This study was done to carry out a survey of Human Parainfluenza Virus in children aged 1-12years
in Kaduna Metropolis, Nigeria using the Enzyme Linked Immunosorbent Assay Diagnostic kits. Of the 376
samples tested for IgG antibody of HPIV 1, 2 and 3, 288 were seropositive (76.6%). Risk and demographic
factors such as age of the children parental occupation, parental educational status, vitamin A deficiency,
frequency of eating, household size, duration of breastfeeding, environmental smoke, respiratory symptoms,
fever, sickle cell and underlying diseases were analysed. Age (χ2=17.408, p=0.001), parental occupation
(χ2=10.116, p=0.039), duration of breastfeeding (χ2=8.439, p=0.015), presence of respiratory symptoms
(χ2=5.116, p=0.024) were significantly associated with the infection. Observation from the study showed the
importance of Human Parainfluenza Virus as an agent of respiratory tract infection in children. As antiviral
drugs are not readily available, preventive measures should be adhered to in the control of the infection.
SPORADIC OUTBREAK CASES OF DIPHTHERIA: A THREE YEARS’ STUDY IN A TERTIARY CAR...Earthjournal Publisher
SPORADIC OUTBREAK CASES OF DIPHTHERIA: A THREE YEARS’ STUDY IN A TERTIARY CARE CENTRE OF NORTHEAST INDIA.
Daiji Gogoi Mohan, Mayuri Gogoi,Naba Kumar Hazarika
IRO INTERNATIONAL JOURNAL OF MEDICAL AND APPLIED SCIENCES 2018, 1(1):1-5.
Background & objectives: In Odisha, several cases of dengue virus infection were detected for the first time in 2010, the importance of dengue as a serious mosquito-borne viral infection was felt only in 2011 with the reporting of many more positive cases. This retrospective three year study was done to find out the seroprevalence of dengue Igm antibody and to know the predominant serotype of dengue virus among the patients suspected to have dengue virus infection in a tertiary care hospital in southern Odisha, India.
Methods: Blood samples from clinically suspected dengue cases admitted in the Medicine and Paediatrics departments of a tertiary care hospital were collected. These were processed for detection of dengue specific IgM antibody, carried out by the ELISA method. Dengue IgM antibody positive serum samples were tested for serotypic identification.
Results: of the 5102 samples tested, 1074 (21.05 %) were positive for dengue IgM. Maximum numbers of cases were found in 2012. Majority (47.86 %) of cases were detected in the month of September. The most common affected age group was 11 to 20 yr. DENV1 and DENV2 were the detected serotypes.
Interpretation & conclusions: Rapid increase in the dengue cases in 2012 became a public health concern as majority of cases were affecting the young adolescents. Most of the cases were reported in post-monsoon period indicating a need for acceleration of vector control programmes prior to arrival of monsoon.
Key words Dengue virus - IgM antibody - seroprevalence - serotype - vector control
PECULIARITIES OF ANTIBIOTIC-ASSOCIATED DIARRHEA DEVELOPMENT IN CHILDREN WITH ...Alexander Smiyan
ABSTRACT Introduction: Acute respiratory infections (ARI) are the main cause of morbidity in most countries. The probability of complications and age determine antibiotics administration. Antibiotic associated diarrhea (AAD) is one of the side effects of antibiotics. The aim: The study of the prevalence rate of AAD and the characteristics of its development in children with ARI. Materials and methods: The study included 75 children aged from 1 to 12 y diagnosed with ARI, who were treated with age-specific doses of antibiotics. The influence of children's anamnesis, parents' health on the development of AAD was studied with odds ratio calculation (OR). Results: In general, AAD incidence was 52%. The highest frequency 59.3% was observed in children under 3 y. AAD most often developed in children treated with amoxicillin - 92%. The greatest dependence of AAD development was connected with breastfeeding less than 6 months - OR was 7.65, preterm birth - 2.9, functional GIT disorders in anamnesis - up to 3.14, allergy - 2.33. The risk of AAD development increased with the age of parents more than 35 y - 5.03, at the age of parents less than 18 and older than 35 y - 4.09, parents' allergies - 3.74 and parents smoking - 2.43. Conclusions: The most important factors of AAD development on antibiotics therapy in children with ARI are breastfeeding less than 6 months, functional GIT disorders and allergic conditions in anamnesis. Suboptimal age and parents' health (GIT disorders, allergic conditions and unhealthy habits) also increase the risk of AAD development. KEY WORDS: Antibiotic associated diarrhea, children
SPORADIC OUTBREAK CASES OF DIPHTHERIA: A THREE YEARS’ STUDY IN A TERTIARY CAR...Earthjournal Publisher
SPORADIC OUTBREAK CASES OF DIPHTHERIA: A THREE YEARS’ STUDY IN A TERTIARY CARE CENTRE OF NORTHEAST INDIA.
Daiji Gogoi Mohan, Mayuri Gogoi,Naba Kumar Hazarika
IRO INTERNATIONAL JOURNAL OF MEDICAL AND APPLIED SCIENCES 2018, 1(1):1-5.
Background & objectives: In Odisha, several cases of dengue virus infection were detected for the first time in 2010, the importance of dengue as a serious mosquito-borne viral infection was felt only in 2011 with the reporting of many more positive cases. This retrospective three year study was done to find out the seroprevalence of dengue Igm antibody and to know the predominant serotype of dengue virus among the patients suspected to have dengue virus infection in a tertiary care hospital in southern Odisha, India.
Methods: Blood samples from clinically suspected dengue cases admitted in the Medicine and Paediatrics departments of a tertiary care hospital were collected. These were processed for detection of dengue specific IgM antibody, carried out by the ELISA method. Dengue IgM antibody positive serum samples were tested for serotypic identification.
Results: of the 5102 samples tested, 1074 (21.05 %) were positive for dengue IgM. Maximum numbers of cases were found in 2012. Majority (47.86 %) of cases were detected in the month of September. The most common affected age group was 11 to 20 yr. DENV1 and DENV2 were the detected serotypes.
Interpretation & conclusions: Rapid increase in the dengue cases in 2012 became a public health concern as majority of cases were affecting the young adolescents. Most of the cases were reported in post-monsoon period indicating a need for acceleration of vector control programmes prior to arrival of monsoon.
