Knowledge and attitude of secondary school students in Jos, Nigeria on sickle cell disease

Introduction: Knowledge about sickle cell disease among youths could constitute an important variable that influences their premarital attitude and behaviour. The study is to determine the knowledge and attitude on Sickle Cell Disease among selected secondary school students in Jos metropolis, Nigeria. Methods: A cross sectional descriptive study involving 137 Secondary School Students within Jos metropolis selected by a multistage stratified sampling technique, using self administered structured questionnaire. Data were analyzed using SPSS version 17. Results: A total of 137 students were interviewed, Christians 88%, modal age range 15-20 years (72%) and males (51%). Majority (83.2%) of the respondents were aware of SCDs, as an inherited disorder (80.0%), affecting the red blood cells (83.0%) but only half (54%) knew that the disease can only be diagnosed through blood test. Also, only 59% knew their genotype and 11. 1% claimed AS genotype. More than one fourth (25.5%) had wrong belief that SCD is caused by evil spirit while 76% showed wrong attitude involving stigmatization towards individuals with sickle cell disease. Conclusion: Comprehensive knowledge about SCD was found to be low despite good awareness among respondents, but only few knew their haemoglobin genotype. If sickle cell disease control strategies must yield any significant results, there is a need to raise awareness about SCD, especially among students in secondary institutions in Nigeria is recommended.Key words: Sickle cell disease, knowledge, attitude, genotyp

Technology for large-scale translation of clinical practice guidelines : a pilot study of the performance of a hybrid human and computer-assisted approach

Background: The construction of EBMPracticeNet, a national electronic point-of-care information platform in Belgium, was initiated in 2011 to optimize quality of care by promoting evidence-based decision-making. The project involved, among other tasks, the translation of 940 EBM Guidelines of Duodecim Medical Publications from English into Dutch and French. Considering the scale of the translation process, it was decided to make use of computer-aided translation performed by certificated translators with limited expertise in medical translation. Our consortium used a hybrid approach, involving a human translator supported by a translation memory (using SDL Trados Studio), terminology recognition (using SDL Multiterm termbases) from medical termbases and support from online machine translation. This has resulted in a validated translation memory which is now in use for the translation of new and updated guidelines. Objective: The objective of this study was to evaluate the performance of the hybrid human and computer-assisted approach in comparison with translation unsupported by translation memory and terminology recognition. A comparison was also made with the translation efficiency of an expert medical translator. Methods: We conducted a pilot trial in which two sets of 30 new and 30 updated guidelines were randomized to one of three groups. Comparable guidelines were translated (a) by certificated junior translators without medical specialization using the hybrid method (b) by an experienced medical translator without this support and (c) by the same junior translators without the support of the validated translation memory. A medical proofreader who was blinded for the translation procedure, evaluated the translated guidelines for acceptability and adequacy. Translation speed was measured by recording translation and post-editing time. The Human Translation Edit Rate was calculated as a metric to evaluate the quality of the translation. A further evaluation was made of translation acceptability and adequacy. Results: The average number of words per guideline was 1,195 and the mean total translation time was 100.2 min/1,000 words. No meaningful differences were found in the translation speed for new guidelines. The translation of updated guidelines was 59 min/1,000 words faster (95% CI 2-115; P=.044) in the computer-aided group. Revisions due to terminology accounted for one third of the overall revisions by the medical proofreader. Conclusions: Use of the hybrid human and computer-aided translation by a non-expert translator makes the translation of updates of clinical practice guidelines faster and cheaper because of the benefits of translation memory. For the translation of new guidelines there was no apparent benefit in comparison with the efficiency of translation unsupported by translation memory (whether by an expert or non-expert translator

Transmitter and Receiver Architectures for Molecular Communications: A Survey on Physical Design with Modulation, Coding, and Detection Techniques

Inspired by nature, molecular communications (MC), i.e., the use of molecules to encode, transmit, and receive information, stands as the most promising communication paradigm to realize the nanonetworks. Even though there has been extensive theoretical research toward nanoscale MC, there are no examples of implemented nanoscale MC networks. The main reason for this lies in the peculiarities of nanoscale physics, challenges in nanoscale fabrication, and highly stochastic nature of the biochemical domain of envisioned nanonetwork applications. This mandates developing novel device architectures and communication methods compatible with MC constraints. To that end, various transmitter and receiver designs for MC have been proposed in the literature together with numerable modulation, coding, and detection techniques. However, these works fall into domains of a very wide spectrum of disciplines, including, but not limited to, information and communication theory, quantum physics, materials science, nanofabrication, physiology, and synthetic biology. Therefore, we believe it is imperative for the progress of the field that an organized exposition of cumulative knowledge on the subject matter can be compiled. Thus, to fill this gap, in this comprehensive survey, we review the existing literature on transmitter and receiver architectures toward realizing MC among nanomaterial-based nanomachines and/or biological entities and provide a complete overview of modulation, coding, and detection techniques employed for MC. Moreover, we identify the most significant shortcomings and challenges in all these research areas and propose potential solutions to overcome some of them.This work was supported in part by the European Research Council (ERC) Projects MINERVA under Grant ERC-2013-CoG #616922 and MINERGRACE under Grant ERC-2017-PoC #780645

Creating, Connecting, and Communicating: A look at social support for postpartum women

The prevalence of postpartum depression underscores the critical need for support systems for new mothers. Virtual support groups, such as the Fourth Trimester Support Group described in this paper, represent a promising avenue for addressing these challenges and providing much-needed support. This article describes the formation, activities, and evaluation of an online support group that leverages technology to foster a sense of community for new mothers. Further, the details within the case study provide a basic model for starting a similar support group

