Advances in Medical, Pharmaceutical and Dental Research Journal

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Advances in Medical, Pharmaceutical and Dental Research (AMPDR) is open access, peer-reviewed scientific journal dedicated to the dissemination of innovative research works spanning the entire spectrum of medicine, pharmacy and dentistry.

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
09/09/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc

Selected Topics in Biological and Pharmacological Sciences
Modeling schizophrenia endophenotypes in drosophila melanogaster: effects of ketamine on anxiety, aggression, locomotion and inflammatory responses PDF
Abdulrahman Adesola Bello, Royhaan Olamide Folarin
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1202

Abstract

Schizophrenia presents a significant challenge in mental health, characterized by a profound distortion of reality, often accompanied by hallucinations, delusions, cognitive deficits and neuroinflammatory processes. Ketamine has been widely used as a pharmacological agent to model schizophrenia symptoms in both human and animal studies. However, the potential of ketamine to induce schizophrenia-like phenotypes in Drosophila melanogaster remains under-investigated. This study therefore investigated the effects of ketamine on anxiety, aggression, locomotor activities, and inflammatory response in Drosophila melanogaster in a bid to develop a pharmacological model of schizophrenia in Drosophila.Virgin male and female Oregon-R flies were collected after eclosion and exposed to four different concentrations of ketamine (100, 250, 500, 1000 µg/mL) for 1 week under standard laboratory conditions (22-25°C, 50-60% humidity). Experimental groups consisted of 10 vials each containing 10 flies each. Anxiety, aggression and locomotory functions were assessed behaviorally through the open field, aggression, and rapid iterative negative geotaxis (RING) assays. Pro-inflammatory and astrogliotic responses were measured immunohistochemically using Tumor necrosis factor-alpha (TNF-α) and Glial fibrillary acidic protein (GFAP) antibodies. General neuronal architecture was evaluated using the H&E histological staining techniques.The results showed a dose-dependent induction of aggressive behavior. Motor function assays demonstrated that ketamine impaired these functions in a dose-dependent manner. Survival assays indicated that higher doses of ketamine reduced survival rates. Immunohistochemical analysis revealed a dose-dependent increase in TNF-α and GFAP mean fluorescence intensity across the treatment groups, indicating upregulation of TNF-α and GFAP expressions. This suggests a robust pro-inflammatory and astrogliotic response to ketamine administration, aligning with the emerging neuroinflammatory endophenotype theory of schizophrenia aetiology and its experimental modeling. Histological analysis displayed significant dose-dependent histopathological changes, including increased cell loss and vacuolization at higher ketamine concentrations.In conclusion the findings suggest that ketamine has potential as a pharmacological model of schizophrenia in Drosophila. Overall, these results contribute to understanding of how ketamine influence key behavioral and neurobiological parameters, offering insights into their potential roles in inducing schizophrenia-like phenotypes like altered behavior and histopathology. Keywords: Ketamine, Drosophila melanogaster, Neuroinflammation, TNF-α, Schizophrenia, GFAP. Received on, 22 January 2025 Accepted on, 06 April 2025 Published on, 12 May 2025

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
31/08/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc

Selected Topics in Biological and Pharmacological Sciences
Context-dependent autophagy in cancer: deciphering cytoprotective vs. cytotoxic roles and therapeutic modulation strategies PDF
Samer Osama Kostandy, Salwa Aburageh Abuiessa, Mai Mostafa Helmy, Maged Wasfy Helmy
https://dx.doi.org/10.21622/AMPDR.2025.05.1.1251

Abstract

Autophagy is a highly conserved cellular process activated when cells are exposed to stress. It is responsible for maintaining cellular homeostasis by degrading and recycling the exhausted cell components. However, autophagy is considered a cell survival mechanism; recent studies revealed its dual role in cancer. Autophagy can act as cytoprotective in early tumor stages or cytotoxic in advanced malignancies. This review explores the underlying molecular mechanisms and key regulatory pathways of autophagy, such as mTOR, AMPK, and p53, and their roles in tumorigenesis. The contradictory nature of autophagy in cancer varies according to the cellular context and depends on genomic stability, metabolic adaptation, immune evasion, and therapy resistance. Additionally, this review discusses different therapeutic strategies targeting autophagy, including inhibitors such as hydroxychloroquine and inducers like rapamycin, which have shown promise in modulating autophagy for improved cancer treatment outcomes. The review also examines the role of autophagy in cancer stem cells, metastasis, and therapy resistance, providing insights into how autophagy modulation can enhance chemotherapy, radiotherapy, and immunotherapy. Given its context-dependent functions, a deeper understanding of autophagy’s intricate regulation is crucial for developing precision medicine approaches to effectively integrate autophagy-targeting strategies in cancer treatment.

