Browsing by Author "Ongwech Acaye"

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    Liver and renal biochemical profiles of people with sickle cell disease in Africa: a systematic review and meta-analysis of case-control studies
    (MBC., 2023-08) Awor Silvia; Bongomin Flexi; Kaggwa Mark Mohan; Pebalo Francis; Epila Jackie; Malinga Geoffrey Maxwell; Oryema Christine; Nnamuyomba Proscovia; Abola Benard; Ongwech Acaye; Musoke David
    Background Sickle cell disease (SCD) is a genetic blood disorder characterized by a painful vaso-occlusive crisis due to the sickling of red blood cells in capillaries. Complications often lead to liver and renal dysfunctions, contributing to morbidity and mortality, particularly for children under 5. This systematic review and meta-analysis aimed to evaluate the liver and renal functions of people with SCD (HbSS) compared to those without it (HbAA) in Africa. Methods The protocol was registered with PROSPERO (CRD42022346771). We searched PubMed, Embase, Web of Science, and Google Scholar using the keywords “liver function”, “renal function”, “sickle cell disease”, and “Africa” on 6th May 2023 for peer-reviewed articles with abstracts in English. We included case-control studies comparing SCD (HbSS) with controls without hemoglobinopathies (HbAA). We used the random-effect model to calculate the pooled average values for the blood tests of people with SCD in RStudio version 4.2.2. Results Overall, 17 articles were analyzed from five African countries involving 1312 people with SCD and 1558 controls. The pooled mean difference of liver enzymes aspartate transaminase (AST) was 8.62 (95% CI − 2.99–20.23, I2 = 97.0%, p < 0.01), alanine transaminase (ALT) 7.82 (95% CI − 0.16–15.80, I2 = 99%, p < 0.01) and alkaline phosphatase (ALP) − 2.54 (95% CI − 64.72 – 59.64, I2 = 99%, p < 0.01) compared to controls. The pooled mean difference for the renal biochemical profiles creatinine − 3.15 (95% CI − 15.02; 8.72, I2=99%, p < 0.01) with a funnel plot asymmetry of t = 1.09, df = 9, p = 0.3048 and sample estimates bias of 6.0409. The pooled mean difference for serum urea was − 0.57 (95% CI − 3.49; 2.36, I2 = 99%, p < 0.01), and the estimated glomerular filtration (eGFR) rate was 19.79 (95% CI 10.89–28.68 mL/min/1.73 m2, I2 = 87%, p < 0.01) compared to controls. Conclusion People with SCD have slightly elevated liver enzymes and estimated glomerular filtration rates compared to controls in Africa. With all the heterogeneity (I2) > 50%, there was substantial variation in the reported articles’ results.
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    PFAS:
    (Journal of Agricultural Chemistry and Environment,, 2023-08-31) Awolesi Oluwafemi; Oni Peter; Oshinowo Abiodun; Olubusoye Boluwatife; Owusu Faustina; Sunday Simeon Pama; Osobamiro Temitope; Ongwech Acaye; Awolesi Omotoyosi; Arwenyo Beatrice
    The C-F bond is one of the strongest in organic chemistry. It is responsible for the great stability of perfluoroalkyl and polyfluoroalkyl substances, commonly referred to as “PFAS”, a group of man-made chemicals that include perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA). Thermal stability, surface activity, dielectric characteristics, chemical resistance, and inertness are just a few of the technical advantages that this group has over hydrocarbons, and since the 1950s, these chemicals have been largely utilized in a variety of domestic and industrial endeavors. The hydrophilic and lipophilic nature of this class of chemicals accounts for its uniqueness. Up until today, the chemistry and ecotoxicology of these chemicals continue to emerge. Issues concerning the destructive power of ignorance expedited by an ineffective regulatory institution continue to show that manufacturing chemicals are insufficient without giving serious thought to issues of openness and humanity’s awareness of its own safety. When discussing the nature of humanity and how it can be defined or redefined, it is important to allude to the significance of integrating business with ethics in its various forms. This paper highlights the importance of holding polluters accountable for PFAS contamination cleanup costs while emphasizing the need for chemical manufacturers to test and disclose the health and environmental effects of PFAS compounds. In addition, the sources, types, properties, applications, distribution, toxicological implications, regulations, and analytical methods associated with PFAS (per- and polyfluoroalkyl substances) are explored. The effectiveness of the remedial methods described in this paper needs to be progressively tested while exploring other sustainable approaches.
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    "We Cure Sickle Cell Disease with Herbs”: Perspectives of Herbal Medicine Practitioners Treating Sickle Cell Disease in the Acholi Sub Region
    (Doverpress, 2025-07-28) Awor, Silvia; Opee, Jimmyy; Ocaya Denis; Ocaya Jimmy; Abola Benard; Malinga, Geoffrey Maxwell; Oryema Christine; Arwenyo, Beatrice; Ongwech Acaye; Musoke, David; Nnamuyomba Proscovia; Epila Jackie
    Sickle cell disease (SCD) is a genetic blood disorder that results in the deformation of red blood cells under low oxygen conditions, causing vaso-occlusive crises and severe complications. While hydroxyurea has been Introduced as a treatment for SCD, herbal medicines remain widely used across Africa. Northern Uganda has a high SCD prevalence of 20.5%, yet limited research exists on alternative treatment options within local communities. This study aimed to explore the perspectives of herbal medicine practitioners in the Acholi sub-region. Methods: We conducted in-depth interviews between October and December 2024 involving 24 herbal medicine practitioners in the Acholi sub-region, selected through referrals and non-probability snowball sampling. All data collected were recorded, transcribed verbatim, and analyzed using thematic content analysis, and emerging themes were presented. Results: All participants believed herbal medicine could cure SCD, and the majority reported successfully treating patients. However, some practitioners remembered some patients who reported being sick with sickle cell crises many years after the “cure”. “When they report improvement, I stop medication after some time…” thereafter, “I encourage them to go to the hospital, but they do not. They can stay without falling sick for a long time and declare themselves healed”. Findings suggest herbal medicines are commonly used for SCD management in the Acholi sub-region. Most herbal medicine practitioners rely on the hospital diagnoses, although a few can tell who has sickle cell disease by looking at or touching them. A lot of mistrust exists between herbal medicine practitioners, the government, and researchers. This hinders efforts to integrate traditional medicine into mainstream healthcare and limits opportunities for scientific validation. Conclusion: Herbal medicine practitioners believe herbs can treat sickle cell disease; however, further research is needed to investigate the nature of these herbs and their mechanisms of action, thereby facilitating the integration of herbal medicine into conventional care. We discuss some implications of the study for practice and policy.