Clinical characteristics and short-term outcomes of adult patients with urolithiasis: first report from Somalia

OBJECTIVE

This study aimed to investigate the data of adult patients admitted to the only tertiary care center in Somalia with the diagnosis of urolithiasis and to present the first report from this Sub-Saharan African country.

PATIENTS AND METHODS

This study was designed as a retrospective single-center study conducted in Somalia Turkiye Training and Research Hospital. Adult patients who received the diagnosis of urolithiasis and who were admitted to the urology department constituted the target population. Reviewed data included demographic parameters, stone features, type of surgical procedure, intraoperative and early postoperative complications, and inpatient mortality.

RESULTS

Overall, 3,680 patients were admitted during the study period. Among these, 620 (17%) patients were admitted due to urolithiasis. There was a significant male predominance with a male-to-female ratio of 3.4:1. Urinary bladder was the most common stone location (n=253, 40.8%), followed by the kidney (n=223, 35.9%). The mean stone diameter was 22.41 (5-64); most (39.4%) of the patients had a stone diameter between 20 and 30 mm, while 27.5% had stones with diameters between 10 and 20 mm. Minimally invasive procedures were the primary surgical modality in 52.6% (n=326) of our patients. However, 45.9% (n=285) of the patients underwent open surgery.

CONCLUSIONS

The rate of adults with urolithiasis is relatively high in Somalia, as in many other African countries, with a significant male predominance. Although open surgery is rarely used for treating adult urolithiasis in industrialized countries, this approach is still commonly used in Somalia, similar to other parts of Africa.

Toxicity of Nerium oleander leaf extract in mice

Non-lethal dose of 70% ethanol extract of the Nerium oleander dry leaves (1000 mg/kg body weight) was subcutaneously injected into male and female mice once a week for 9 weeks (total 10 doses). One day after the last injection, final body weight gain (relative percentage to the initial body weight) had a tendency, in both males and females, towards depression suggesting a metabolic insult at other sites than those involved in myocardial function. Multiple exposure of the mice to the specified dose failed to express a significant influence on blood parameters (WBC, RBC, Hb, HCT, PLT) as well as myocardium. On the other hand, a lethal dose (4000 mg/kg body weight) was capable of inducing progressive changes in myocardial electrical activity ending up in cardiac arrest. The electrocardiogram abnormalities could be brought about by the expected Na+, K(+)-ATPase inhibition by the cardiac glycosides (cardenolides) content of the lethal dose.

Low back muscle activity in an automobile seat with a lumbar massage system

This investigation was conducted to determine the effects of a massaging lumbar support system on low back muscle activity. The apparatus included a luxury-level automobile seat, six 10-mm diameter bipolar surface electrodes, an amplifier, an analog-to-digital conversion board, data acquisition software, and a personal computer. Six experimental conditions, each involving a variation of massage time, were considered. The dependent variable was the change in the root mean square variation of the EMG signal. One minute of lumbar massage every 5 min was found to have a beneficial effect on low back muscle activity (as compared to no massage). This may prove to be an extremely important result in the quest to combat low back pain attributable to automobile seating.

Comparative studies on the sensitivity of polymerase chain reaction and microscopic examination for the detection of Trypanosoma evansi in experimentally infected mice

Trypanosoma evansi, a protozoan parasite in the blood of camels is routinely diagnosed by finding the flagellates in the wet films or stained smear of peripheral blood, examined under a microscope. Although specific, this method is not sensitive at early stages of infection. We have tested the use of polymerase chain reaction (PCR) in the identification of T. evansi in different stages of infection in mice and compared its sensitivity with that of the standard microscopic examination method. Using a specific pair of primers, it was possible to identify T. evansi in the blood of infected mice. Experimentally, groups of mice were infected with T. evansi, isolated from a naturally infected local camel and blood samples were collected every day for 30 days post-infection. Direct microscopy or PCR was applied to detect parasitaemia. Results showed that during the acute phase of infection, parasites were detected by PCR three days earlier than by microscopy. Furthermore, the infected mice were consistently positive by PCR during the chronic phase while the parasites could not be demonstrated during this period using microscopic examination. These findings suggest that PCR may be applied to camel trypanosomosis during both acute and chronic phase of infection. Furthermore, it would provide an excellent tool in the evaluation of treatment of anti-trypanocidal drugs.

