244 research outputs found

    Knowledge And Intake of Fruit And Vegetables Consumption Among Adults In An Urban Community In North Central Nigeria

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    Background: Fruit and vegetable consumption is an essential source of vital nutrients for the body's micronutrient requirements. However, the knowledge and intake of this essential aspect of nutrition is globally poor.This study therefore aimed at assessing the knowledge and intake of vegetables and fruits among adults in Tudun Wada Community of Jos North LGA, Central Nigeria. Methodology: This was a cross-sectional descriptive study where 250 respondents were selected using a Multistage Sampling technique. Structured questionnaires were used to gather data, which were analyzed using Epi info version 3.5.1. Qualitative data are presented as frequenciesand percentages while Chi-square is used to evaluate associations between outcome variables and demographic variables.Results: There was an overall fair knowledge of the nutritional value of fruits and vegetables among majority (92.4%) the respondents, with a statistically significant association between level of education attained andknowledge (p<0.05). Females were also noted to have a better practice of fruit and vegetable consumption than their male peers (p < 0.05). The appropriate practice of fruit and vegetable consumption was however not as high as knowledge: with only 69.2% of the respondents having appropriate consumption practices.Conclusion: The low level of appropriate practice of fruit and vegetable consumption by adults in the study area needs to be improved by health workers using the mass media, health talks and one-on-one health education of patients and clients during health facility visits.Key Words: Fruits, Vegetables, Knowledge, Consumption

    Predictors of unintentional childhood injuries seen at the Accident and Emergency Units of three tertiary health care centres in Jos

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    Background: Unintentional childhood injuries pose a major health challenge especially in developing countries.Aim: This study sought to determine the predictors of unintentional childhood injuries in the three tertiary health centres studied.Methods: The study was a cross- sectional study. Sociodemographic data, history and physical examination, type of injury and the outcomes were obtained using structured questionnaire. Results: A total of 174 children were enrolled, 108 (62.1%) were males and 66 (37.9%) were females; 63 (36.2%) were < 5years while 65 (37.4%) were>10 years. Of the injuries observed; 99 (56.9%) were by vehicular objects, 15 (8.6%) were burns, 41 (23.6%) were from falls and 19 (10.9%) poisoning. Those who were treated as outpatients were 141 (81.0%) and 25 (14.4%) were admitted for inpatient care. About ninety four percent (94.3%) of the children had no significant effect or disability, 3.4% had short-term disability while 2.3% had long term disabilities or died post-injury. There was no statistically significant relationship between the age of the subjects, gender, duration of the injury prior to presentation and the educational status of their care givers with the pattern of the injury.Conclusion: This study showed that 81% (141) of the children studied were treated as outpatients, 56.9% were by vehicular objects, 62.1% were in males and the pattern of injuries were not related to age, gender, educational status of care givers, place or time of injuries. There is need to incorporate these findings in the provision of preventive messages in school health services and in the interventions targeting the safety of children against injuries. Further studies to identify risk factors and plan necessary interventions will also be necessary.Keywords: Predictors, unintentional, childhood injuries, emergency departments, out-patient, tertiary health centre

    HIV subtype and drug resistance patterns among drug naĂŻve persons in Jos, Nigeria

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    To determine HIV-1 subtypes and antiretroviral drug resistance mutations for 16 infected, pregnant women in Jos, Nigeria, part of pol (1040 bp) was amplified from patient PBMC DNA, sequenced andanalyzed. Eight of the samples were subtype G, three were CRF02_AG and 2 were unique recombinant forms (URF) between G and CRF02_AG. The remaining consisted of 3 different strains: one was subtypeC, and the other 2 were unrelated URF. Nearly full-length genome sequences were completed for 6 of the strains: 4 subtype G and 2 CRF02_AG. In the 14 drug-naĂŻve subjects, no primary resistance-associated mutations were found, but secondary mutations were identified in 7 different codons of the gene coding for protease: PR K20I, M36I, L63A/P/V, V82I, L10M/I and I93L. In addition, the K238R mutation was identified in the reverse transcriptase gene of 3 viruses. The PR K20I and M36I mutations occurred in all of the strains, and the L10M and V82I mutations occurred only in subtype G. The mutation, I93L, was carried by subtype C viruses. Two of the women that had prior niverapine treatment, had primary resistance-associated mutations, RT M184V and K103N, archived in their proviral DNA several months after treatment cessation. The study reports a predominance of clade G and CRF02_AG, and provides many more examples of nearly full-length genome sequences for subtype G viruses from Nigeria. The ubiquitous presence of PI secondary resistance-associated mutations, as well as primary resistanceassociatedmutations in 2 previously treated women, underscores the need to ensure adherence compliance to treatment

    High-Temperature Superconducting Level Meter for Liquid Argon Detectors

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    Capacitive devices are customarily used as probes to measure the level of noble liquids in detectors operated for neutrino studies and dark matter searches. In this work we describe the use of a high-temperature superconducting material as an alternative to control the level of a cryogenic noble liquid. Lab measurements indicate that the superconductor shows a linear behaviour, a high degree of stability and offers a very accurate determination of the liquid volume. This device is therefore a competitive instrument and shows several advantages over conventional level meters.Comment: 13 pages, 11 figures. Accepted for publication in JINS

    Macrocycles with bithiophene units: synthesis, structure, and electrochemical properties

