Outcome of clubfoot treatment in the pre-ponseti period in a Nigerian teaching hospital: a 14 year review

Background: Congenital Talipes Equinovarus (CTEV) is a common musculoskeletal congenital disorder. Historically, surgical treatment of various types was popular; however, currently the gold standard of treatment is non-operative care using the Ponseti method. This work evaluates the outcome of this former method of managing CTEV before author adopted the Ponseti Method and compares it with the reported outcomes of the Ponseti method in published literature.Methods: A retrospective review of this data from January 1990 to December 2003 was done, the patients demographics, treatment given, duration and outcome of care were analysed using descriptive statistics. This finding was then compared with outcomes of Ponseti method in literature.Results: Here, 145 patients had initial non operative care; eighteen of those patients (12.4%), eventually require either a posteromedial release, a combined posteromedial and posterolateral releases or a triple arthrodesis.Conclusions: The study shows that the success rate of this method of manipulation preceding the adoption of the Ponseti method is 87.6%. This outcome is inferior when compared to the outcome of Ponseti method in published literature. Also, the extensive nature of eventual surgical intervention required to achieve correction is in contrast to the minimal surgeries needed achieve correction of residual deformities following the use of the Ponseti method

Comparisons of urban and rural heat stress conditions in a hot–humid tropical city

Background: In recent years the developing world, much of which is located in the tropical countries, has seen dramatic growth of its urban population associated with serious degradation of environmental quality. Climate change is producing major impacts including increasing temperatures in these countries that are considered to be most vulnerable to the impact of climate change due to inadequate public health infrastructure and low income status. However, relevant information and data for informed decision making on human health and comfort are lacking in these countries. Objective: The aim of this paper is to study and compare heat stress conditions in an urban (city centre) and rural (airport) environments in Akure, a medium-sized tropical city in south-western Nigeria during the dry harmattan season (January–March) of 2009. Materials and methods: We analysed heat stress conditions in terms of the mean hourly values of the thermohygrometric index (THI), defined by simultaneous in situ air temperature and relative humidity measurements at both sites. Results: The urban heat island (UHI) exists in Akure as the city centre is warmer than the rural airport throughout the day. However, the maximum UHI intensity occurs at night between 1900 and 2200 hours local time. Hot conditions were predominant at both sites, comfortable conditions were only experienced in the morning and evenings of January at both sites, but the rural area has more pleasant morning and evenings and less of very hot and torrid conditions. January has the lowest frequency of hot and torrid conditions at both sites, while March and February has the highest at the city centre and the airport, respectively. The higher frequencies of high temperatures in the city centre suggest a significant heat stress and health risk in this hot humid environment of Akure. Conclusions: More research is needed to achieve better understanding of the seasonal variation of indoor and outdoor heat stress and factors interacting with it in order to improve the health, safety, and productivity of Akure city dwellers

Tribological properties of aluminium-clay composites for brake disc rotor applications

In this paper, the mechanical and tribological behaviours of various compositions of aluminium 6063 alloy – clay (Al-clay) composites for brake pad applications were studied. The Al-clay composites with 5-30 wt.% of clay particles of grain size of 60 BSS (250 microns) were developed through stir casting route. The wear characteristics of Al-clay in dry sliding conditions were subjected to a series of Denison T62 HS pin-on-disc wear tests. The action of two different loads (4 and 10N), three sliding speeds of 200, 500 and 1000 rpm were investigated. The results of the mechanical and wear tests as well as the metallographic investigation of optical, scanning electron microscopy and energy dispersive X-ray microscopy revealed an improvement in the tensile strength, hardness and wear resistance in the composites with 10-25 wt.% clays. The best values were obtained at 15 wt.%. Wear rate was highly influenced by applied load and sliding speed. The developed composites with 15-25 wt.% clay addition were similar to conventional semi metallic brake pad in terms of wear and friction properties

Epidemiology of fractures of the humerus at the university college hospital Ibadan

Background: The humerus is one of the long bones of the upper limb. It may be fractured following traumatic or non-traumatic injury. Humeral shaft fractures account for 1-3% of all fractures. However supracondylar fracture of the humerus is more common amongst children accounting for about 16% of all pediatric fractures. Trauma especially from falls especially in both children and geriatric populations has been known to cause humeral fractures. Other causes had been documented also. This study was aimed at determining the incidence, cause and pattern of humeral fracture in patients who presented to the accident and emergency department of the University College Hospital, Ibadan, Oyo state, Nigeria. Methods: Patients with radiologically confirmed humeral fractures who presented to the accident and emergency department of the hospital between January 2015 and December 2019 were included in the study. Data was obtained from the electronically stored data at the department of orthopedic surgery and trauma university college hospital Ibadan using a proforma and the data generated was analyzed using Statistical Package for the Social Sciences version 16. Results: A total of 167 patients with humeral fractures were seen during the study period. Most of these patients are within the age range of 0-15 years. Male to female ratio was 1.7:1. Most humeral fractures were due to fall and the distal humerus was most commonly affected. Conclusions: Humeral fractures occur in younger people and efforts should be geared towards preventing this trend in younger population