Yield, protein, and oil quality of soybean genotypes selected for tofu production

The soyfood industry prefers some soybean [(Glycine max L. (Merr.)] cultivars over others based on chemical constituents, physical traits, and processing quality of the seed. However, soybean cultivars possessing the combination of desirable agronomic traits and biochemical characteristics that enhance the quality of soyfoods have not been identified in the USA. Thus, this research was conducted with the objective of determining yield, seed protein, and fatty acid composition of soybean genotypes selected for tofu production. Twelve soybean genotypes were planted in plots arranged in a randomized complete block design with four replications at the Agricultural Research Station, Fort Valley State University, Georgia, USA during 1994 and 1995. Seed yield ranged from 1.6 to 3.0 metric tons/ha. The protein content varied between 314.2 and 480.7 g/kg seed. Both BARC-8 and BARC-9 had significantly higher protein content than other genotypes. These two genotypes also showed significant year by genotype interactions for some fatty acids. V71-370 had the highest oleic acid concentration and a high ratio (0.92) of monounsaturated to polyunsaturated fatty acids. The concentration of linoleic and linolenic acids ranged from 406.5 to 531.0 and 37.1 to 63.0 g/kg oil, respectively. Seed yield was correlated with biomass, harvest index, and filled pods per m2. In this study, V71-370 was found to be relatively superior in oil quality with fatty acid composition desirable for human consumption. The significant variation for seed yield and biochemical characteristics observed among the few genotypes examined in this study indicates the potential for breeding high yielding soybean cultivars suitable for soyfoods. Therefore, there is a need for evaluation of soybean germplasm for agronomic traits that contribute to seed yield and biochemical characteristics including fatty acid profiles that enhance soyfood quality before initiating development of suitable cultivars for tofu.

Seed characteristics and nutrient composition of selected beans (Phaseolus vulgaris L.) with different ozone tolerance

Ozone sensitivity, nutritional quality, seed characteristics, and growth habit of beans (Phaseolus vulgaris L.) were evaluated in two separate experiments. In the first experiment the data showed a significant variation among 34 bean accessions for ozone sensitivity following acute exposure of 18-day-old plants to 0.6 microliters/l O3 for 2 hours under environmentally controlled greenhouse conditions. PI-163579, PI-169735, PI-171790, PI-176684, PI-201374, PI-310711, PI-345576, PI-370569, PI-379435, and PI-414831 were identified as tolerant to acute ozone exposures. Protein, oil, starch, sugar, and ash contents in the seed of selected germplasm were determined and no correlation was found between these components and ozone sensitivity. Seed size and growth habit varied considerably among the 34 accessions but were not correlated to ozone sensitivity. In a second experiment, ten accessions, selected from the tolerant ones identified in the first experiment, were subjected to chronic ozone exposure in open-top chambers at 0.04 and 0.08 microliters/l concentrations for 7 hours/day 44 days after transplanting. Based on foliar injury and yield reductions, only PI-370569 and PI-414831 were tolerant to prolonged ozone exposure (0.08 microliters/l). A significant positive correlation (r = 0.83) existed between foliar injury rating from chronic treatments involving 0.04 and 0.08 microliters O3/l and acute exposure (0.6 microliter O3/l/2 hours). The data indicated that acute ozone exposure can be used to initially screen a large number of bean accessions, however, this is an imperfect indicator of ozone sensitivity with chronic exposure.