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
27/08/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc

Advanced Research in Pharmaceutical Sciences
Dose-dependent response of metformin in enhancing motor performance and dopamine release in C57BL/6 mice afflicted by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)
Daha Umar Ishaq, Binta Garba Kurfi, Solomon Ojodemi Oguche
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1248

Abstract

Introduction: Clinically, metformin has been used as a cornerstone medicine in blood sugar homeostasis for further than 40 times It was obviously the first line treatment among type 2 diabetes mellitus (T2DM) cases.
Recently, fresh places of metformin in cancer & neurodegenerative conditions came apparent. Then, we delved the capabilities of this magic medicine in enhancing motor performance, dopamine (DA) release and TH- protein expression.

Methods: C57BL/6 mice were grouped into 4 via; Group1 (Saline), Group2 (MPTP), Group3 (MPTP + Met200), Group4 (MPTP + Met400). After acute administration of MPTP (25mg/ kg for 5- successive days) and attendant
follow-up by metformin (200 & 400 mg/ kg), mice were exposed to several behavioral tests and later sacrificed for amperometric DA release measures.
Results: MPTP mice showed a significant drop in motor functions and amperometric amplitude (P

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
20/08/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc

Advanced Research in Pharmaceutical Sciences
A primer on fabricating bioactive regenerative scaffolds – from materials and surface properties to microenvironment
Mai M. Ali
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1282

Abstract

Scaffold-based regenerative medicine is based on the creation of biomaterial constructs that effectively mimic the native tissue extracellular matrix (ECM), guiding cell behavior and enhancing functional tissue regeneration. Achieving this requires a multifaceted approach including careful material selection, control over scaffold architecture, enhancement of bioactivity, and the application of appropriate fabrication techniques. This review offers a comprehensive exploration of these core design principles, equipping researchers with the knowledge to engineer successful scaffolds for a range of regenerative applications. The review examines a spectrum of biocompatible materials and their surface characteristics like roughness, topography and wettability carefully weighing their strengths and limitations with respect to mechanical properties, degradation kinetics, potential immunogenicity and bioactivity. Furthermore, scaffold architecture—encompassing pore size, interconnectivity, and fiber alignment—plays a crucial role in mediating cell infiltration, nutrient transport, and tissue organization will be discussed. The review also covers the different aspects of increasing scaffold bioactivity like functionalization with cell adhesion motifs, incorporation of encapsulated growth factors, phytoconstituents and immunomodulation to create a pro-regenerative microenvironment. Finally, the review discusses the application of various techniques like 3D printing and electrospinning among others in scaffold fabrication. By effectively integrating these elements, researchers can design scaffolds that not only provide structural support but also actively orchestrate the regenerative process for better treatment outcomes.

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
05/08/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc
Advanced Research in Pharmaceutical Sciences
Unveiling the multi-targeted therapeutic potentials of vernonia amygdalina: a comprehensive review of bioactive compounds, molecular mechanisms, and clinical opportunities
Emmanuel Okoro Enyi, Obiageri Florence Ajah
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1233

Abstract

Vernonia amygdalina (bitter leaf) has been used as traditional medicine across Africa and beyond because of its diverse pharmacological activities. While previous studies have validated its therapeutic potentials, a comprehensive understanding of the underlying molecular mechanisms driving these effects remains incomplete. This review critically examines the bioactive compounds present in V. amygdalina, their documented pharmacological effects, and the potential therapeutic applications of this plant, focusing specifically on elucidating the key molecular pathways modulated by its constituents. A systematic literature search was conducted using Web of Science, Scopus, PubMed, and ScienceDirect. Identification and analyses of a wide array of bioactive compounds, including sesquiterpene lactones (vernodalin, vernolepin), flavonoids (luteolin, apigenin), and saponins were carried out. Critical analyses revealed that these compounds exert their effects through multiple, interconnected pathways, including but not limited to: the method of extraction, their robust antioxidant and cytoprotective effects, and the direct cytotoxic effects on cancer cells through induction of apoptosis and cell cycle arrest. Bitter leaf used in the traditional treatment of: malaria, diabetes, and gastrointestinal disorders in light of these established mechanisms, its antimicrobial properties and its effectiveness in managing metabolic syndromes were discussed. However, significant challenges remain in translating V. amygdalina’s therapeutic benefits into standardized and safe clinical applications include: variability in bioactive compound concentrations due to environmental factors and preparation methods, limited data on human bioavailability and pharmacokinetics and a lack of rigorous clinical trials demonstrating efficacy and safety. Addressing these challenges through targeted research into optimized extraction techniques, formulation development, and well-designed clinical studies are crucial. Bitter leaf represents a promising source of novel drug leads, particularly for the development of multi-targeted therapies for complex diseases. Future research should prioritize the identification and validation of specific bioactive compounds responsible for the observed effects and the elucidation of their detailed molecular mechanisms of action.