Key words Dengue virus - IgM antibody - seroprevalence - serotype - vector control
PECULIARITIES OF ANTIBIOTIC-ASSOCIATED DIARRHEA DEVELOPMENT IN CHILDREN WITH ...Alexander Smiyan
ABSTRACT Introduction: Acute respiratory infections (ARI) are the main cause of morbidity in most countries. The probability of complications and age determine antibiotics administration. Antibiotic associated diarrhea (AAD) is one of the side effects of antibiotics. The aim: The study of the prevalence rate of AAD and the characteristics of its development in children with ARI. Materials and methods: The study included 75 children aged from 1 to 12 y diagnosed with ARI, who were treated with age-specific doses of antibiotics. The influence of children's anamnesis, parents' health on the development of AAD was studied with odds ratio calculation (OR). Results: In general, AAD incidence was 52%. The highest frequency 59.3% was observed in children under 3 y. AAD most often developed in children treated with amoxicillin - 92%. The greatest dependence of AAD development was connected with breastfeeding less than 6 months - OR was 7.65, preterm birth - 2.9, functional GIT disorders in anamnesis - up to 3.14, allergy - 2.33. The risk of AAD development increased with the age of parents more than 35 y - 5.03, at the age of parents less than 18 and older than 35 y - 4.09, parents' allergies - 3.74 and parents smoking - 2.43. Conclusions: The most important factors of AAD development on antibiotics therapy in children with ARI are breastfeeding less than 6 months, functional GIT disorders and allergic conditions in anamnesis. Suboptimal age and parents' health (GIT disorders, allergic conditions and unhealthy habits) also increase the risk of AAD development. KEY WORDS: Antibiotic associated diarrhea, children
Common antibiotics prescribed for acute respiratory tract infected children i...iosrphr_editor
Background: Acute respiratory infection is a common disease in children. Most cases were due to upper respiratory tract infection. Early intervention and prompt treatment of acute respiratory infections are the easiest ways to prevent complications. Objective of the study: to determine the indications, frequency, and types of antibiotics used in hospitalized paediatric patients Messellata General Hospital , Messellata, Libya and to evaluate whether the prescribed antibiotics were based on the isolation of organism and their sensitivity. Study Design: Descriptive observational hospital based study. Results and discussion: A total of 200 child patients were included over 6 months of study period, in whom antibiotics were prescribed at the time of admission. The majority were between < 2 and 8 years of age. Fever was the commonest symptom. Out of 200 encounters for patients with various acute respiratory infections, acute pharyngotonsillits were (62.5%), followed by acute laringitis (26.5%). Acute pneumonia represented by (11%) of the total acute respiratory infection cases. Penicillins were the most commonly prescribed antibiotics for acute pharyngotonsillitis among children patients (40.8% of prescriptions), followed by cephalosporins (36.0%) and aminoglycosides (23.2%). A high percentage (59.1%) of children patients diagnosed with acute pneumonia was treated with cephalosporins, whereas (27.3%) of children patients with acute pneumonia were treated with penicillins. However, only (13.6%) of children patients with acute pneumonia often treated with aminoglycosides antibiotics. In case of acute laryngitis, the antibiotic prescription rates were as follow: Penicillins (58.5%), Cephalosporis (30.2%) and aminoglycosides (11.3%).
Clinical Profile of Envenomation in Children With Reference To Snake Biteiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Vaccination in adults - Slideset by Professor Paolo BonanniWAidid
The slideset by professor Paolo Bonanni on vaccination in adults makes an overview on influenza, streptococcus pneumoniae, diphtheria, tetanus, pertussis, Human Papilloma Virus (HPV), measles, mumps, rubella, varicella and tick borne encephalitis. Where we were and where we are.
Kathryn Maitland describes the challenges faced with oxygen therapy as an emergency intervention in critical illness in African children.
Where Kathryn works, in East Africa, there is no access to intensive care. Caring for critically ill children is all done in the Emergency Department.
70% of the global burden of disease and deaths from pneumonia occurs in Southeast Asia and Sub-Saharan Africa. The WHO has published guidelines as to what classifies as pneumonia, severe pneumonia, and very severe pneumonia.
These classifications rely on clinical signs. However, Kathryn in her research has discovered that these classifications are rarely correlated with the actual underlying disease process.
Clinical signs are non-specific for the diagnosis of pneumonia. Oxygen is recommended for severe and very severe pneumonia.
This has led to calls to prioritise oxygen delivery in African hospitals. However, it has not led to change from a health department or funding viewpoint.
There are also oxygen delivery practicalities to consider. Often there is only one source of oxygen on a ward (if at all) with patients clustered around it.
The production of Oxygen may only happen in a few places.
Poor cylinder quality leads to leaks and therefore, low supply.
Concentrators are useful however they need regular servicing. They also rely on power, and in a region that experiences regular power outages, this can be problematic. When the power goes off, there is no oxygen available.
Kathryn asks – do all children actually need oxygen? There is still however a hidden burden of hypoxia.
Outside of Africa, Kathryn discusses the current state of equipoise on oxygen therapy.
Moreover, oxygen can be harmful if given inappropriately. This leads to concerns more broadly on the harms of oxygen therapy.
Kathryn concludes her talk by looking to the future. She discusses ongoing research and the implications for future practice in resource poor settings, and indeed the world.
To Assess the Severity and Mortality among Covid 19 Patients after Having Vac...YogeshIJTSRD
The severity and mortality of COVID 19 cases has been associated with the Three category such as vaccination status, severity of disease and outcome. Objective presently study was aimed to assess the severity and mortality among covid 19 patients. Methods Using simple lottery random method 100 samples were selected. From these 100 patients, 50 patients were randomly assigned to case group and 50 patients in control group after informed consents of relative obtained. Patients in the case group who being died after got COVID 19 whereas 50 patients in the control group participated who were survive after got infected from COVID 19 patients. Result It has three categories such as a Vaccination status For the vaccination status we have seen 59 patients were not vaccinated and 41 patients was vaccinated out of 100. b Incidence There were 41 patients were vaccinated whereas 59 patients were not vaccinated. c Severity In the case of mortality we selected 50 patients who were died from the Corona and I got to know that out of 50 patients there were 12 24 patients were vaccinated whereas 38 76 patients were non vaccinated. Although for the 50 control survival group total 29 58 patients were vaccinated and 21 42 patients was not vaccinated all graph start. Conclusion we have find out that those people who got vaccinated were less infected and mortality rate very low. Prof. (Dr) Binod Kumar Singh | Dr. Saroj Kumar | Ms. Anuradha Sharma "To Assess the Severity and Mortality among Covid-19 Patients after Having Vaccinated: A Retrospective Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd45065.pdf Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/45065/to-assess-the-severity-and-mortality-among-covid19-patients-after-having-vaccinated-a-retrospective-study/prof-dr-binod-kumar-singh
The Relationship between Elasticity of Polymeric Gels and the In vitro Releas...iosrjce
Gels are semi-solid dosage forms that comprise small amount of solids dispersed in relatively large
amount of liquid but still having solid-like structure. Rheological properties of gels may affect the release of
proposed medicaments from the polymeric gels. The objective of this research was to find the relationship
between the elasticity of polymeric gels and the in vitro release of Ketoconazole anti-fungal drug from different
types of gel structures. Five types of gel bases were prepared, glycerin of starch, gelatin-glycerin, sodium
carboxy methyl cellulose, Carbopol 934 and Eudragit L100. The rheological properties of gels were determined
using Rheometer. Whereas the in vitro release of ketoconazole from the mentioned gel bases were determined
using Franz Diffusion Cell. The results obtained showed that the higher the elasticity of the gel the more release of the drug.
