Geoelectrical and Geotechnical Investigations of Subsurface Corrosivity in Ondo State Industrial Layout, Akure, Southwestern Nigeria

Fifty two vertical electrical sounding (VES) data and six subsurface soil samples were collected at Ondo State Industrial Layout, Akure, south-western Nigeria in order to determine the subsurface corrosivity. The VES results delineated 3 to 5 geoelectric layers across the area, which correspond to topsoil, weathered layer, weathered basement, weathered/fractured basement and the presumed fresh bedrock. The layer resistivity values range from 22 to 602 ohm-m, 7 to 2468 ohm-m, 17 to 436 ohm-m, 25 to 39 ohm-m and 203 to 10023 ohm-m in the topsoil, weathered layer, weathered basement, weathered/fractured basement and the presumed fresh bedrock respectively. The iso-resistivity maps at depth slices of 1 and 2 m show that the northeastern, southeastern and the upper central part of the area are non-corrosive (above 350 ohm-m) to slightly corrosive (250 - 350 ohm-m), while the lower central, northwestern and southwestern parts of the area are moderately (150 - 250 ohm-m) to strongly corrosive (60 - 150 ohm-m).  Soil sample analysis shows liquid limit results that  vary from 37.6 to 59.7, while the plasticity limit results vary from 29.3 to 42.5 and all the plasticity index plots were below the A line indicating presence of non-plastic clay. The natural moisture content values vary from 21.4 to 35.5 %. The 2 m depth slice isoresistivity map and clay plasticity factor were synthesized using additive model to generate subsurface CR-index corrosivity model map which indicates that the northwestern, north-eastern and southern parts of the area are moderately (0.4 - 0.6) to strongly corrosive (0.6 - 0.8), while the upper central area and the flanks are slightly corrosive. The moderately and strongly corrosive zones correspond to the low elevation and water logged zones of the study area. The corrosivity model map was validated by the pH and corrosivity data. Keywords: Geotechnical, Liquid Limit, Plastic Limit, Plasticity Index, Clay Plasticit

Statistical exploration of dataset examining key indicators influencing housing and urban infrastructure investments in megacities

Lagos, by the UN standards, has attained the megacity status, with the attendant challenges of living up to that titanic position; regrettably it struggles with its present stock of housing and infrastructural facilities to match its new status. Based on a survey of construction professionals’ perception residing within the state, a questionnaire instrument was used to gather the dataset. The statistical exploration contains dataset on the state of housing and urban infrastructural deficit, key indicators spurring the investment by government to upturn the deficit and improvement mechanisms to tackle the infrastructural dearth. Descriptive statistics and inferential statistics were used to present the dataset. The dataset when analyzed can be useful for policy makers, local and international governments, world funding bodies, researchers and infrastructural investor

Knowledge and awareness of medical doctors, medical students and nurses about dentistry in Nigeria

Introduction: Various studies have reported poor awareness and knowledge of dentistry in the Nigerian population. There is, however, paucity of information assessing the knowledge and awareness of medical doctors/students and nurses about dentistry. The present study is aimed at determining the knowledge and awareness of medical doctors/students and nurses about dentistry. Methods: Self-administered questionnaires were randomly distributed among medical doctors/students, and nurses of Obafemi Awolowo Teaching Hospitals' Complex, Ile-Ife, Nigeria. Information collected using the questionnaire included participants' biodata, questions evaluating dental awareness, knowledge of systemic and oral health connections as well as referral practices. The data analysis was done with STATA version 11 software. Results: A total of 300 questionnaires were randomly distributed among doctors/students and nurses, 206 were returned (response rate of 69%). Of the returned questionnaires, 129(63%) were males and 77(37%) were females. There were 42 medical doctors, 49 nurses and 115 medical students. The mean age of the participants was 26.7 years (SD 5.2). Majority (99.5%) was aware of dental profession, but 92% had never referred patients for dental consultation. One third (31%) of medical doctors believed that Ludwig angina was a cardiac disease. A large proportion of the respondents (61%) see no need for routine dental visit while 27% would want to visit the dentist only when they had a dental complaint. Conclusion: Although a large percentage of the participants claimed to be aware of dentistry, our findings revealed low level of knowledge and attitude to Dentistry. Efforts should be made towards closing this knowledge gap to achieve efficient oral health.Pan African Medical Journal 2016; 2

Dictive Factors of Dental Anxiety in Adult Patients at a Tertiary Dental Hospital in Nigeria: Dictive Factors of Dental Anxiety in Adult Patients at a Tertiary Dental Hospital in Nigeria