TOWARDS EFFECTIVE PLANNING, DESIGN AND MONITORING OF DAMS IN NIGERIA

Besides serving as a center of tourist attraction, creating jobs for the unemployed, a rich source of fish and a fallback in times of drought, a dam also creates electricity from nothing other than the falling of water through its turbines. In Nigeria, like in many other parts of the world, dam projects are often seen as key to economic solution through hydroelectric power supply. The technology of dam construction in Nigeria is still experimental. There are so many unknown factors in dam design, construction and operation that may affect dam’s safety and performance. Relying on field experience from various parts of Nigeria, this paper examines the essential details necessary for consideration in dam planning and design using the complete and accurate information on the important variables such as technical, environmental, socio-cultural, economic or cultural factors. The results of these examined factors indicated that most of dam projects in Nigeria are not properly planned. The basic planning flaws include hydrologic, environmental and social factors which are seen by dam builders as obstacles to be ignored, covered up or surrogated to engineering in the project planning. Incorrect calculation of flood flows has lead to dam failures and reservoir siltation has drastically reduced the lifespan of dams, making one to conclude that the entire concept of dam safety as a design criterion is a new one. It appears that Nigeria will have to live with these flaws and some of these cost for sometimes to come. There is, therefore, the need for us to reduce these through proper planning, design and monitoring of our dams. It is recommended that a comprehensive dam safety study of all old dams (i.e. ≥ 20 years) be carried out. &nbsp

Seroprevalence of SARS-CoV-2 antibodies in people with an acute loss in their sense of smell and/or taste in a community-based population in London, UK: An observational cohort study

BACKGROUND: Loss of smell and taste are commonly reported symptoms associated with coronavirus disease 2019 (COVID-19); however, the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in people with acute loss of smell and/or taste is unknown. The study aimed to determine the seroprevalence of SARS-CoV-2 antibodies in a community-based population with acute loss of smell and/or taste and to compare the frequency of COVID-19 associated symptoms in participants with and without SARS-CoV-2 antibodies. It also evaluated whether smell or taste loss are indicative of COVID-19 infection. METHODS AND FINDINGS: Text messages, sent via primary care centers in London, United Kingdom, invited people with loss of smell and/or taste in the preceding month, to participate. Recruitment took place between 23 April 2020 and 14 May 2020. A total of 590 participants enrolled via a web-based platform and responded to questions about loss of smell and taste and other COVID-19-related symptoms. Mean age was 39.4 years (SD ± 12.0) and 69.1% (n = 392) of participants were female. A total of 567 (96.1%) had a telemedicine consultation during which their COVID-19-related symptoms were verified and a lateral flow immunoassay test that detected SARS-CoV-2 immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies was undertaken under medical supervision. A total of 77.6% of 567 participants with acute smell and/or taste loss had SARS-CoV-2 antibodies; of these, 39.8% (n = 175) had neither cough nor fever. New loss of smell was more prevalent in participants with SARS-CoV-2 antibodies, compared with those without antibodies (93.4% versus 78.7%, p < 0.001), whereas taste loss was equally prevalent (90.2% versus 89.0%, p = 0.738). Seropositivity for SARS-CoV-2 was 3 times more likely in participants with smell loss (OR 2.86; 95% CI 1.27-6.36; p < 0.001) compared with those with taste loss. The limitations of this study are the lack of a general population control group, the self-reported nature of the smell and taste changes, and the fact our methodology does not take into account the possibility that a population subset may not seroconvert to develop SARS-CoV-2 antibodies post-COVID-19. CONCLUSIONS: Our findings suggest that recent loss of smell is a highly specific COVID-19 symptom and should be considered more generally in guiding case isolation, testing, and treatment of COVID-19. TRIALS REGISTRATION: ClinicalTrials.gov NCT04377815

Incidence of pediatric long bone fractures at the university college hospital Ibadan

Background: Individuals within the paediatric age group sustain different types of fractures, as such the need to determine the incidence and pattern of long bone fractures among patients 16 years and below admitted through the different wards of admittance of the university college hospital Ibadan.Methods: This was a retrospective hospital-based study involving patients 16 years and below admitted through the accident and emergency department, the children emergency department, the neonatal ward and labour ward of the hospital between January 2013 and December 2018 at the university college hospital Ibadan. Using a proformal completed from the electronically stored data that captured the patient’s history, examination findings, X-ray film and treatment offered which was collected on a weekly basis.Results: 25.13% of the patients reviewed within the study period were paediatric patients. A total of 337 paediatric patients were reviewed. There were 124 female and 213 males with ratio (F:M-1:1.7). The fractures were mostly secondary to fall and road traffic crash accounting for 68.54% and 23.15% respectively. 65.12% of the fractures involve the bone of the upper limbs while 34.98% occur in the bones of the lower limbs. The radius and the ulnar bones are the most affected. Transverse fracture is the most common pattern observed.Conclusions: More than 20% of the reviewed population was in the paediatric age group and the radius and ulnar bones were the most commonly fractured bone in this age group. They usually follow trivial falls

