389 research outputs found

    Socio-Economic Impacts of Computer Viruses in Tanzania

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    This paper reports on a research project conducted with an objective of identifying and assessing various approaches used by different computer users (Management, System Administrators and end users) in Tanzania to combat computer viruses (CVs), and to assess users' awareness level on CVs. Specifically, the study aimed at assessing the awareness level on CVs to the Tanzanian business community; analyze the socio -economic impact caused by CVs in Tanzania and; assess existing methods, capacity and limitations on controlling CVs in Tanzania. Data was collected using both questionnaires and interview from financial institutions such as NBC and BOT, and telecommunications sector such as TTCL and VODACOM. Other institutions where data was collected included the higher learning institutions such as UDSM, DIT & IFM, Government institutions such as the Government Chemist, and COSTECH and Non-governmental institutions such as REPOA and ESRF. After data analysis, it was found out that majority of the surveyed organisations were aware of CVs and about half of them employ client-server technique to successfully deal with the threat. These organisations spend between US$ 12,000 to 40,000 per year to deal with CVs. This cost is mainly for paying licence fees for anti-viruses and for data back-ups. Some organisations rely on pirated anti-virus which are unreliable and in most cases lead to disasters and losses of data and production time. It was concluded that CVs control should be given the highest priority to all JCT users. Also a policy on CVs should be well written and be instituted. Knowledge exchange on Anti-viruses' configuration should be enhanced among System Administrators within Tanzania. CVs control training should be done frequently to all workers. The use of an inert operating system such as Linux to control the spread of CVs should be promoted for use in workstations and for newly established organizations. Budget for CVs control should be considered at early stages

    Elemental Composition Analysis of Soil Samples from Bayelsa State in the Niger Delta Region of Nigeria

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    This study analysis the elemental composition and concentration of elements in the soils of the study area to ascertain degree of elemental enhancement in the soil resulting from anthropogenic activities with possible soil contamination, human health and environmental detriment. The study area was divided into eight grids and two soil samples per grid from over burden to a depth of 900mm was collected randomly in each grid. The samples were prepared using standard methods and analyzed with a linear accelerator. The number of detectable elements and their quantitative information was extracted from the elemental spectral signatures. . The result showed a high concentration value in some elements in the soil samples above values of elemental concentrations in soils from other reported studied region. In addition, Aluminium, Strontium, Barium, Gallium etc also showed an extremely high value in their concentration that exceeds the world wide mean range upper limit values in crustal soil study published. The study indicates some degree of potential contamination and therefore necessitate a regular periodic monitoring study to reduce potential health detriment to humans and the environment to as low as reasonably possible

    An intra-COVID-19 assessment of hand hygiene facility, policy and staff compliance in two hospitals in Sierra Leone: is there a difference between regional and capital city hospitals?

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    Although hand hygiene (HH) is the most effective intervention to reduce the spread of infections, there are limited data on HH facilities, policy, and compliance in sub-Saharan Africa. This cross-sectional study is aimed at assessing HH using the WHO HH self-assessment framework, HH technical reference manual, and a modified infection control self-assessment tool in two hospitals in Sierra Leone. Only 10% and 9% of regional and capital city hospitals had running tap water, respectively. Veronica buckets were the resources for HH in 89% of units in the regional hospital and 92% of units in capital city hospital. Constant supply of soap and alcohol-based hand rub was available in 82% and 68%; and 74% and 79% of units in the capital city and regional hospitals, respectively. Only 10% of the units in both hospitals had hand-drying facilities and functional sinks. Overall HH compliance for the two hospitals was 18.6% and was higher in the regional (20.8%) than the capital city (17.0%) hospitals. The HH levels for the capital city and regional hospitals were 277.5 and 262.5 respectively. Despite the COVID-19 pandemic, there are still challenges with HH compliance in Sierra Leone. It is, therefore, necessary to strengthen the HH multi-modal strategy

    Rumors of disease in the global village: outbreak verification.

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    Emerging infectious diseases and the growth of information technology have produced new demands and possibilities for disease surveillance and response. Increasing numbers of outbreak reports must be assessed rapidly so that control efforts can be initiated and unsubstantiated reports can be identified to protect countries from unnecessary economic damage. The World Health Organization has set up a process for timely outbreak verification to convert large amounts of data into accurate information for suitable action. We describe the context and processes of outbreak verification and information dissemination

    Adoption of improved soybean and gender differential productivity and revenue impacts: evidence from Nigeria