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    Bithiophene macrocycles with oligo(oxyethylene) loops were synthesized in good yields by reacting 4,4-bis(hydroxymethyl)-2,2-bithiophene with ditosylated oligoethyleneglycols. The structures of the macrocycles were elucidated by NMR spectroscopy and MS spectrometry. The electronic and electrochemical properties of the macrocyclic compounds were determined using cyclic voltammetry and UV-Vis spectroscopy. (C) 2013 Elsevier Ltd. All rights reserved

    Cardiovascular and musculskeletal co-morbidities in patients with alpha 1 antitrypsin deficiency

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    Background Determining the presence and extent of co-morbidities is fundamental in assessing patients with chronic respiratory disease, where increased cardiovascular risk, presence of osteoporosis and low muscle mass have been recognised in several disease states. We hypothesised that the systemic consequences are evident in a further group of subjects with COPD due to Alpha-1 Antitrypsin Deficiency (A1ATD), yet are currently under-recognised. Methods We studied 19 patients with PiZZ A1ATD COPD and 20 age, sex and smoking matched controls, all subjects free from known cardiovascular disease. They underwent spirometry, haemodynamic measurements including aortic pulse wave velocity (aPWV), an independent predictor or cardiovascular risk, dual energy X-ray absorptiometry to determine body composition and bone mineral density. Results The aPWV was greater in patients: 9.9(2.1) m/s than controls: 8.5(1.6) m/s, p = 0.03, despite similar mean arterial pressure (MAP). The strongest predictors of aPWV were age, FEV1% predicted and MAP (all p < 0.01). Osteoporosis was present in 8/19 patients (2/20 controls) and was previously unsuspected in 7 patients. The fat free mass and bone mineral density were lower in patients than controls (p < 0.001). Conclusions Patients with A1ATD related COPD have increased aortic stiffness suggesting increased risk of cardiovascular disease and evidence of occult musculoskeletal changes, all likely to contribute hugely to overall morbidity and mortality

    An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial

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    This is the final version. Available on open access from BMC via the DOI in this recordAvailability of data and materials: The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.Background: Social support has an important role in successful weight loss. The aim of this study was to assess the feasibility and acceptability of an app-, web- and social support-based intervention in supporting adults with obesity to achieve weight loss. Methods: The intervention and evaluation methods were tested in a feasibility randomised controlled trial. Adults in the Greater Glasgow and Clyde Health Board area of Scotland with a body mass index ≥ 30 kg/m2 were recruited and randomised 2:1 (intervention to control). The feasibility and acceptability of the intervention and trial methods were assessed against pre-specified progression criteria, via process, economic and outcome evaluation. Three primary outcomes were explored: BMI, diet and physical activity, as well as a number of secondary outcomes. The intervention group had access to the HelpMeDoIt! intervention for 12 months. This encouraged them to (i) set goals, (ii) monitor progress and (iii) harness social support by inviting 'helpers' from their existing social network. The control group received a healthy lifestyle leaflet. Results: One hundred and nine participants were recruited, with 84 participants (77%) followed-up at 12 months. The intervention and trial methods were feasible and acceptable. Participants and helpers were generally positive. Of the 54 (74%) participants who downloaded the app, 48 (89%) used it. Interview data indicated that HelpMeDoIt! promoted social support from existing social networks to support weight loss. This support was often given outside of the app.Outcomes were compared using linear regression models, with randomised group, the baseline measurement of the outcome, age and gender as predictor variables. These analyses were exploratory and underpowered to detect effects. However, all pre-specified primary outcome effects (BMI, diet and physical activity) had wide confidence intervals and were therefore consistent with clinically relevant benefits. Objective physical activity measures perhaps showed most potential (daily step count (p = 0.098; 1187 steps [- 180, 2555])) and sedentary time (p = 0.022; - 60.8 min [- 110.5, - 11.0]). However, these outcomes were poorly completed. Conclusions: The study demonstrated that a novel social support intervention involving support from participants' close social networks, delivered via app and website, has potential to promote weight loss and is feasible and acceptable. Trial registration: ISRCTN, ISRCTN85615983. Registered 25 September 2014.National Institute for Health Research (NIHR)Medical Research Council (MRC)Chief Scientist Office Social and Public Health Sciences Uni

    Working Inside for Smoking Elimination (Project W.I.S.E.) study design and rationale to prevent return to smoking after release from a smoke free prison

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    <p>Abstract</p> <p>Background</p> <p>Incarcerated individuals suffer disproportionately from the health effects of tobacco smoking due to the high smoking prevalence in this population. In addition there is an over-representation of ethnic and racial minorities, impoverished individuals, and those with mental health and drug addictions in prisons. Increasingly, prisons across the U.S. are becoming smoke free. However, relapse to smoking is common upon release from prison, approaching 90% within a few weeks. No evidence based treatments currently exist to assist individuals to remain abstinent after a period of prolonged, forced abstinence.</p> <p>Methods/Design</p> <p>This paper describes the design and rationale of a randomized clinical trial to enhance smoking abstinence rates among individuals following release from a tobacco free prison. The intervention is six weekly sessions of motivational interviewing and cognitive behavioral therapy initiated approximately six weeks prior to release from prison. The control group views six time matched videos weekly starting about six weeks prior to release. Assessments take place in-person 3 weeks after release and then for non-smokers every 3 months up to 12 months. Smoking status is confirmed by urine cotinine.</p> <p>Discussion</p> <p>Effective interventions are greatly needed to assist these individuals to remain smoke free and reduce health disparities among this socially and economically challenged group.</p> <p>Trial Registration</p> <p><a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=01122589">NCT01122589</a></p
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