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/.../inde.../AMPDR/issue/vi...
30/07/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/85/showToc

Advanced Research in Pharmaceutical Sciences
Knowledge, attitude, and practice towards voluntary counseling and testing services among university students in Kigali, Rwanda: a cross-sectional study PDF
John Bayingana M., Papias Kanani, Raissah Igiribambe, Japheths Ogendi
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1129

Abstract

Background

Voluntary Counseling and Testing (VCT) is recommended as effective in reducing risks in sexually active young adults, such as college students.

Objective: This study was aimed to assess the level of knowledge, attitude and practice towards VCT service among University students in Kigali City, Rwanda.
Method:

A cross-sectional study was conducted using stratified sampling method from March to August 2021. A total of 374 participants filled a structured questionnaire to gather information. A chi-square test was used to determine an association between a number of independent factors and dependent variables.

Result

A total of 374 participants were interviewed. Majority, 278(74.3%) were in the age bracket of 20-24 years. A total of 223(59.6%) students demonstrated good knowledge on VCT; 219(58.6%) had positive attitude towards VCT for HIV. Less than half 160(42.8%) reported that they had VCT for HIV within the past one year. Respondents age, religion, income-category, level of education and occupation were among the sociodemographic variables that were significantly associated with practices of HIV prevention and control. The ignorance of the VCT center was reported as main barriers for VCT uptake.
Conclusion

The findings show positive views on VCT, but over half didn't get tested due to lack of knowledge about VCT centers.

Advances in Medical, Pharmaceutical and Dental ResearchVol 5, No 1 (2025)https://apc.aast.edu/ojs/index.php/AMPDR/issue/...
22/07/2025

Advances in Medical, Pharmaceutical and Dental Research
Vol 5, No 1 (2025)
https://apc.aast.edu/ojs/index.php/AMPDR/issue/view/85/showToc

Advanced Research in Pharmaceutical Sciences
Piper guineense (Swhan and Thon) Inhibits Lanosterol-14α-demethylase in Multi-Drug Resistant Non-albicans Candida Species: In vitro and In silico Studies
Olumide Oluyele, Damilola Alex Omoboyowa, Ayomide Esther Aderogba, Koffi Adusa Osei
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1060

Abstract

Candida species are globally recognized for invasive infections with poor prognosis. Burgeoning quest for the discovery of novel therapeutics has increased the scientific scrutiny of several medicinal plants. This study assessed the efficacy of Piper guineense crude extract and fractions against selected multi-drug resistant non- albicans Candida species. Both the crude and fractionated extracts of P. guineense elicited marked anti-candidal activity. Overall, the crude extract showed better efficacy over the fractions with the highest inhibition zone (25.0mm) recorded against Candida tropicalis; amongst the fractions, n-hexane fraction (F2) produced the highest inhibition zone (23mm) against Candida glabrata. The MIC ranged from 25mg/ml to 50mg/ml; while the MBC ranged between 100 mg/ml to 200 mg/ml. HPLC analysis revealed the presence of 14 compounds in the extract, with prominent members being quercetin, ellagic acid, persin, catechin, p-coumaric acid, and lutein. The binding affinity and free binding energy results reveal that most of these bioactive compounds were better than the standard drug (Fluconazole). Conclusively, P. guineense extracts demonstrated impressive anti-candidal properties against the tested multi-drug resistant non-albicans Candida species and could have potential as new drug lead for the treatment of infections resulting from these pathogens.

