Significantly Increased Risk of Cardiovascular Disease among Patients with Gallstone Disease: A Population-Based Cohort Study

Objective

To investigate whether gallstone disease (GD) increases the risk of developing cardiovascular disease (CVD) in a large population-based cohort.

Methods

A study population including 6,981 patients with GD was identified from The Taiwan National Health Insurance Research Database between 2004 and 2005. GD patients were defined as patients with principal discharge diagnoses of cholelithiasis using the ICD-9-CM code 574. 27,924 patients without GD were randomly selected and matched for age and gender. All patients were followed for 6 years or until diagnosis for CVD. Cox proportional hazards regression model was used to assess the risk of developing CVD with adjustment for age, gender and co-morbid conditions.

Results

During the six years follow-up period, 935 patients with GD and 2,758 patients without GD developed CVD. Patients with GD had an elevated risk of CVD (HR, 1.32; 95% CI, 1.22-1.43) when compared with those without GD. Similar relationship was observed when CVD was categorized i.e. stroke (HR, 1.15; 95% CI, 1.01-1.32), coronary heart disease (HR, 1.42; 95% CI, 1.28-1.58) and heart failure (HR, 1.31; 95% CI, 1.00-1.73). When GD was classified according to the level of severity, using patients without GD as reference, the risks of CVD were elevated in patients with non-severe GD (HR, 1.34; 95% CI, 1.24-1.46) as well as those with severe GD (HR, 1.20, 95% CI, 1.02-1.40), after adjusting for age, gender and comorbidities. In age-stratified analysis, patients aged 18-40 years with GD were at higher risk of developing CVD (HR, 1.42; 95% CI, 1.09-1.84) than older GD patients.

Conclusion

This study found an increased risk of CVD in patients diagnosed with GD. The excess risk was particularly high in younger GD patients. Prevention of GD could help reduce the risk of developing CVD, and the better effect could be achieved for the younger age groups.     

Local knowledge and socio-economic determinants of traditional medicines' utilization in livestock health management in Southwest Nigeria

Background

An ethnomedicinal study was conducted to document medicinal plants used in the treatment of ailments in villages surrounding Kimboza forest reserve, a low land catchment forest with high number of endemic plant species.

Methods

Ethnobotanical interviews on medicinal plants used to treat common illnesses were conducted with the traditional medical practitioners using open-ended semi -structured questionnaires. Diseases treated, methods of preparation, use and habitat of medicinal plants were recorded.

Results

A total of 82 medicinal plant species belonging to 29 families were recorded during the study. The most commonly used plant families recorded were Fabaceae (29%), Euphorbiaceae (20%), Asteraceae and Moraceae (17% each) and Rubiaceae (15%) in that order. The most frequently utilized medicinal plant parts were leaves (41.3%), followed by roots (29.0%), bark (21.7%), seeds (5.31%), and fruits (2.6%). The study revealed that stomach ache was the condition treated with the highest percentage of medicinal plant species (15%), followed by hernia (13%), diarrhea (12), fever and wound (11% each), and coughs (10%). Majority of medicinal plant species (65.9%) were collected from the wild compared to only 26.7% from cultivated land.

Conclusions

A rich diversity of medicinal plant species are used for treating different diseases in villages around Kimboza forest reserve, with the wild habitat being the most important reservoir for the majority of the plants. Awareness programmes on sustainable utilization and active involvement of community in conservation programmes are needed.     

Chemical speciation of some heavy metals and human health risk assessment in soil around two municipal dumpsites in Sagamu,Ogun state,Nigeria

Environmental and health risk posed by heavy metals from municipal landfill cannot be over emphasized. However, the toxicity and fate of metal in the soil is dependent on its chemical form and therefore quantification of the different forms of metal is more meaningful than the estimation of its total concentration. This study investigated the chemical form and potential hazards of heavy metal pollution at two municipal landfills in Sagamu, Ogun state, Nigeria. Soil samples were collected around the landfills and chemical form of Cu, Zn, Cd, Pb, and Fe were studied, using the Tessier Five-step sequential chemical extraction procedure. The results showed that Cu and Fe were speciated into residual fractions with averages of 23.9 and 31.3% respectively, while Cd and Zn were associated with Carbonate fractions with respective averages of 20.3 and 20.6%. The order of mobility and bioavailability of these metals are: Cd > Pb > Cu > Zn > Fe. A comparison of the result of total extractible metals with standard set by USEPA reveals that Cd and Cu level in the dumpsite soils are far above the critical permissible limit of 3.0 and 250 mg kg^?1, respectively which potent a health risk. Assessment of soil pollution level using geoaccumulation index (I_geo) revealed that the landfill was extremely polluted by Cd (I_geo > 5). Pearson correlation and principal component analysis showed that there were no significant correlations (p < 0.05) among all the metals, suggesting that they are all from different anthropogenic sources. The cancer risk ranged from 1.36E?01 to 2.18E?04 and 5.82E?01 to 9.35E?04 for Children and Adult respectively. The level of cancer risk falls above the threshold values (10^?4–10^?6) which US Environmental Protection Agency considered as unacceptable risk. Based on the above findings, it was suggested that environmental management policy should be implemented to decrease the environmental risks.     