Assessment of Yield and Nutritional Qualities of Local and Improved Maize Varieties Cultivated in Wukari and Environement of the Nigerian Guinea Savanna Agro-Ecology

Two varieties of maize (quality protein and local) were cultivated and evaluated for nutritional qualities, agronomic traits performance and yield during the 2016 and 2017 cropping seasons at the Teaching and Research Farm of the Federal University Wukari. Wukari is situated on latitude 70 52’17.000N and longitude 90 46’40.300E. It falls within the guinea savannah of North-eastern Nigeria with the annual rainfall of 1058mm-1300mm and relative humidity dropping to about 15%, alongside an annual temperature of 280C and 300C. Its characteristic alfisol soil is clay enriched, with subsoil that has relatively high native fertility. Pollination was controlled in order to conserve the genetic purity of the two varieties. Data obtained were subjected to analysis of variance (at p ≤ 0.05), using the 23rd edition of SPSS. Statistical analysis revealed significant differences among the varieties for grain yield, nutritional content, days to tasseling, days to silking, plant height at six weeks after planting, number of seed rows, number of nodes, seed length, hundred seed weight (g) and ear heights. Oba super 2 showed superiority (31.75g) over the local variety for seed yield (100 seed weight). Crude protein concentration in the two varieties varied significantly, with the local maize variety recording a higher value (7.21%)

Development and Evaluation of a Combined Castor Seed Roaster-Oil Expeller

This study evaluated optimal process parameters for mechanical oil expression from castor seeds after designing a castor seed roaster-expeller. The effect of input variables (Moisture Content at 6, 7, 8, 9 and 10% db; Roasting Temperature at 80, 90, 100,110 and 120oC and Applied Pressure at 15, 20, 25, 30 and 35 MPa) on the oil yield, expression efficiency, expression loss and energy used were determined using Central Composite Design in Response Surface Methodology for the optimization and modelling. Analysis of Variance was employed to determine the level of significance (P≤ 0.05). The optimum expression efficiency, expression loss and minimum energy used were 72.86%, 0.63% and 584.19 Watts obtained at experimental conditions of 15.00 MPa applied pressure, 6% moisture content and 85.52°C heating temperature respectively. The R2 values of the developed models ranged from 0.813 to 0.982 at 95% confidence level. The developed combined castor seed roaster-oil expeller was found to be efficient and developed models showed adequate prediction with good relationships between dependent and independent variables. Keywords: castor seed, oil extraction, modeling, optimization DOI: 10.7176/ISDE/11-1-07 Publication date: January 31st 2020

Relative efficiency of positive selection and tissue culture for generating pathogen-free planting materials of yam (Dioscorea spp.)

Open Access JournalYams are staples in West Africa. They are propagated from tubers in an informal seed system. This encourages a build-up of diseases, and necessitates the rapid development of a formal seed system where certified seeds are functional. Although few reports exist on the use of meristem culture to generate pathogen-free yam, the success rate for the most economically important species in the sub-region, Dioscorea rotundata, for the most prevalent viruses is inadequate. To generate pathogen-free yam planting materials, the relative efficiency of tissue culture and positive selection was compared. Twenty-one asymptomatic yam plants were positively selected from 8187 stands of five landraces. Five of these stands were tested virus-negative by multiplex polymerase chain reaction (PCR) for Yam mosaic virus (YMV), Yam mild mosaic virus (YMMV) and Cucumber mosaic virus (CMV), and by PCR for the genus Badnavirus (BV), giving 0.08% success. Single nodes of the positively selected stands were used to establish in vitro plantlets, which were screened onto bacteriological indexing medium. The same was done for meristem- and node-derived plantlets of the improved variety TDr 95/19158. Incidence of endophytes ranged from 18 to 32% in the nodal plantlets while it was 0% in the meristem-derived plantlets. The effect of meristem culture combined with thermotherapy on the virus infection status was determined using virus-tested, one week old in vitro plantlets of eight improved genotypes. These in vitro plantlets were incubated at 36 ± 0.5°C and 16 h photoperiod for 21 days, after which meristems were excised, regenerated into plantlets and re-tested for viruses. Seventy-three percent of the samples were recovered from YMV but the effect on BV was inconsistent. Positive selection can be used as a palliative in generating quality declared seed but meristem culture combined with thermotherapy is more efficient for generating certified seed tubers of yam