The Schrodinger equation with Hulthen potential plus ring-shaped potential

We present the solutions of the Schr$\ddot{o}$dinger equation with the Hulth$\acute{e}$n potential plus ring-shape potential for $\ell\neq 0$ states within the framework of an exponential approximation of the centrifugal potential.Solutions to the corresponding angular and radial equations are obtained in terms of special functions using the conventional Nikiforov-Uvarov method. The normalization constant for the Hulth$\acute{e}$n potential is also computed.Comment: Typed with LateX,12 Pages, Typos correcte

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Feedback Inhibition of Nitrogen Fixation by Plant and Environmental Factors

A book chapter on nitrogen fixation by plant and environmental factors.A literature review provides evidence that legumes have greater requirements for water and nutrients, and are more sensitive to toxicities of Mn and A1 than non-legumes. Furthermore, legumes are more exigent when fixing N2, than when using nitrogen in the soil solution, although certain species and varieties of nitrogen-fixing legumes are less sensitive to stress than others. When a large proportion of the nitrogen assimilated is derived from symbiotic nitrogen fixation, the legume’s ability to procure water and nutrients may be reduced for three reasons; poor root growth, a changed cation-anion balance within the plant and acidification of the rhizosphere. It is therefore postulated that, in the field, nitrogen fixation is subject to a series of feedback-inhibition mechanisms, probably controlled chiefly by the hormone abscissic acid (ABA). Nitrogen fixation causes the plant to grow faster, and increases the need for nutrients and water. When any one becomes deficient, ABA is produced, which promotes nodule senescence at concentrations which stimulate fine root growth. If the fine roots find another source of the limiting factor, nitrogen fixation will resume. Such cyclic processess have been documented for water stress. They may also occur due to nutrient deficiencies and to rhizosphere acidification in acid soils. One consequence of feedback inhibition is that legumes can only derive a high proportion of their nitrogen from fixation when conditions for growth are good. When growth conditions are poor, for instance in drought-prone kaolinitic soils low in organic matter, nodulation will be rare. Legume varieties should be selected and bred (in combination with suitable root nodule bacteria) for greater symbiotic activity under such conditions. Cultural practices can also reduce stress, e.g. the addition of crop residues and other plant material to acid soils.ACFD,the EU,FAO,IAEA,ISF,IESCO,CTA,Rockefeller Foundation,UNEP

Estimation of N2 fixation by nitrogenfixing trees in the subhumid tropics using 15N dilution and difference methods

Nitrogen fixation by leguminous trees contributes nitrogen to agroforestry systems and enables farmers to grow their own nitrogen fertilizer. Estimation of the amount of nitrogen fixed is necessary to asses the value of leguminous trees. In the present paper, the difference method and the 15N isotope dilution method are used to calculate the amounts of nitrogen fixed in the first year by Leucaena leucocephala (with and without inoculation with Rhizobium), Gliricidia sepium and Albizia lebbeck

Predictors of insomnia among adults presenting at the general outpatient department of a Nigerian Tertiary Hospital

Background: Sleeplessness has contributed negatively in no small measure to the quality of life of individuals who suffer from it. Itbecomes imperative to study if there are sociodemographic predictors of insomnia so as to educate and counsel those presenting withsimilar parameters. Aim: To determine the sociodemographic predictors of insomnia among adult patients. Method: The data for this descriptive, cross-sectional facility-based study was obtained through systematic random sampling  technique involving three hundred and seventeen adults selected using an interviewer administered questionnaire. Result: The total prevalence of insomnia in the study was 28.4%. Poor sleepers were significantly older (χ2= 42.532; p < 0.001), married (χ2 = 18.894; p < 0.001), had a family history of insomnia (χ2 = 31.643; p < 0.001) and in polygamous family setting (χ2= 10.514; p = 0.002). Multivariate logistic regression analysis revealed that younger age and monogamous family setting were less likely to suffer from insomnia. Conclusion: It is important for clinician to pay particular attention to family history of insomnia in their patient whatever their age.This will help to educate and counsel those with family history of insomnia to pay particular attention to their sleep hygiene while theyare still young. This will ultimately reduce man power loss and increase productivity. Key words: Insomnia, Adults, Sociodemographic, Predictor

Role of footcare education in diabetic foot status and glycaemic control among diabetics attending family medicine practice of Federal Teaching Hospital Ido Ekiti

Background: Prevalence of type 2 diabetes among the adult population is rising globally. As the case detection rates of diabetes increase in adult Nigerians, managing the attendant (foot) complications has become an important health challenge. Poor practice of foot care and poor glycaemic control is potential risk for Diabetic Foot Ulcer (DFU).Objective: To determine the role of foot care education in diabetic foot status and glycaemic control among diabetics attending Family Medicine Practice, Federal Medical Centre, Ido Ekiti.Materials and Methods: Interventional study was performed on 154 adult patients (77 in intervention group and 77 in control group) with diabetes who had been on treatment for at least three months. Relevant data were collected using interviewer administered semistructured questionnaire. ''CARE framework'' tool was used as a patient education guide.Results: The practice of foot care in the intervention group improved to a statistically significant level compared to control group (85.7% vs 23.4%), p < 0.001. There was no statistically significant difference in diabetic foot status between the intervention and the control group after the intervention. However, the glycaemic control was statistically significantly different between the two groups (p < 0.001) post-intervention.Conclusion: Foot care education was linked to better foot care practice and improved glycaemic control. Family Physicians will do well by giving foot care education to diabetic patients with a view of improving foot care practice and glycaemic control, and reducing.Keywords: foot status, diabetic foot ulcer, diabetes, foot care, education, glycaemic contro

Relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients attending a general outpatient department in southwest Nigeria