Common antibiotics prescribed for acute respiratory tract infected children i...iosrphr_editor
Background: Acute respiratory infection is a common disease in children. Most cases were due to upper respiratory tract infection. Early intervention and prompt treatment of acute respiratory infections are the easiest ways to prevent complications. Objective of the study: to determine the indications, frequency, and types of antibiotics used in hospitalized paediatric patients Messellata General Hospital , Messellata, Libya and to evaluate whether the prescribed antibiotics were based on the isolation of organism and their sensitivity. Study Design: Descriptive observational hospital based study. Results and discussion: A total of 200 child patients were included over 6 months of study period, in whom antibiotics were prescribed at the time of admission. The majority were between < 2 and 8 years of age. Fever was the commonest symptom. Out of 200 encounters for patients with various acute respiratory infections, acute pharyngotonsillits were (62.5%), followed by acute laringitis (26.5%). Acute pneumonia represented by (11%) of the total acute respiratory infection cases. Penicillins were the most commonly prescribed antibiotics for acute pharyngotonsillitis among children patients (40.8% of prescriptions), followed by cephalosporins (36.0%) and aminoglycosides (23.2%). A high percentage (59.1%) of children patients diagnosed with acute pneumonia was treated with cephalosporins, whereas (27.3%) of children patients with acute pneumonia were treated with penicillins. However, only (13.6%) of children patients with acute pneumonia often treated with aminoglycosides antibiotics. In case of acute laryngitis, the antibiotic prescription rates were as follow: Penicillins (58.5%), Cephalosporis (30.2%) and aminoglycosides (11.3%).
Clinical Profile of Envenomation in Children With Reference To Snake Biteiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Vaccination in adults - Slideset by Professor Paolo BonanniWAidid
The slideset by professor Paolo Bonanni on vaccination in adults makes an overview on influenza, streptococcus pneumoniae, diphtheria, tetanus, pertussis, Human Papilloma Virus (HPV), measles, mumps, rubella, varicella and tick borne encephalitis. Where we were and where we are.
Kathryn Maitland describes the challenges faced with oxygen therapy as an emergency intervention in critical illness in African children.
Where Kathryn works, in East Africa, there is no access to intensive care. Caring for critically ill children is all done in the Emergency Department.
70% of the global burden of disease and deaths from pneumonia occurs in Southeast Asia and Sub-Saharan Africa. The WHO has published guidelines as to what classifies as pneumonia, severe pneumonia, and very severe pneumonia.
These classifications rely on clinical signs. However, Kathryn in her research has discovered that these classifications are rarely correlated with the actual underlying disease process.
Clinical signs are non-specific for the diagnosis of pneumonia. Oxygen is recommended for severe and very severe pneumonia.
This has led to calls to prioritise oxygen delivery in African hospitals. However, it has not led to change from a health department or funding viewpoint.
There are also oxygen delivery practicalities to consider. Often there is only one source of oxygen on a ward (if at all) with patients clustered around it.
The production of Oxygen may only happen in a few places.
Poor cylinder quality leads to leaks and therefore, low supply.
Concentrators are useful however they need regular servicing. They also rely on power, and in a region that experiences regular power outages, this can be problematic. When the power goes off, there is no oxygen available.
Kathryn asks – do all children actually need oxygen? There is still however a hidden burden of hypoxia.
Outside of Africa, Kathryn discusses the current state of equipoise on oxygen therapy.
Moreover, oxygen can be harmful if given inappropriately. This leads to concerns more broadly on the harms of oxygen therapy.
Kathryn concludes her talk by looking to the future. She discusses ongoing research and the implications for future practice in resource poor settings, and indeed the world.
To Assess the Severity and Mortality among Covid 19 Patients after Having Vac...YogeshIJTSRD
The severity and mortality of COVID 19 cases has been associated with the Three category such as vaccination status, severity of disease and outcome. Objective presently study was aimed to assess the severity and mortality among covid 19 patients. Methods Using simple lottery random method 100 samples were selected. From these 100 patients, 50 patients were randomly assigned to case group and 50 patients in control group after informed consents of relative obtained. Patients in the case group who being died after got COVID 19 whereas 50 patients in the control group participated who were survive after got infected from COVID 19 patients. Result It has three categories such as a Vaccination status For the vaccination status we have seen 59 patients were not vaccinated and 41 patients was vaccinated out of 100. b Incidence There were 41 patients were vaccinated whereas 59 patients were not vaccinated. c Severity In the case of mortality we selected 50 patients who were died from the Corona and I got to know that out of 50 patients there were 12 24 patients were vaccinated whereas 38 76 patients were non vaccinated. Although for the 50 control survival group total 29 58 patients were vaccinated and 21 42 patients was not vaccinated all graph start. Conclusion we have find out that those people who got vaccinated were less infected and mortality rate very low. Prof. (Dr) Binod Kumar Singh | Dr. Saroj Kumar | Ms. Anuradha Sharma "To Assess the Severity and Mortality among Covid-19 Patients after Having Vaccinated: A Retrospective Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd45065.pdf Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/45065/to-assess-the-severity-and-mortality-among-covid19-patients-after-having-vaccinated-a-retrospective-study/prof-dr-binod-kumar-singh
The Relationship between Elasticity of Polymeric Gels and the In vitro Releas...iosrjce
Gels are semi-solid dosage forms that comprise small amount of solids dispersed in relatively large
amount of liquid but still having solid-like structure. Rheological properties of gels may affect the release of
proposed medicaments from the polymeric gels. The objective of this research was to find the relationship
between the elasticity of polymeric gels and the in vitro release of Ketoconazole anti-fungal drug from different
types of gel structures. Five types of gel bases were prepared, glycerin of starch, gelatin-glycerin, sodium
carboxy methyl cellulose, Carbopol 934 and Eudragit L100. The rheological properties of gels were determined
using Rheometer. Whereas the in vitro release of ketoconazole from the mentioned gel bases were determined
using Franz Diffusion Cell. The results obtained showed that the higher the elasticity of the gel the more release of the drug.