Chronic subdural haematoma:Clinical presentation, surgical treatment and outcome at the Lagos University Teaching Hospital

Background Chronic subdural haematoma (CSDH) is a relatively common problem in neurosurgical practice worldwide with favourable prognosis when treated adequately. The incidence is about five per 100,000 per year in general population. Incidence is higher in the elderly, about 58 per  100,000 per year. Diagnosis of CSDH is still frequently missed or delayed in our environment with many patients often admitted and managed for various medical conditions before finally being referred for brain computerized tomographic scan.Objective To determine the surgical outcome of patients treated for chronic subdural Haematoma in our environment.Methods A surgical audit of 73 patients consecutively treated for CSDH at our institution between May 2005 and September 2010 to determine their demographic characteristics, clinical presentations and management outcome.Results Majority of the patients were between 61 - 70 years. Sixty four percent of the patients had history of trauma; Only 2 patients were on anticoagulant therapy prior to presentation. The diagnosis was delayed or initially missed in 50% of the patients. Burrhole evacuation under general anaesthesia was the commonest operative procedure (96%). Five patients developed post operative complications; outcome was favourable in the majority (91.3%) of patients with a recurrence rate of 12.5% and mortality rate of 6.3%. Conclusion Despite frequent delay in diagnosis and  institution of treatment, surgical outcome is favourable in the majority of patients with CSDH many of whom are elderly

Voting 'against all' in postcommunist Russia

Since the early 1990s voters in Russia (and most of the other post-Soviet republics) have been offered the opportunity to vote ‘against all’ parties and candidates. Increasing numbers have done so. The evidence of two post-election surveys indicates that ‘against all’ voters are younger than other voters, more urban and more highly educated. They do not reject liberal democracy, but are critical of the contemporary practice of Russian politics and find no parties that adequately reflect their views. With the ending of the ‘against all’ facility in 2006 and other changes in the Russian electoral system under the Putin presidency, levels of turnout are likely to fall further and the protest vote will seek other outlets within or outside the parliamentary system

Enhancing Mechanical Properties Of TRM Using Biaxial PVA MESH And SHCC

Data Availability Statement: Data on which this paper is based is available from the authors upon reasonable request.This study explores the benefits of combining Strain Hardening Cementitious Composite (SHCC) with biaxial Polyvinyl Alcohol (PVA) mesh to develop TR-SHCC. The hydrophilic nature and modulus of elasticity of PVA foster a strong bond and efficient stress redistribution within the composite. Tensile testing of a PVA-SHCC reinforced with different layouts of a PVA textile grid revealed that a three double-layer (3DL) configuration significantly improves tensile strength and strain-hardening capacity over the baseline SHCC. It also maintains an average crack width below 150 μm at 4% strain-hardening, a promising feature for applications in corrosive environments subject to dynamic actions such as earthquake

Survey of the Problems of Girl Child in Ekiti State, Nigeria

Objectives: To determine the prevalence of teenage pregnancy and knowledge of reproductive health problems among adolescent girls in Ekiti State, Southwest Nigeria.Methods: A cross-sectional community based study was conducted. Using convenient random sampling technique, four local government areas were selected. Eligible participants were both in and out of school children between the ages of 13 -18 years. A hundred respondents were sampled from each selected local government, making a total sample size of 400. Consenting participants were administered questionnaire in their homes by trained LGA enumerators. It elicited information on socio-demographic and reproductive health issues. Data collected were subsequently collated and analyzed.Results: Majority of the girls (78%) were still in-school. All were already menstruating, mostly attaining menarche between the age 15-16years. Only 212 (53%) could remember their last menstrual period. Sexual derby mainly occurred around age 15-16years; 53.3% were already sexually exposed. A quarter of respondents had been pregnant before. Only 187 (46.8%) were aware of modern contraception. The girls had a fair knowledge of implication of early sexual derby and unprotected intercourse, though it did not translate to behavioural change.Conclusion: There is a high prevalence of teenage pregnancy and poor reproductive health knowledge among teenagers in Ekiti State. More collective efforts involving parents, community heads, opinion leaders, civil societies and the state are needed to help our girls attain and sustain healthy reproductive behaviours

Particle Collisions on Stringy Black Hole Background

The collision of two particles in the background of a Sen black hole is studied. With the equations of motion of the particles, the center-of-mass energy is investigated when the collision takes place at the horizon of a Sen black hole. For an extremal Sen black hole, we find that the center-of-mass energy will be arbitrarily high with two conditions: (1) spin $a\neq 0$ and (2) one of the colliding particles has the critical angular momentum $l_{\text{c}}=2$. For a nonextremal Sen black hole, we show that, in order to obtain an unlimited center-of-mass energy, one of the colliding particles should have the critical angular momentum $l'_{\text{c}}=2 r_{+}/a$ ($r_{+}$ is the radius of the outer horizon for a nonextremal black hole). However, a particle with the angular momentum $l=l'_{\text{c}}$ could not approach the black hole from outside of the horizon through free fall, which implies that the collision with arbitrarily high center-of-mass energy could not take place. Thus, there is an upper bound of the center-of-mass energy for the nonextremal black hole. We also obtain the maximal center-of-mass energy for a near-extremal black hole and the result implies that the Planck-scale energy is hard to be approached. Furthermore, we also consider the back-reaction effects. The result shows that, neglecting the gravitational radiation, it has a weak effect on the center-of-mass energy. However, we argue that the maximum allowed center-of-mass energy will be greatly reduced to below the Planck-scale when the gravitational radiation is included.Comment: 17 pages, 4 figures, published versio