Background: Medication non-adherence (MNA) is prevalent in hypertension. Patient satisfaction is derived from the patient's appraisal of how well the provider meets his or her personal emotional and physical needs. The objectives of this study were to determine the factors associated with medication non-adherence; and to also ascertain the relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients. Methods: Cross sectional study which was conducted in the Family Medicine clinic of the Federal Teaching Hospital, Ido-Ekiti. The sample size was 337. Morisky Medication Adherence Scale (MMAS-8), and the Patient Satisfaction Questionnaire (PSQ-18) were the questionnaires used. Data was analysed using the Statistical Package for Social Sciences (SPSS). Results: The majority {185 (54.9%)} of the hypertensives were in the age-group 45 – 64 years. The male to female ratio was 1:0.67. The largest proportion of the respondents {134 (39.8%)} had low adherence (medication non-adherence), while 104 (30.9%) and 99 (29.3%) had medium and high medication adherence level respectively. Mean satisfaction scores of 3 and above were obtained in the Technical Quality (3.54 ± 0.81), Accessibility and Convenience (3.48 ± 0.87), Communication (3.23 ± 0.95) and Interpersonal Manner (3.09 ± 0.98) subscales. The subscales with mean satisfaction scores of less than 3 were the General Satisfaction (2.82 ± 1.23), Financial Aspects (1.91 ± 0.82), and Time Spent with Doctor (1.85 ± 0.82) which had the least score. There were statistically significant strong positive correlations between medication adherence and each of the seven patient satisfaction subscales. The significant predictors of medication non-adherence were having primary education or no formal education,  having monthly income of less than ₦50,000, and being overweight or obese. Conclusion: Physicians should deliver quality care in a way to achieve high ratings of patient satisfaction. This will influence patients to adhere better to their antihypertensive medications. Keywords: Patient satisfaction, medication non-adherence, blood pressure, hypertension, Nigeri

Relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients attending a general Outpatient Department in southwest Nigeria

Background: Medication non-adherence (MNA) is prevalent in hypertension. Patient satisfaction is derived from the patient's appraisal of how well the provider meets his or her personal emotional and physical needs. The objectives of this study were to determine the factors associated with medication non-adherence; and to also ascertain the relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients.Methods: Cross sectional study which was conducted in the Family Medicine clinic of the Federal Teaching Hospital, Ido-Ekiti. The sample size was 337. Morisky Medication Adherence Scale (MMAS-8), and the Patient Satisfaction Questionnaire (PSQ-18) were the questionnaires used. Data was analysed using the Statistical Package for Social Sciences (SPSS).Results: The majority {185 (54.9%)} of the hypertensives were in the age-group 45 – 64 years. The male to female ratio was 1:0.67. The largest proportion of the respondents {134 (39.8%)} had low adherence (medication non-adherence), while 104 (30.9%) and 99 (29.3%) had medium and high medication adherence level respectively. Mean satisfaction scores of 3 and above were obtained in the Technical Quality (3.54 ± 0.81),  Accessibility and Convenience (3.48 ± 0.87), Communication (3.23 ± 0.95) and Interpersonal Manner (3.09 ± 0.98) subscales. The subscales with mean satisfaction scores of less than 3 were the General Satisfaction (2.82 ± 1.23), Financial Aspects (1.91 ± 0.82), and Time Spent with Doctor (1.85 ± 0.82) which had the least score. There were statistically significant strong positive correlations between medication adherence and each of the seven patient satisfaction subscales. The significant predictors of medication non-adherence were having primary education or no formal education,  having monthly income of less than ₦50,000, and being overweight or obese.Conclusion: Physicians should deliver quality care in a way to achieve high ratings of patient satisfaction. This will influence patients to adhere better to their antihypertensive medications. Keywords: Patient satisfaction, medication non-adherence, blood pressure, hypertension, Nigeri

Relationship between Perceived Spousal Social Support and Blood Pressure Control among Hypertensive Patients Attending General Outpatient Clinic in Federal Teaching Hospital, IdoEkiti, Nigeria

Background: Despite many approaches to control hypertension, a lot of people still experience challenges keeping their Blood Pressure (BP) under control, and because the condition requires life - long treatment, many patients will need additional effort from their spouses. The spouse shares intimacy with patient and is the chief source of social support that provides fi nancial assistance, reminds and encourages medication use, shows concern and interest by discussing issues related to the disease. Therefore, exploring the relationship between Perceived Spousal Social Support (PSSS) and BP control will help the physician and other stakeholders harness the gains of this association to achieving BP control, prevent complications and death associated with hypertension. Objective: To identify the relationship between perceived spousal social support and blood pressure control among hypertensive patients attending General Outpatient Clinic (GOPC) in Federal Teaching Hospital, Ido-Ekiti, Nigeria. Materials and methods: This was a hospital - based cross - sectional study carried out between June and August 2016 among 298 hypertensive patients aged 18 and 65 years attending GOPC of the Federal Teaching Hospital, Ido Ekiti. Collection of data was done using pre-tested, semi-structured questionnaire on sociodemographic characteristics, blood pressure measurement and 4-point Likert Social Support questionnaire to measure the perceived spousal social support. Data was analysed using SPSS IBM version 17.0. Results: Mean age of respondents was 56.0 ± 8.5 years and seventy percent were females with male to female ratio of 1:2.3. Less than half of the respondents, 47.7% and about half of the respondents, 50.3% achieved BP control and demonstrated strong PSSS respectively. There was statistically signifi cant relationship between PSSS and BP control (χ2 = 27.05, p < 0.001). Conclusion: Social support perceived by participants positively infl uenced their BP control. Family Physicians and other health care providers should therefore determine and enhance the level of this support and encourage spouses to provide this support for their partners who have hypertension or those having diffi culty controlling their BP despite the appropriate use their medications