Production of Monosex Nile Tilapia, Oreochromis niloticus Using Seed of Mucun...iosrjce
The present study was aimed to investigate the potential effect of Mucuna pruriens on
masculinisation of Nile tilapia during its in vivo application through direct feeding and immersion techniques
and to determine an ideal concentration for each method for production of all-male tilapia population. Three
days old mixed sex juveniles of Nile tilapia (mean weight 0.025 ± 0.009 g; mean length 1.25 ± 0.012 cm) were
subjected to dietary treatment with powdered M. pruriens seeds (0.0, 2.0, 3.5 and 5.0 g/kg feed) and immersion
treatment with aqueous extract of the plant seeds (0.02, 0.035, 0.05 g/l) for one month. For dietary treatment,
the highest percentage of survival (94.33±0.33) was obtained in the 5.0 g/kg category, while treatment with 0.05
g/l yielded the highest survival percentage (92.33±0.33) for immersion treatment. Dietary and immersion
treatment with the plant material resulted in significantly higher (P<0.05)><0.05) compared to all the treatment groups.
Influence of Ethanolic Extractives of Leaves of Mulberry, Morus Alba (L) On 7...iosrjce
The study deals with investigation of thechemopreventive potential and antilipidperoxidative effects
of ethanolic leaf extract of mulberry, Morus alba (L) (TpEt) on 7,12-dimethylbenz(a)anthracene (DMBA)-
induced buccal pouch carcinoma in Syrian hamster, Mesocricetusauratus (L). Oral squamous cell carcinoma
was developed in the buccal pouch of Syrian golden hamsters, by painting with 0.5% DMBA in liquid paraffin,
thrice a week, for 14 weeks. The tumor incidence, volume and burden were determined. Oral administration
ofTpEt at a dose of 300 mg/kg, body weight, to DMBA (on alternate days for 14 weeks)- painted animals
significantly prevented the incidence, volume and burden of the tumor. TpEt showed potent antilipidperoxidative
effect, as well as enhanced the antioxidant status in DMBA- painted animals. TpEt has potent chemopreventive
efficacy and significant antilipidperoxidative effect, in DMBA-induced oral carcinogenesis. The active principle
of mulberry leaf may have the abilities of induction of apoptosis, which involve disruption of mitochondrial
membrane potential, release of cytochrome C and activation of caspase. With it’s bioactive compounds,
mulberry, Morus alba (L) may open a new avenue in the cancer prevention and treatment.
The Efficiency of Eicchornia crassipes in the Phytoremediation of Waste Water...iosrjce
The study involved a laboratory experiment on the use of Eicchornia crassipes in the
phytoremediation of a stream polluted by waste water from Kaduna Refinery and Petrochemical Company. The
physiochemical characteristics of the waste water were determined before and after the treatment. The
experiment lasted for three weeks and the rate of reduction was recorded. The highest rate of mean reduction
were for heavy metals accounting 99.0%, 95.0%, 96.3%, 100%, 99.3% and 94.3% of Cd, Hg, Zn, Mn, Pb and
Ag respectively. Other physiochemical parameters include Total Dissolved Solids (TDS) 90%, Chemical Oxygen
Demand (COD) 54.3%, Nitrate 86.3%, Biochemical Oxygen demand (BOD) 13.7%, Conductivity 11%, Total
suspended Solids (TSS) 55.7%, Turbidity 18%, 87% Total Solids (TS) and the pH 4%. Ecchornia crassipes is a
suitable candidate for effective phytoremediation of water from Romi stream.
Cara Memiliki Toko Online Sendiri Dengan Mudah, INSTAN Dan Berpeluang PASSIVE INCOME Hingga RATUSAN JUTA Rupiah Perbulannya..
Tonton SLIDE PRESENTASINYA Diatas ya!
Untuk Pertanyaan / Konsultasi bisa ke : 0812.1475.3133
Dan ADD Facebook saya di : https://www.facebook.com/rizky.fxmaster
Advancement in Scaffolds for Bone Tissue Engineering: A Reviewiosrjce
In last decade, Tissue Engineering has moved a way ahead and has proposed solutions by replacing
the permanently or severely damaged tissues of our body. The field has expanded to tissue regeneration of
cartilage, bone, blood vessels, skin, etc. The domain of tissue engineering is very wide and is the combination of
bioengineering, biology & biochemistry. This review is focus on recent research advancement in bone tissue
engineering. Bone grafting techniques are used to replace the severely damaged due to any accident, trauma or
any disease. These are either allograft, autologous or synthetic bone properties similar to bone. Bone Tissue
Engineering is part of a synthetic technique and overcome the limitations faced in other two mentioned
techniques. Bone Tissue engineering is rapidly developing field and has become important due to its remarkable
therapeutic properties. Mesenchymal stem cells are used as starting cells in tissue regeneration. These cells get
differentiated into bone cells and start multiplying to form bone. One inevitable requirement of these growing
human cells is a strong support which helps in the proper growth. This support is known as scaffold, in tissue
engineering. For proper regeneration of cells scaffold materials plays vital importance in the field of bone tissue engineering. This review attempts is illustrate the biology of natural bone, various desirable properties of scaffold, biomaterials used for fabrication of scaffold and various fabrication techniques with examples of bone regenerate.