Chemical composition of purslane (Portulaca oleracea)

Purslane (Portulaca oleracea), grown under greenhouse conditions, was harvested at three growth stages and analyzed for total solids, total protein, ash, soluble carbohydrate, and fructose/fructane in whole plants, leaves, stems, and roots. Significant increases were observed in total solids and protein during plant maturation. Leaves had the highest amount of protein in the third growth stage (44.25 g/100 g dry matter). Roots showed a decline in protein level as the plant aged. Soluble carbohydrate was significantly higher in growth states 1 and 3. Significant variation among growth stages was found with regard to total phosphorous, calcium, potassium, iron, manganese, and copper. Total phosphorus (P) content in leaves was significantly higher than P found in stems and roots. Iron (Fe) content varied significantly among growth stages, and roots and leaves had the highest Fe content (121.47 and 33.21 mg, respectively). Significant accumulation of manganese (Mn) was found in different growth stages. Leaves and roots had significantly higher Mn content than stems.

Screening soybean (grain and vegetable) genotypes for nutrients and anti-nutritional factors

Fifty six genotypes of grain-type soybean and 17 genotypes of vegetable-type soybean collections were analyzed for protein and oil content, trypsin inhibitor, and lipoxygenase activities. The protein and oil content ranged from 36.9 to 47.9% and from 13.3 to 23.0% for different accessions in grain- and vegetable-type soybeans, respectively. Trypsin inhibitor and lipoxygenase activities ranged from 22.0 to 47.0 trypsin inhibitor units/mg meal and from 482 to 6265 lipoxygenase units/min/mg meal for grain- and vegetable-type soybeans, respectively. Significant correlations (r = -0.62 and -0.52, P less than 0.05) were found between protein and oil, and between protein and trypsin inhibitor. A significant positive correlation (r = 0.42, P less than 0.05) was also calculated for oil and lipoxygenase activity. Several genotypes of soybean and vegetable soybean (plant introductions 423905, 417330, 417223, 171451, 200506, 200523, 417124, 227687, 203402, 445842, 203399, 423852, 416771, FC 31927, Avoyelles, and Sooty) showed good nutritional potential and may be useful in a breeding program to improve the nutritional quality of soybean. Screening for essential amino acids, fatty acids, and trace minerals for selected genotypes is underway.

Nutrient composition and anti-nutritional factors in selected vegetable soybean (Glycine max [L.] Merr.)

The genetic variation in the nutrient composition and anti-nutritional factors of 17 vegetable soybean genotypes were determined and a wide variation in protein %, total phosphorus (TPi) and available phosphorus (AP) was found among these genotypes. Variations in Ca, K, Fe, Mn, and Cu were also documented. Variation was also found for trypsin inhibitor (TI) activity and Phytate (PA) content. A highly significant and negative correlation (r = -0.533, P less than 0.01) was observed between TI and total protein. Strong positive correlation (r = 0.90) was also found between TPi and AP. Several genotypes (Sooty, Emperor, Wilson-5, PI 416771, PI 417322) showed good nutritional potential and can be used in the breeding program. High protein %, TPi, and minerals are desirable qualities for vegetable-type soybeans that make it as food with high nutrient density. Studies on the nutritional evaluation of immature vegetable type soybean seeds at different reproductive stages are also underway.

Short communication

A simple and rapid calorimetric method for the determination of 10 sulphonamides as single entities and sulphamethoxazole in combination with trimethoprim without prior separation was developed. The method is based on the reaction of sulphonamide with phenothiazine and N-bromosuccinimide at pH 6 to produce a blue coloured product after acidification. The chromogen for all the sulphonamides was measured at 605 nm. The effect of several variables on colour development (concentration of phenothiazine and N-bromosuccinimide, time, pH) were established. Beer's Law was obeyed for all the drugs. The method was successfully applied to the analysis of single component sulphonamide tablets and ophthalmic solutions, with average results of labelled claim of 96.7 +/- 0.95 to 100.67 +/- 1.2. A good correlation was observed between molar absorptivities and pK(a) values of the sulphonamides (r = 0.9005).