> 4 (2.9%), <i>Pseudomonas anguillisceptica</i> <b>4029</b> 3 (2.2%), and <i>Pseudomonas aeruginosa <b>N</i>15-01092</b> 3 (2.2%). All tested isolates showed various degrees of resistance to the thirteen antimicrobials evaluated. High levels of resistance (100%) to cefepime and imipenem were expressed by all isolates except the <i>Providencia</i> species. For the EBSL indicators, all isolates apart from <i>Alcaligenes</i> species were resistant (100%) to ceftriaxone. All <i>Vibrio</i> species were susceptible to norfloxacin, nalidixic acid, and ceftazidime. The identification of antibiotic resistant Gram-negative bacteria (GNARB) from shellfish in this study highlights the risk of disseminated multi-drug resistance—a serious public health concern.
文摘Objective: To determine the risk of adverse maternal outcome associated with obstetric intervention in labour.Methods:All cases of macrosomic births conducted at the University of Calabar Teaching Hospital,Calabar,between January 1st 1994 and December 31st 2000 were reviewed.Measure of treatment/intervention effect was calculated as relative risk for adverse maternal outcome,using spontaneous vaginal births as control.Results:Frequency of mode of delivery was as follow: vaginal births,139(60.7%);instrumental vaginal deliveries,16(7%);and abdominal deliveries,74(32.3%).Obstetric intervention occurred in 90(39.3%) cases.Sixty-four(28%) cases did not book for antenatal care,with 42 cases(18.3%) requiring obstetric intervention.About one in every two parturients(1: 2.1) in this study,requiring obstetric intervention at delivery had been interfered with at unorthodox health facilities.Relative risks for postpartum haemorrhage,wound sepsis and paralytic ileus were significantly high in parturients with abdominal delivery;while in parturients with instrumental vaginal delivery relative risks were significantly high for puerperal sepsis,paralytic ileus and obstetric palsy.There were no maternal deaths.Conclusion:Obstetric intervention in parturients with macrosomic births was high due to labour complications;and was associated with significant risk for adverse maternal outcome,especially in parturients with unskilled interference.