Prevalence of Malaria Infection and Malaria Anaemia among Children Attending ...theijes
Malaria associated anaemia represent a major public health problem. Thestudy considered Out-Patient children at Emergency Paediatric Unit, Federal Medical Centre, Yola aged 6 months-15 years from June to November 2015. Questionnaires were used to collect information relating to gender, age and parents/guardians sociodemographic characteristics. Microscopic examination of Thick and Thin blood films a technique was employed, Pack Cell Volumewas used to screen for anaemia. Of the 168 children sampled, the prevalence of malaria infection and malaria anaemia was 29.2% and 26.2% respectively and it was associated with P. falciparum. Malaria infection in relation to anaemia, children with mild anaemia (47.6%) had the highest infection rate. It was observed that malaria infection was higher among males (32.2%) than the females (25.6%), age group 5-9 years (34.2%) had the highest malaria infection and least was ≥15 years (20.0%) but these were statistically insignificant within gender and age of the children and malaria infection (p˃0.05). Higher malaria infection among children whose parents/guardians were unemployed (38.5%), attended primary education (52.6%) and reside in village setting (31.4%). Malaria anaemia in relation to children epidemiological data, males (31.6%), 5-9 years (31.6%) recorded with high prevalence rate while sociodemographic characteristics of parents/guardians, children whose parents/guardians were civil servant (18.9%), attended tertiary education (13.8%) and live in quarters (11.1%) had the least prevalence rate of malaria anaemia. Children gender, parents/guardians occupation and educational qualification were significantly associated with malaria anaemia (p˂0.05). Therefore, parents/guardians sociodemographic factors such as better occupation, higher educational qualification and well layout and refined area of residence reduces the prevalence of malaria infection and malaria anaemia in children. There is need to sensitized public on the importance of management of malaria and the possible effects of malaria anaemia on children in order to circumvent the menace.
October 7, 2019
On October 7, 2019, the Harvard Global Health Institute will host a one-day symposium to explore what enabled this visionary program, and to showcase how it has transformed not just the worldwide HIV/AIDS response but global health delivery more broadly.
There are many lessons learned in PEPFAR’s story - from what it took to build a supply chain where there was none, to establishing the use of generic antiretroviral therapies (ARTs) and leveraging human capacity. This event convened the early architects of PEPFAR as well as experts and implementers currently leading the charge. We took a historically informed look at what it will take to stop global transmission, and shared tools useful for others hoping to move the needle on vexing problems in global health.
For more information, visit our website at https://petrieflom.law.harvard.edu/events/details/15-years-of-pepfar
Bacteria Isolated From the Cerebrio-Spinal Fluid (Csf) of Suspected Cases of ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Avian Influenza H7N9
Winnifred Brefo-kesse
Hlth 626
March 31, 2019
Professor Hughes
Part I: THE SITUATION ASSESSMENT
In February and March 2013, a novel influenza A (H7N9) virus emerged in China, causing an acute respiratory distress syndrome and occasionally multiple organ failure with high fatality rates in humans (Li et al., 2014). A total of 681 laboratory-confirmed cases and 275 deaths have been reported as of November 13th, 2015, with a fatality rate of 40% (http://www.who.int/influenza/human_animal_interface/HAI_Risk_Assessment/en/). H7N9 has been evolving and established amongst chickens in China over the past two years with occasional human infections (Lam et al., 2015; Su et al., 2015), thus posing a threat to public health. In the absence of an annually-updated effective vaccine, antiviral drugs constitute the first line of defense against H7N9 infections. H7N9 viruses already possess natural resistance to M2-ion channel blockers (amantadine and rimantadine) when it first emerged in 2013 (Gao et al., 2013). Therefore, neuraminidase inhibitors (NAIs), which include oseltamivir (TamifluH), zanamivir (RelenzaH) and peramivir constitute the main antiviral drugs against H7N9 infections (Hu et al., 2013; Wu et al., 2013). However, treatment with NAIs against H7N9 infections has resulted in the emergence of drug-resistant mutant viruses, as soon as 1~9 days after administration (Gao et al., 2013; Hu et al., 2013). Moreover, the first H7N9 isolate (A/Shanghai/1/2013(H7N9), SH-H7N9) was resistant to oseltamivir (Gao et al., 2013). Avian influenza A H7 viruses are a group of viruses that is mostly found amongst birds. The H7N9 virus is a subgroup of the H7 viruses and was recently discovered in China. There were three cases discovered in March of 2013 which ultimately increased in May by 132 cases. Of those cases, the 39 infected, died because of the virus (Peipei Song1, 2013). The clinical features described in the three patients with H7N9 virus infection, included fulminant pneumonia, respiratory failure, acute respiratory distress syndrome (ARDS), septic shock, multi-organ failure, rhabdomyolysis, and encephalopathy, are very troubling (Timothy M. Uyeki, 2013). As of now, this virus has reached stage two of three which is poultry passing the virus to humans. There is one more stage left which is human to human transmission which the Chinese health officials have confirmed it is not yet occurring. Creating an anti-virus takes a lot of time and until then public health officials should create new tactics in battling this epidemic.
Since there isn’t an anti-virus for the H7N9 virus, different health policies must be put in place to control the outbreak as well as preventative strategies from escalating. This vir.
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A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in Kaduna Metropolis, Nigeria
1. IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS)
e-ISSN: 2278-3008, p-ISSN:2319-7676. Volume 10, Issue 1 Ver. IV (Jan -Feb. 2015), PP 60-65
www.iosrjournals.org
DOI: 10.9790/3008-10146065 www.iosrjournals.org 60 | Page
A Serological Survey of Human Parainfluenza Viruses (HPIVs)
among Children in Kaduna Metropolis, Nigeria
1
Bonire, F.S., 1
Umoh, V.J., 1
Ado, S.A., 1
Ellah, E.E. and 2*
Ojeleye, O.A.
1
Department of Microbiology, Ahmadu Bello University, Zaria
2
Department of Agricultural Economics and Rural Sociology, ABU Zaria
Abstract: This study was done to carry out a survey of Human Parainfluenza Virus in children aged 1-12years
in Kaduna Metropolis, Nigeria using the Enzyme Linked Immunosorbent Assay Diagnostic kits. Of the 376
samples tested for IgG antibody of HPIV 1, 2 and 3, 288 were seropositive (76.6%). Risk and demographic
factors such as age of the children parental occupation, parental educational status, vitamin A deficiency,
frequency of eating, household size, duration of breastfeeding, environmental smoke, respiratory symptoms,
fever, sickle cell and underlying diseases were analysed. Age (χ2
=17.408, p=0.001), parental occupation
(χ2
=10.116, p=0.039), duration of breastfeeding (χ2
=8.439, p=0.015), presence of respiratory symptoms
(χ2
=5.116, p=0.024) were significantly associated with the infection. Observation from the study showed the
importance of Human Parainfluenza Virus as an agent of respiratory tract infection in children. As antiviral
drugs are not readily available, preventive measures should be adhered to in the control of the infection.