Ploidy determination of Canadida albicans.

The dimorphic yeast Candida albicans, as a member of the fungi imperfecti, has been assumed to be in the haploid, or imperfect, state. The deoxyribonucleic acid content of this species has been measured by flow microfluorometry, a technique capable of analyzing single cells. These results were compared with flow microfluorometric deoxyribonucleic acid determinations on a series of strains of Saccharomyces cerevisiae of known ploidy (haploid, diploid, triploid, and tetraploid). These ploidy levels were readily distinguished by the flow microfluorometry procedure. By this criterion, C. albicans was found to contain a diploid amount of deoxyribonucleic acid. Ultraviolet radiation survival and chemical mutagenesis experiments support the conclusion that both clinically isolated and laboratory strains of C. albicans are diploid.     

Presowing Bioregulator Seed Treatments Increase the Seedling Growth and Yield of Tomato (Solanum lycopersicon)

The bioregulators indole acetic acid (IAA), indole butyric acid (IBA), and naphthalene acetic acid (NAA) were investigated for their effects on seedling growth and yield of tomato (Solanum lycopersicon). Seeds of tomato genotypes NHLy11, NHLy12, NHLy13, NHLy15 and NHLy16 were subjected to presowing treatments in 25-, 50-, 75-, 100-, 125-, and 150-mg/l concentrations of each of the bioregulators and control replicated three times in a completely randomized design. Results revealed that IAA and IBA significantly retard (P < 0.05) the growth of radicles and hypocotyls of all test genotypes relative to controls, especially at the high concentrations of 125- and 150-mg/l solutions of the bioregulators. NAA treatments enhanced seedling growth moderately at concentrations up to 100 mg/l. At 125- and 150-mg/l concentrations, the seedlings showed reduced radicle and hypocotyl lengths compared with those of controls. All treated genotypes had higher average fruit weight and mean fruit yield than controls at the 100-mg/l concentration of the bioregulators. IAA had the highest yield of 25,900 kg fw ha⁻¹ in the NHLy12 genotype, whereas the lowest yield of 3,760 kg fw ha⁻¹ was obtained in the IBA-treated NHLy16 genotype. This study showed that presowing seed treatments with IAA, IBA, and NAA were effective in enhancing seedling growth and yield in tomato, especially at the 100-mg/l concentration.     

Deoxyribonucleic acid-deficient strains of Candida albicans.

We analyzed a series of germ tube-negative variants isolated from Candida albicans 3153A for deoxyribonucleic acid content. As analyzed by flow microfluorometry, the deoxyribonucleic acid level in these variant strains was 50% of that of the parental strain and equivalent to that of haploid Saccharomyces cerevisiae. This finding was confirmed by comparison of survival rates when exposed to the mutagens ultraviolet light, ethyl methane sulfonate, and methyl methane sulfonate. The diameter of the variant cells as compared to the diameter of the parental 3153A strain showed a relationship similar to that of the diameters of haploid versus diploid S. cerevisiae. These results indicate that those strains may be representative of the imperfect stage of C. albicans.     

Dietary consumption of monosodium L‐glutamate induces adaptive response and reduction in the life span of Drosophila melanogaster

Adaptive response is the ability of an organism to better counterattack stress‐induced damage in response to a number of different cytotoxic agents. Monosodium L‐glutamate (MSG), the sodium salt of amino acid glutamate, is commonly used as a food additive. We investigated the effects of MSG on the life span and antioxidant response in Drosophila melanogaster (D. melanogaster). Both genders (1 to 3 days old) of flies were fed with diet containing MSG (0.1, 0.5, and 2.5‐g/kg diet) for 5 days to assess selected antioxidant and oxidative stress markers, while flies for longevity were fed for lifetime. Thereafter, the longevity assay, hydrogen peroxide (H₂O₂), and reactive oxygen and nitrogen species levels were determined. Also, catalase, glutathione S‐transferase and acetylcholinesterase activities, and total thiol content were evaluated in the flies. We found that MSG reduced the life span of the flies by up to 23% after continuous exposure. Also, MSG increased reactive oxygen and nitrogen species and H₂O₂ generations and total thiol content as well as the activities of catalase and glutathione S‐transferase in D. melanogaster (P < .05). In conclusion, consumption of MSG for 5 days by D. melanogaster induced adaptive response, but long‐term exposure reduced life span of flies. This study may therefore have public health significance in humans, and thus, moderate consumption of MSG is advocated by the authors.