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    Open Access Journal; Published online: 06 May 2022Despite the considerable soybean varietal improvement and dissemination efforts in Nigeria and other parts of Sub-Saharan Africa, empirical evidence on farm-level yield and revenue impacts of improved soybean varieties (ISVs) from a gender perspective are limited. In this paper, we analyze the impact of the adoption of ISVs on soybean yield and net revenue, and the associated gender differential effects in northern Nigeria. We use the endogenous and exogenous switching treatment effects regression frameworks to estimate the impacts. We find that the adoption of ISVs significantly increased soybean yield and net revenue of the soybean-producing households by 26% and 32%, respectively. In addition, we find that the gender gap in yield between male and female-headed soybean-producing households was small, with a yield gap of about 1%. However, we find a substantial gender gap in soybean net revenue, as the net revenue of female-headed households was lower by about 20%, as compared to male-headed households. Overall, our findings show that policymakers and their development partners can leverage varietal improvement to boost the yields of both male- and female-headed households. However, closing the gender gap in crop income necessitates reducing the disparity in market linkages so that the female farmers can equally have better market access

    Assessing unmet anaesthesia need in Sierra Leone: a secondary analysis of a cluster-randomized, cross-sectional, countrywide survey.

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    Objectives: To determine the unmet anaesthesia need in a low resource region. Introduction: Surgery and an\ue6sthesia services in low- and middle-income countries (LMICs) are under-equipped, under- staffed, and unable to meet current surgical need. There is little objective measure as to the true extent and nature of unmet need. Without such an understanding it is impossible to formulate solutions. Therefore, we re-examined Surgeons OverSeas (SOSAS) unmet surgical need data to extrapolate unmet anaesthesia need. Methods: For the untreated surgical conditions identified by SOSAS, we assigned anaesthetic technique required to carry out the procedure. The chosen anaesthetic was based on common practice in the region. Procedures were categorized into minimal anaesthesia, spinal an\ue6sthesia, regional anaesthesia, ketamine/monitored anaesthesia care (MAC), and general endotracheal an\ue6sthesia (GETA). Discussions: Ninety-two per cent (687 of 745) of untreated surgical conditions in Sierra Leone would require some form of anaesthesia. Seventeen per cent (125 of 745) would require MAC, 22% (167 of 745) would require spinal anaesthesia, and 53% (395 of 745) would require GETA. Conclusion: Analyses such as this can provide guidance as to the rational and efficient production and distribution of personnel, drugs and equipment

    Evaluation of HIV Protease Inhibitor Use and the Risk of Sudden Death or Nonhemorrhagic Stroke

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    Concerns have arisen about possible effects of protease inhibitors (PIs) on cardiac conductivity. We found no significant association between current or recent PI exposure and sudden death or nonhemorrhagic stroke (adjusted rate ratio, 1.22; 95% confidence interval, .95-1.57), whereas cumulative exposure to PIs was associated with an increased risk (adjusted rate ratio, 1.06 per year of exposure; 95% confidence interval, 1.01-1.11

    High levels of surgical antibiotic prophylaxis: implications for hospital-based antibiotic stewardship in Sierra Leone

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    OBJECTIVE: Despite the impact of inappropriate prescribing on antibiotic resistance, data on surgical antibiotic prophylaxis in sub-Saharan Africa are limited. In this study, we evaluated antibiotic use and consumption in surgical prophylaxis in 4 hospitals located in 2 geographic regions of Sierra Leone. METHODS: We used a prospective cohort design to collect data from surgical patients aged 18 years or older between February and October 2021. Data were analyzed using Stata version 16 software. RESULTS: Of the 753 surgical patients, 439 (58.3%) were females, and 723 (96%) had received at least 1 dose of antibiotics. Only 410 (54.4%) patients had indications for surgical antibiotic prophylaxis consistent with local guidelines. Factors associated with preoperative antibiotic prophylaxis were the type of surgery, wound class, and consistency of surgical antibiotic prophylaxis with local guidelines. Postoperatively, type of surgery, wound class, and consistency of antibiotic use with local guidelines were important factors associated with antibiotic use. Of the 2,482 doses administered, 1,410 (56.8%) were given postoperatively. Preoperative and intraoperative antibiotic use was reported in 645 (26%) and 427 (17.2%) cases, respectively. The most commonly used antibiotic was ceftriaxone 949 (38.2%) with a consumption of 41.6 defined daily doses (DDD) per 100 bed days. Overall, antibiotic consumption was 117.9 DDD per 100 bed days. The Access antibiotics had 72.7 DDD per 100 bed days (61.7%). CONCLUSIONS: We report a high rate of antibiotic consumption for surgical prophylaxis, most of which was not based on local guidelines. To address this growing threat, urgent action is needed to reduce irrational antibiotic prescribing for surgical prophylaxis
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