Keywords: Human Parainfluenza Virus, Children, Nigeria
I. Introduction
Respiratory infections have a significant impact on health worldwide and the majority of these
infections are of viral origin. Moreover, 10%–50% of patients will develop a secondary bacterial infection as
children are the most afflicted with acute otitis media, sinusitis, or pneumonia. In very young or older
individuals or individuals with chronic medical conditions, viral respiratory infections may induce a severe
illness (Hayden et al., 2006). Furthermore, most acute respiratory infections are caused by Rhinovirus,
Respiratory Syncytial Viruses, Enteroviruses, Influenza A and B viruses, Parainfluenza viruses, or Adenovirus
(Allander et al., 2007). Ray (2004), have also suggested that the viruses that are the major causes of acute
respiratory disease (ARD) include influenza viruses, parainfluenza viruses, rhinoviruses, adenoviruses,
respiratory syncytial virus (RSV), and respiratory coronaviruses.
Human parainfluenza viruses (HPIVs) have been associated with every type of upper and lower
respiratory tract illness, including common cold with fever, laryngotracheobronchitis (croup), bronchiolitis, and
pneumonia. HPIVs are also a cause of community-acquired respiratory tract infections of variable severity even
in adults. Weinberg et al found that HPIV accounted for 6.8% of all hospitalizations for fever, acute respiratory
illnesses, or both in children younger than 5 years (Weinberg et al., 2009). Furthermore, Human parainfluenza
viruses (HPIVs) are common community-acquired respiratory pathogens without ethnic, socio-economic,
gender, age or geographical boundaries. Many factors have been found that predispose individuals to these
infections, including malnutrition, overcrowding, vitamin A deficiency, concomitant diseases (e.g. diarrhoea,
heart disease, asthma), day care attendance, lack of breast feeding and environmental smoke or toxins
(Laurichesse et al., 1999; Rudan et al., 2008). Besides, in most developing countries, a significant proportion of
these disease burdens have been found to be respiratory infections. A hallmark of infection by respiratory
viruses is productive infection of and the subsequent destruction of the airway epithelium (Gorski et al., 2012).
Human parainfluenza viruses (HPIVs) are a common cause of acute respiratory illness throughout life. Infants,
children, and the immunocompromised are the most likely to develop severe disease (Schomacker et al., 2012).
In the past few decades, infectious diseases have moved steadily back up the health agenda, prompting new
emphasis on developing strategies for prevention and control.
Acute Respiratory Infection symptoms (cough and difficult/fast breathing) frequently overlap with
those of malaria which sometimes make diagnosis difficult. In Nigeria, children with these pneumonia
symptoms which can be caused by HPIVs are frequently overlooked by the home management strategy that
seeks to treat all childhood fevers as malaria (Ukwaja et al., 2010). The majority of deaths occur in Africa and
South-East Asia (Rudan et al., 2008). The incidence of clinical pneumonia, a respiratory tract infection among
children ranges from 0.34 to 1.3 episodes per child-year (Akanbi et al., 2009). Over 6 million new cases are
estimated annually with expected mortality of 204,000 children (Rudan et al, 2008). However, many children
with pneumonia do not receive timely, appropriate treatment at health facilities, (UNICEF, 2007) especially
children from poorer families – for economic and social reasons (Schellenberg et al., 2003). Also, most clinical
cases of respiratory infections are regarded as bacterial and there is a tendency of not focusing enough attention
2. A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in ....
DOI: 10.9790/3008-10146065 www.iosrjournals.org 61 | Page
to viral causes of respiratory tract infections. Sometimes the viruses cause only a runny nose and other
symptoms that may be diagnosed as a simple cold rather than Human Parainfluenza Infection.
Although respiratory viral infections are much studied in developed countries and their impact on
health care is well understood, there is a gap in information on the burden of respiratory viral infections in
developing countries. From the public health point of view, it would be valuable to know which viruses are the
most common causative agents, what their disease manifestations are, how often virus alone causes severe
respiratory infection, and how severe lower respiratory infections could be prevented (Rudan and Conseus,
2005). This study therefore attempts to survey the prevalence of HPIVs among children, ages 1 to 12 years and
determine the risks and demographic factors associated with the infection in the study area.
II. Materials And Methods
Study area
This study was conducted in Kaduna Metropolis, Kaduna State which is located in the Northern Guinea
Savanna ecological zone. It occupies almost the entire central portion of the Northern part of Nigeria and share
common borders with Zamfara, Katsina, Niger, Kano, Bauchi, Nassarawa and Plateau States. To the Southwest,
the state shares border with the Federal Capital Territory, Abuja. The global location of the state is between
longitude 06o
00 and 09o
00 East of the Greenwich Meridian and also between latitude 09o
00 and 11o
30, north of
the equator. The state occupies an area of about 48,473.2 square kilometres. It has a population of 6,066,562
people (NBS, 2007); and a projected population of 6,527,620 in 2009. Kaduna State is the successor to the old
Northern Region of Nigeria, which had its capital at Kaduna. In 1967 this was split up into six states, one of
which was the North-Central State, whose name was changed to Kaduna state in 1976. This was further divided
in 1987, losing the area now part of Katsina State.
The study was conducted in four major hospitals in Kaduna Metropolis which included; Barau Dikko
Specialist Hospital, Yusuf Dantsoho Memorial Hospital, Kawo General Hospital, Gwamna-Awan General
Hospital Kaduna situated in North and South regions of Kaduna Metropolis.
Sample collection and processing
The various clinics were visited after obtaining ethical approval from Kaduna State Ministry of Health.
Children aged 1 – 12 years were recruited in the study. Blood samples were collected only from children whose
parents/guardians signed an informed consent. Sterile syringe (2ml) was used for blood collection. Samples
were collected aseptically by venous puncture from each. The samples were collected into plain specimen
bottles and centrifuged at 1500 revolution per minute (1500 rpm/min) for five minutes and the sera were
collected into clean and dry plain specimen bottles using clean and dry Pasteur pipettes. The sera were stored at
-200
C until the assay time (Cheesbrough, 2003). The serum assay for HPIV was carried out in the Department of
Microbiology, Ahmadu Bello University Zaria. Using Enzyme Linked Immunosorbent Assay (HPIV 1/2/3 IgG
antibody test kit IMMUNOLAB GmbH ELISA, Germany), samples were assayed for specific IgG antibody
against the HPIV-1, 2 and 3 virus. Manufacturer’s instructions were duly followed. The optical density (OD)
values were read at 405nm, using Sigma Diagnostic EIA multi well reader II. The kit has 99% specificity and
100% sensitivity.
