Ukamaka Edward, Hilda Chigozirirm Anyanele and Emmanuel Ifeanyi Obeagu
This study was carried out to determine serum electrolytes levels in kidney failure subjects undergoing dialysis in Owerri. Sixty (60) subjects between the age of eighteen and seventy years were selected for the study. Sodium & Potassium were determined by Emission Flame Photometry and Chloride was determined by Mercuric Nitrate method. The test was calculated statistically to get the means. P<0.05 was considered statistically significant while P>0.05 was considered not statistically significant. The levels of these ions were correlated. Sodium ion concentration was statistically and significantly decreased (p=0.001) in kidney failure subjects undergoing dialysis when compared with the control subjects. There was statistical significant difference (p=0.000) in the mean value of potassium ion concentration in kidney failure subjects undergoing dialysis when compared with the control subjects. There was statistical significant difference (p=0.001) in the mean value of chloride ion concentration in kidney failure subjects undergoing dialysis when compared with the control subjects. There was statistical significant difference (p=0.000) in the mean value of bicarbonate ion in kidney failure subjects undergoing dialysis when compared with the control subjects. There was a significant negative correlation of sodium ion with potassium and bicarbonate ion (r= -0.107, p=0.000; r=-0.192, p=0.000 respectively which indicates an increase in sodium with decrease in potassium and bicarbonate. There was a significant positive correlation of sodium ion with chloride ion (r=-0.185, p=0.000) which indicates increase in sodium leading to increase in chloride. There was a significant negative correlation of potassium ion with chloride (r= -0.130, p=0.000) which indicates increase in potassium leading to a decrease in chloride. There was a significant positive correlation of potassium ion with bicarbonate ion (r=-0.760, p=0.000) which indicates increase in potassium leading to increase in bicarbonate. There was significantly no correlation between chloride ion with bicarbonate ion (r=-0, p=0.000). Sodium, Chloride and Bicarbonate ion concentrations were statistically and significantly increased in kidney failure subjects undergoing dialysis when compared with the control subjects indicating hypernatremia and hyperchloremia and alkalosis respectively while Potassium ion concentrations was decreased indicating hypokalemia. The use of dialysis is effective in balancing the levels of these ions that were abnormally low and high respectively in Kidney failure subjects.
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Ukamaka Edward, Chiamaka PreciousEzenwa and Emmanuel Ifeanyi Obeagu
In recent years, occupational health hazards have grown as one of the major public health issues worldwide. The present study was aimed to assess the level of cardiac enzymes among petroleum filling station attendants in Owerri. The study subjects consisted of twenty individuals working as petrol station attendants in Owerri, Imo State for three years and twenty apparently healthy males and females who are not occupationally exposed. Blood samples were collected aseptically by venopuncture, using a 5ml sterile disposable syringe and needle from petrol station attendants and Controls was disposed into a labeled plain dry specimen container. All reagents were commercially purchased and the manufacturer’s standard operational procedures were strictly followed. All data obtained in the study were analyzed using the independent student t-test (SPSS.20). The level of significance was set at P=0.05. The mean value of Creatine kinase-MB (CK-MB) was significantly increased in petrol attendants (2.35±0.50)ng/ml when compared to controls (1.17±0.66)ng/ml. The mean value of Lactate dehydrogenase (LDH) was significantly increased in petrol attendants (310.74±20.69)IU/L when compared to controls (282.95±13.76)IU/L. The mean value of Aspartate transaminase(AST) was significantly increased in petrol attendants (22.16±4.39)IU/L when compared to controls (11.05±2.61)IU/L. There was a non-significant positive correlation (r=0.06, p=0.808; r=0.13, p=0.574) between Creatine kinase-MB with Lactate dehydrogenase and Aspartate transaminase in petrol attendants. In conclusion it was observed that the petrol pump attendants are at greater risk of developing biochemical alterations in the cardiac enzymes with time due to the significant increase in the level of Aspartate transaminase, Creatine kinase-MB and Lactate dehydrogenase.
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