Advances in Medical, Pharmaceutical and Dental ResearchVolume 5, Issue 1, June 2025https://apc.aast.edu/ojs/index.php/AM...
16/07/2025

Advances in Medical, Pharmaceutical and Dental Research
Volume 5, Issue 1, June 2025
https://apc.aast.edu/ojs/index.php/AMPDR/issue/view/85/showToc

Table of Contents
Articles
Advanced Research in Pharmaceutical Sciences
1. Piper guineense (Swhan and Thon) Inhibits Lanosterol-14α-demethylase in Multi-Drug Resistant Non-albicans Candida Species: In vitro and In silico Studies
Olumide Oluyele, Damilola Alex Omoboyowa, Ayomide Esther Aderogba, Koffi Adusa Osei
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1060

2. Knowledge, attitude, and practice towards voluntary counseling and testing services among university students in Kigali, Rwanda: a cross-sectional study
John Bayingana M., Papias Kanani, Raissah Igiribambe, Japheths Ogendi
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1129

3. Unveiling the multi-targeted therapeutic potentials of vernonia amygdalina: a comprehensive review of bioactive compounds, molecular mechanisms, and clinical opportunities
Emmanuel Okoro Enyi, Obiageri Florence Ajah
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1233

4. A primer on fabricating bioactive regenerative scaffolds – from materials and surface properties to microenvironment
Mai M. Ali
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1282

5.Dose-dependent response of metformin in enhancing motor performance and dopamine release in C57BL/6 mice afflicted by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)
Daha Umar Ishaq, Binta Garba Kurfi, Solomon Ojodemi Oguche
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1248

Selected Topics in Biological and Pharmacological Sciences
6.Context-dependent autophagy in cancer: deciphering cytoprotective vs. cytotoxic roles and therapeutic modulation strategies
Samer Osama Kostandy, Salwa Aburageh Abuiessa, Mai Mostafa Helmy, Maged Wasfy Helmy
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1251

7.Modeling schizophrenia endophenotypes in drosophila melanogaster: effects of ketamine on anxiety, aggression, locomotion and inflammatory responses
Abdulrahman Adesola Bello, Royhaan Olamide Folarin
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1202

Medical and Clinical Research
8. New developments in the optometrist’s assessment and treatment of common headaches
Maduabuchukwu Innocent Nkollo, Aghogho Odogu
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1116

9. Age and pattern of cervical smear cytology in Federal Medical Centre Asaba – a five year review
Daniel Nnaemeka Onwusulu, Samuel okwuchukwu ilikannu, Chikodili Ogugwa Ochuba, Valentine Idama, Emmanuel Egboduku, Adeniyi Johnson Fagbemi, Sunday Emmanuel Jombo
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1209

10. Current advances in bispecific T cell–engaging therapies
Emmanuel Owusu Ansah, Benard Ansong, Foster Kyei
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1222

11. Pancytopenia in epidemic dropsy: a case report
Ashish Gautam, Poonam Gupta, Jitendra Shukla, Ajeet Chaurasia
DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.1.1229

Read the full issue at:
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Advances in Medical, Pharmaceutical and Dental Research JournalVol 4, No 1 (2024)https://apc.aast.edu/.../inde.../AMPDR/...
02/07/2025

Advances in Medical, Pharmaceutical and Dental Research Journal
Vol 4, No 1 (2024)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/80/showToc

Experimental and Applied Dental research
Effect of platelet rich fibrin on post-operative sequelae following mandibular third molar surgery a prospective comparative study
Chayan Kumar Kundu, Pratyaee Mallick, Sudip Chakraborty
DOI: https://dx.doi.org/10.21622/AMPDR.2024.04.2.1031

Abstract

Objectives: The purpose of this study is to estimate the effect of Platelet Rich Fibrin (PRF) on the control of post-operative sequalae i.e. Pain, Trismus, Swelling and Incidence of Alveolar Osteitis (AO) following mandibular third molar surgery

Material and Methods: 26 patients divided into two groups. Group I getting PRF after extraction of third molar while Group II did not get any PRF. Post-surgical Pain, Swelling, Trismus, Incidence of AO was evaluated.