III. Results
The ELISA result showed that 288 (76.6%) samples tested positive to Human Parainfluenza Virus IgG
antibody while 88(23.4%) samples tested negative to HPIV IgG antibody giving a total seroprevalence of
76.6%.
It was discovered that there was significant association (p = 0.039) between parents’ occupation and
the HPIV infection. Children whose parents were teachers had the highest infection rate of 84.1% followed by
those whose mothers were fulltime housewives (81.1%), 76.9% of civil servants’ children were infected while
children of self-employed parents had the least infection (70.9%) (Table 1).
Similarly, test of association of parents’ level of formal education with the infection was carried out.
Though there was no significant association (χ2
= 4.768, p = 0.092), children of parents with primary education
had the highest rate of infection; those with tertiary level of education, their children had 78.9% infection rate
and the least (70.9%) was observed amongst children of parents with secondary level of education (Table 1).
Table 2 presents the result of the assessment of the association of number of meals eaten daily; this
shows no significant association (χ2
= 2.132, p = 0.344) with human parainfluenza virus infection but the daily
eating pattern revealed that children that ate once a day had the least rate of infection while those that ate twice
daily had 80.0%. Household size was not significantly associated (χ2
= 0.194, p = 0.907) but households with 7-
12 persons had higher (77.0%) infection rate compared to those with 1-6 persons where the infection rate was
75.9% (Table 2).
3. A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in ....
DOI: 10.9790/3008-10146065 www.iosrjournals.org 62 | Page
Other risk factors assessed include but not limited to vitamin A deficiency, duration of breastfeeding,
whether or not parents smoke. There was no significant association between vitamin A and human parainfluenza
virus infection in children (Table 2). Table 2 further shows significant association (p = 0.015) between duration
of breastfeeding and the infection. Children who were breastfed for 1-6 months had 41.7% infection rate
followed by those breastfed for 7-12 months (77.6%) and 77.8% for those that were breastfed for more than 1
year.
Children of parents that smoke had higher (80.0%) infection with human parainfluenza virus than those
of non-smoking parents (76.4%) though smoking was not significantly associated with the infection.
Table 1: Association of demographic data with human parainfluenza virus infection in children
Parameter No. of sample tested No. Positive (%) χ2
P
Age group (years)
1-3 151 99(65.6) 17.408 0.001**
4-6 76 65(85.5)
7-9 84 69(82.1)
10-12 65 55(84.6)
TOTAL 376 288(76.6)
Parents’ Occupation
Civil servant 52 40(76.9) 10.116 0.039*
Teacher 69 58(84.1)
Housewife 90 73(81.1)
Self-employed 165 117(70.9)
TOTAL 376 288(76.6)
Education
Primary 81 67(82.7) 4.768 0.092
Secondary 148 105(70.9)
Tertiary
TOTAL
147
376
116(78.9)
288(76.6%)
χ2
= chi square
p = level of significance
* = significant association exists at p < 0.05
** = significant association exists at p < 0.01
Table 2: Effect of household number and nutrition on human parainfluenza virus infection
Parameter No. of samples tested No. Positive (%) χ2
P
Daily eating
Once 16 10(62.5) 2.132 0.344
Twice 55 44(80.0)
Thrice 305 234(76.7)
TOTAL 376 288(76.6)
Household number
1-6 137 104(75.9) 0.194 0.907
1-12 239 184(77.0)
TOTAL 376 288(76.6)
Vitamin A
Yes 294 226(76.9) 0.057 0.812
No 82 62(75.6)
TOTAL 376 288(76.6)
Breastfeeding
1-6 months 12 5(41.7) 8.439 0.015*
7-12 months 98 76(77.6)
>12 months 266 207(77.8)
TOTAL 376 288(76.6)
χ2
= chi square
p = level of significance
* = significant association exists at p < 0.05
** = significant association exists at p < 0.01
In like manner, environmental smoke was not significantly associated with the infection (Table 3).
Of the 319 children with respiratory symptoms, 251 (78.7%) had human parainfluenza virus infection while
37(64.9%) of those without respiratory symptoms did not have the infection. Significant association (p = 0.024)
was observed (Table 4). Fever, sickle cell and underlying diseases showed no significant association with the
infection in children (Table 4).
4. A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in ....
DOI: 10.9790/3008-10146065 www.iosrjournals.org 63 | Page
Table 3: Effect of smoking on human parainfluenza infection
Parameter No. of samples tested No. Positive (%) χ2
P
Parental smoking
Yes 25 20(80.0) 0.173 0.677
No 351 268(76.4)
TOTAL 376 288(76.6)
Environmental smoke
Yes 195 143(73.3) 0.405 0.121
No 181 145(80.1)
TOTAL 376 288(76.6)
χ2
= chi square
p = level of significance
Table 4: Relationship between symptoms, risk factors and human parainfluenza virus.
Parameter No. of sample tested No. Positive (%) χ2
P
Respiratory symptoms
Yes 319 251(78.7) 5.116 0.024*
No 57 37(64.9)
TOTAL 376 288(76.6)
Fever
Yes 275 209(76.0) 0.203 0.653
No 101 79(78.2)
TOTAL 376 288(76.6)
Sickle cell
Yes 29 26(89.7) 2.990 0.084
No 347 262(75.5)
TOTAL 376 288(76.6)
Underlying diseases
Diarrhoea 21 17(81.0) 4.450 0.217
Asthma 6 6(100.0)
Blood diseases 7 258(75.4)
None 342
TOTAL 376 288(76.6)
χ2
= chi square
p = level of significance
* = significant association exists at p < 0.05
IV. Discussions
The IgG antibody was measured to determine the proportion of sero-positivity and the level of the
antibody with deference to such factors as age of children, parental occupation, highest educational level of the
parent, environmental pollution (smoke), duration of breastfeeding, presence of respiratory symptoms, sickle
cell disease, and any other underlying diseases.
