Background: SLC10A1 gene codes NTCP, a receptor through which the hepatitis B virus (HBV) gets access into hepatocytes-a stage of the viral cycle necessary for replication. Polymorphism variants of SLC10A1 play roles in HBV infection, viral clearance, treatment outcome, and complications, in diverse ethnic groups and countries. However, no such study has been conducted in the Ghanaian population, a country with HBV endemicity. Therefore, an exploratory study was conducted to investigate the presence of three (3) single nucleotide polymorphisms (SNPs) in the SLC10A1 gene (rs2296651, rs61745930, and rs4646287) and assessed the risk of HBV infection among the Ghanaian population. Method: Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method was used to determine the presence of the SNPs among 292 participants comprising 146 HBV infected persons as case-subjects and 146 HBV non-infected persons as control-subjects. Results: The minor allele frequency (T) of rs2296651 was present in a significantly high proportion of cases compared with the control group (11.6% vs. 3.1%, p < 0.0001). The homozygote recessive variant of rs61745930 was present in 2.7% of the control group and 5.5% of the case group. Moreover, the minor allele frequencies of rs4646287 were 9.3 and 8.2% among the control and the case group, respectively (p = 0.767). Under the dominant (CC) genetic model of inheritance, rs2296651 was found to be protective of HBV infection [OR = 0.18 (0.07-0.44)], whereas under the co-dominant and additive model, rs2296651 was a potential risk factor for HBV infection [OR = 5.2 (95%CI: 2.1-12.8); 3.5 (95%CI: 1.6-7.6], respectively. Variants of rs61745930 and rs4646287 were not associated with HBV infection (p > 0.05). Polymorphisms in SLC10A1, however, did not show any significant association with HBV infectivity (p > 0.05). Conclusion: The study highlights some polymorphism proof that variants rs2296651, rs61745930, and rs4646287 exist in HBV-infected individuals in Ghana. Although variant rs2296651 was found to be associated with HBV infection, this association warrants more studies. Polymorphisms in SLC10A1 were not associated with HBV infectivity among the Ghanaian population. Further investigation is warranted to assess the offensive role of the relationship between rs2296651 and HBV infectivity.
Objective: Stability studies on flucloxacillin sodium in reconstituted oral suspensions were carried out. The experiment sought to investigate the effects that the different types of water for reconstitution and different storage conditions have on the stability of flucloxacillin sodium in the reconstituted suspensions.Methods: Suspensions of flucloxacillin sodium were reconstituted with tap water, commercial bottled water (Voltic brand was used), commercial sachet water (Everpure brand was used) treated tap water and distilled water and stored under refrigeration (RF) (4-6 °C), at room temperature (RT) (31-33 °C) and in a bowl of water (BW) (26-27 °C). Assay of flucloxacillin sodium was by iodimetry at predetermined time intervals for 8 d.Results: The amount of flucloxacillin sodium in all the suspensions stored under the various storage conditions reduced with time and at different rates. The percentage breakdown, a parameter of stability, was calculated for each reconstituted suspension stored at the different conditions investigated and they were as follows: commercial bottled water (RT-22.40 %, RF-9.90 % and BW-15.90 %), distilled water (RT-29.14 %, RF-18.0 %, BW-28.80 %), tap water (RT-25.0%, RF-14.60 % and BW-25.10 %) and commercial sachet water (RT-25.0 %, RF-10.17 % and BW-22.50 %).Conclusion: At the end of the study, it was found that those suspensions reconstituted with the commercial bottled water were the most stable and had the smallest breakdown of flucloxacillin sodium whereas those reconstituted with distilled water were the least stable and had the largest breakdown of flucloxacillin sodium. Commercial sachet water reconstituted more stable suspensions than tap water. Also, the suspensions stored under refrigeration were the most stable followed by those stored in a bowl of water. The formulations kept at room temperature were the least stable and thus, had the largest breakdown of flucloxacillin sodium.
The consumption patterns of energy drinks in the Tema Municipality of the Greater-Accra region of Ghana were investigated via a cross sectional survey and the caffeine contents of these energy drinks were determined by iodimetry. The survey showed that more males than females consume energy drinks. Five types of energy drinks; Lucozade (LU), Rush (RU), Red Bull (RB), Five Star (FS) and Monster (MT) were revealed. MT was not available on the market at the time of the survey. RU was the most consumed whereas RB was the least consumed. LU had a higher consumption rate than FS. The energy drinks were normally taken for enhanced performance. The caffeine contents of the various brands of energy drinks were as follows: LU-0.192 mg/ml, RU-0.245 mg/ml, FS-0.139 mg/ml and RB-0.089 mg/ml. Most of the correspondents (148 out of 156) consumed one to three cans or bottles of energy drinks per day and this led to an intake of caffeine which was less than the recommended daily allowance of 400 mg. Some, however, ingested more than 400 mg and experienced some side effects.
Respiratory tract infections are known to have the highest incidence and mortality rates especially among children in developing countries. Antibiotic use is common in respiratory tract infections (RTI); however, increased rates of antibiotic resistance development have prompted studies on prescribing patterns and recommendations for appropriate antibiotic use. This study aims at monitoring prescription patterns of antibiotics for respiratory tract infection in children and establishing a relationship between child ageing and respiratory disease occurrence at Ridge Hospital and Adabraka Polyclinic in Accra, Ghana. The study involved patients age five years and below with RTI cases presented at the two health facilities from January, 2014 to February, 2016. Data was obtained from patient medical folders. Antibiotic treatment for every respiratory diagnosis was compared to recommendations for each diagnosis. Appropriateness of antibiotic prescription was also assessed using a standard criterion. To identify the relationship between ageing in children and respiratory disease incidences, cases were grouped by their ages and the number of cases presented for each age group was counted. Results revealed that, 70.37% of cases from the childrens' ward of Ridge Hospital with specific diagnoses had antibiotics prescribed appropriately, whilst 29.63% of cases had antibiotics prescribed inappropriately. Also, 34.62% of cases with specific diagnoses from the out-patient department (OPD) of Adabraka Polyclinic resulted in appropriate antibiotic prescription whilst 65.38% had antibiotics prescribed inappropriately. The results obtained indicated an overall decrease in the incidence of RTIs as children aged.
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