Results: It was found that Group II had greater pain scores than Group I assessed by VAS, with statistically significant greater score after 2 hours (P=0.0014) and 12 hours (P=0.0063). In case of swelling, Site II shown statistically significant difference in 7th day (P=0.007), and 14th day (P=0.04), Site III shown statistically significant difference in 3rd day (P=0.005), 7th day (P=0.03), and Site IV shown statistically significant difference in only in 3rd day (P=0.004). Inter-incisal distance was higher for Group I than Group II, statistically significant on 7th day (P=0.0069) and 14th day (P=0.0008). This study did not find any incidence of AO in both groups

Conclusions: PRF appears to be beneficial and effective in lowering postoperative sequalae in mandibular third molar surgery. PRF effectively decreases Pain, Swelling and Trismus when compared with case and control group. However, this study cannot comment on effectiveness of PRF on incidence of alveolar osteitis

Advances in Medical, Pharmaceutical and Dental Research JournalVol 4, No 1 (2024)https://apc.aast.edu/.../inde.../AMPDR/...
25/06/2025

Advances in Medical, Pharmaceutical and Dental Research Journal
Vol 4, No 1 (2024)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/80/showToc

Experimental and Applied Dental research
A clinical and microbiological assessment of the efficacy of chemo-mechanical caries removal versus conventional caries removal methods in children: a randomized controlled clinical trial
Mutasim Babiker Zainelabdin Elbashir, Nadia Moustafa Mahmoud Farrag, Ahmed Hamdy Wahba
DOI: https://dx.doi.org/10.21622/AMPDR.2024.04.2.956

Abstract

Background: Effective caries removal in pediatric dentistry is vital for reducing discomfort and
maintaining oral health. Traditional methods like drilling can be invasive, prompting interest in
alternatives such as the chemo-mechanical caries removal method.
Aim: This study aimed to compare the efficacy, pain and satisfaction, treatment time, and
microbiological outcomes of a sodium hypochlorite-based chemo-mechanical caries removal
method (CarieMove® Gel) with conventional drilling in pediatric patients.
Methods: A randomized controlled clinical trial involved 30 children aged 7-9 years with a
bilateral class 1 caries in first permanent molars, as per the International Caries Detection and
Assessment System (ICDAS)No 4, with no pulp involvement. CarieMove® Gel was randomly
applied to one side for caries removal, while the conventional drilling method was used on the
other side. Caries removal efficacy, pain and satisfaction, caries excavation time and microbial
presence before and after treatment were registered. Data were collected, and tabulated statiscally
analyzed at a 5% significance level (p ≤0.05).
Results: Comparative analysis showed similar overall efficacy between the chemo-mechanical
and conventional methods, with no significant difference (p=0.083). Pain and patient satisfaction
pain perception were significantly higher with the chemo-mechanical method (p

Advances in Medical, Pharmaceutical and Dental Research JournalVol 4, No 1 (2024)https://apc.aast.edu/.../inde.../AMPDR/...
17/06/2025

Advances in Medical, Pharmaceutical and Dental Research Journal
Vol 4, No 1 (2024)
https://apc.aast.edu/.../inde.../AMPDR/issue/view/80/showToc

Experimental and Applied Dental research
Chemical constituents analysis of blue vitriol, brimstone and black stone using X-ray fluorescence technology and GC-MS: a quest for novel antifungals
Onyekachukwu Izuchukwu Udemezue, Onyekachi Ijeoma Udemezue, Evangeline Chinyere Udenweze, Chijioke Obinna Ezenwelu, Euphemia Afoma Ikegwuonu
DOI: https://dx.doi.org/10.21622/AMPDR.2024.04.2.857

Abstract

New drugs especially antifungals are continually required by healthcare systems to address serious public health challenges such as resistance, toxicity, cost and scarcity. This research aimed at analyzing the chemical constituents of blue vitriol, brimstone and black stone using x-ray fluorescence technology and gas chromatography-mass spectroscopy (GC-MS); a quest for novel antifungal agents. The test isolates were obtained from high vaginal swab samples of patients attending a University Teaching Hospital in Anambra State, Nigeria. The isolates were identified based on their morphological, physiological and molecular characteristics. The minimal inhibitory concentration (MIC) and minimal fungicidal concentration (MFC) were determined using the broth dilution method. The inorganic and organic constituents of the natural compounds were determined using x-ray fluorescence technology and GC-MS respectively. The isolates include Candida albicans, C. tropicalis, C. glabrata and C. parapsilosis. The MIC and MFC of blue vitriol against the isolates ranges from 12.50mg/ml – 100mg/ml, brimstone (50mg/ml – 200mg/ml), black stone (200mg/ml) and ketoconazole(positive control):12.50mg/ml - 50mg/ml. The inorganic components found in blue vitriol include oxides of copper (43.7%), sulphur (29.4%), aluminium (1.2%); while the heavy metals arsenic, lead and nickel (all

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