The study revealed a rate of 76.6% of Human Parainfluenza Virus in the population of children in
Kaduna Metropolis. This marked an increase in prevalence rate as compared with previous results from Sale et
al., (2010) which showed a prevalence of 46.4% among children aged 1-5years in Zaria, Kaduna and Calvo et
al., (2011) in Spain with prevalence 11.8% can be due to the fact that the ELISA kit used in this study tested for
IgG antibodies for Parainfluenza 1, 2 and 3. This means that the children may have had the IgG antibody
however may not have come down with the infection. Also the study was carried out during the Harmattan
(equivalent to the winter season) which usually is the peak period of the infection in children especially (Ray,
2004). The result is however similar to the report of Glezen and Denny (1997) which showed that 75% of
children aged 5 years had antibodies to HPIV-1 and 2 as well as that of Akinloye et al (2011) in Ibadan who
discovered that 80% of children have antibodies to the virus by ten years of age. The study also revealed that
there was increase in seropositivity with age. This could be as a result of reinfection of older children that occurs
in the presence of antibodies elicited by an earlier infection. Since there is no permanent immunity to the
infection those antibodies modify the disease, as such reinfection usually present simply as nonfebrile upper
respiratory infection. This agrees with the findings of Brooks et al (2007) as well as that of Sale et al (2010).
Infection with the human paramyxoviruses such as the HPIVs can occur throughout life Hall (2001); however
unlike primary infection in the very young, subsequent infections are often milder or subclinical Hall (2001).
The mechanism behind the ability of these viruses to reinfect has been attributed to the incomplete and waning
immunity that develops after primary infection with specific emphasis being placed on the serum neutralizing
antibody and mucosal IgA levels (Okamoto et al., 2010; Kawasaki et al., 2004).
5. A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in ....
DOI: 10.9790/3008-10146065 www.iosrjournals.org 64 | Page
In terms of the occupation of parents of the children in relation to human parainfluenza virus infection,
it was discovered that there was significant association (p = 0.039) between parents’ occupation and the
infection. Children whose parents were teachers had the highest infection rate of 84.1% followed by those
whose mothers were fulltime housewives (81.1%), 76.9% of civil servants’ children were infected while
children of self-employed parents had the least infection (70.9%). This may possibly be explained by the fact
that some of these teachers may have come in contact with other children in their schools who could have been
infected and so passed it on to their children at home since HPIV infection is transmitted via contact and air
particles (Burke et al., 2013).
The test of association of parents’ level of formal education with the infection showed there was no
significant association. Children of parents with primary education had the highest rate of infection; those with
tertiary level of education, their children had 78.9% infection rate and the least (70.9%) was observed amongst
children of parents with secondary level of education. The parents with the primary education as the highest
educational status are more likely not to be informed and mindful of methods of controlling the transmission of
the virus such as the use of disinfectant, proper hygienic practices and environmental control of short-range
transmission. This agrees with the findings of Rudan et al (2008) who stated that Mother’s education is a
possible risk factor of the pneumonia an infection caused by Parainflenza virus 3 specifically.
There was no significant association between the number of meals eaten daily with Human
Parainfluenza Virus infection. The daily eating pattern revealed that children that ate once a day had the least
rate of infection while those that ate twice daily had 80.0%. The sample size was limited for children that ate
once a day than for the others. Also, the other risk factors such as contact with infected persons and fomites,
may have been more common among the older children that made them more susceptible to the infection.
There was no significant association between sources of vitamin A and human parainfluenza virus
infection in children. Although, household size was not significantly associated, households with 7-12 persons
had higher (77.0%) infection rate compared to those with 1-6 persons where the infection rate was 75.9%. This
suggests that overcrowding which results in indoor air pollution and eventually person to person contact is a risk
factor for contacting the HPIV infection. This result agrees with that of Rudan et al (2008).
Duration of breastfeeding and the infection was statistically significant. Children who were breastfed
for 1-6 months had 41.7% infection rate followed by those breastfed for 7-12 months (77.6%) and 77.8% for
those that were breastfed for more than 1 year. This could be due to the fact that a larger number of the children
involved in the study were breast fed for 1-2 years than for 6-12 months and 1-6 months. Also some of the
children were already above 1-2 years so they may have been more exposed to other means of transmission of
the virus. The action of maternal antibodies in stronger in children for the first six months of life than when they
get older (Schomacker et al., 2012).
Children of parents that smoke had higher infection with human parainfluenza virus than those of non-
smoking parents though smoking was not significantly associated with the infection. In like manner,
environmental smoke was not significantly associated with the infection and this is consonance with the finding
of Johnson et al (2008). It is however in contrast with the findings of Laurichesses et al (1999) who identified
environmental smoke as a predisposing factor to the infection in England and Wales. This contrast may also be
due to the fact that there is a larger number of smoking parents in such a place than in Nigeria where smoking is
not so socially acceptable.
The results showed that of the 29 subjects tested to have sickle cell disease, seropositivity was observed
in 26 (89.7%) but was not statistically significant. This could be due to the fact that there was a limited number
of sickle cell individuals involved in the study and this result agrees with that of Sale et al (2010).
Fever and underlying diseases showed no significant association with the infection in children. This is
in contrast with the findings of Laurichesses et al (1999) and Rudan et al (2008) who identified concomitant
diseases (underlying diseases) as a predisposing factor to the infection in England and Wales. This could be due
to the fact that there were a limited number of children with concomitant diseases involved in the study. Also
fever and concommitant diseases such as Diarrhoea, Heart disease etc could have been caused by other
microbial agents than Human parainfluenza virus.
Out of the 319 children with respiratory symptoms, 251 (78.7%) had human parainfluenza virus
infection while 37 (64.9%) of those without respiratory symptoms did not have the infection. Significant
association was observed. Parainfluenza infection is a respiratory tract infection and as such patients should
show respiratory symptoms such as cold, cough and catarrh. Early infections however may not show such
symptoms. Also a large proportion of the children studied had respiratory symptoms due to the season when the
sampling was done i.e the Harmattan season which resulted to the high seropositivity. This result however, is in
contrast to the findings of Sale et al (2010) whose findings showed that respiratory symptom is not statistically
significant to HPIV infection. The result however agrees with that of Brooks et al (2007).
6. A Serological Survey of Human Parainfluenza Viruses (HPIVs) among Children in ....
DOI: 10.9790/3008-10146065 www.iosrjournals.org 65 | Page
V. Conclusion and Recommendations
Observation from the study showed the importance of Human Parainfluenza Virus (Types 1, 2 and 3)
as an agent of respiratory tract infections in children. Age, Parental occupation, duration of breastfeeding and
presence of respiratory symptoms are important demographic and risk factors of Human Parainfluenza Infection
in children This study suggests the need for rapid, easy and less expensive methods of diagnosis for clinical
management and availability of vaccines. A better understanding of HPIV pathogenesis will aid the design and
evaluation of live attenuated HPIV vaccines and therapeutic drugs. As antiviral drugs are not readily available,
preventive measures such as proper hygienic practices and parental supervision should be adhered to in the
control of the infection.
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