Objective: This study was designed to assess the prevalence and associated factors of dental anxiety among adult patients attending a tertiary dental hospital in Nigeria, while also identifying potential predictors of dental anxiety. Method:  A total of 177 adult dental patients completed a self -administered questionnaire comprising socio-demographic information and other information relating to medical conditions, pain, health insurance coverage, previous dental visits and self-perception of oral health. Dental anxiety was assessed with the Modified dental anxiety scale. Result: The prevalence of dental anxiety was 10.73% (MDAS=19-25) with overall severity mean score of 13.36±3.41. Age and sex were associated with the level of dental anxiety (p-values of 0.027 and 0.007 respectively). Moreover, age, sex and level of education were associated with mean anxiety levels (p-values of 0.043, 0.009 and 0.015 respectively). Previous dental visits and self-perception of oral health were associated with dental anxiety (p-values of 0.034 and < 0.001 respectively). Sex, marital status, previous dental visits and self-oral health perception were predictors of high dental anxiety (p-values of 0.028, 0.019, 0.033 and 0.001 respectively). Conclusion: Demographic factors, previous dental visits and self-perception of oral health are associated with dental anxiety. Predictors of high dental anxiety are sex, marital status, previous dental visits and self-oral health perception

Preserving the pulmonary valve in Tetralogy of Fallot repair: Reconsidering the indication for valve-sparing

Background: Tetralogy of Fallot (TOF) repair is a frequent procedure, and although valve-sparing (VS) repair is preferred, determining which patients can successfully undergo this operation remains controversial. We sought to identify parameters to determine a selective, accurate indication for VS repair. Methods: We reviewed 71 patients (82%) undergoing VS repair. We analyzed hemodynamic data, intraoperative reports, and follow-up echocardiography results to identify acceptable indications. Patients requiring pulmonary valve (PV) reintervention versus no reintervention were compared. Results: PV annulus size at repair was z-score of -2.0 (-5.3, 1.3). Approximately half (51%) had a z-score less than -2. Cox regression results showed this was not a risk factor for reintervention (p = .59). Overall, 1-, 3-, 5-, and 10-year freedom from PV reintervention rates were 95.8%, 92.8%, 91% and 77.8%, respectively. Residual pulmonary stenosis (PS) at initial repair was relatively higher in the reintervention group compared with no reintervention group (40 [28, 51] mmHg vs. 30 [22, 37] mmHg; p = .08). For patients with residual PS, pressure gradient (PG) was consistent over time across both groups (PV reintervention: -3 [-15, 8] mmHg vs. no reintervention: 0 [-9, 8] mmHg). The risk of PV reintervention is 3.7-fold higher when the PG from intraoperative TEE is greater than 45 mmHg (p = .04). Conclusions: Our review of the midterm outcomes of expanded indication for VS suggests intraoperative decision to convert to transannular patch is warranted if intraoperative postprocedure TEE PG is greater than 45 mmHg or RV pressure is higher than half of systemic pressure to prevent reintervention

Preserving the pulmonary valve in Tetralogy of Fallot repair: Reconsidering the indication for valve-sparing

Background: Tetralogy of Fallot (TOF) repair is a frequent procedure, and although valve-sparing (VS) repair is preferred, determining which patients can successfully undergo this operation remains controversial. We sought to identify parameters to determine a selective, accurate indication for VS repair. Methods: We reviewed 71 patients (82%) undergoing VS repair. We analyzed hemodynamic data, intraoperative reports, and follow-up echocardiography results to identify acceptable indications. Patients requiring pulmonary valve (PV) reintervention versus no reintervention were compared. Results: PV annulus size at repair was z-score of -2.0 (-5.3, 1.3). Approximately half (51%) had a z-score less than -2. Cox regression results showed this was not a risk factor for reintervention (p = .59). Overall, 1-, 3-, 5-, and 10-year freedom from PV reintervention rates were 95.8%, 92.8%, 91% and 77.8%, respectively. Residual pulmonary stenosis (PS) at initial repair was relatively higher in the reintervention group compared with no reintervention group (40 [28, 51] mmHg vs. 30 [22, 37] mmHg; p = .08). For patients with residual PS, pressure gradient (PG) was consistent over time across both groups (PV reintervention: -3 [-15, 8] mmHg vs. no reintervention: 0 [-9, 8] mmHg). The risk of PV reintervention is 3.7-fold higher when the PG from intraoperative TEE is greater than 45 mmHg (p = .04). Conclusions: Our review of the midterm outcomes of expanded indication for VS suggests intraoperative decision to convert to transannular patch is warranted if intraoperative postprocedure TEE PG is greater than 45 mmHg or RV pressure is higher than half of systemic pressure to prevent reintervention.</p

Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis

BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways