Structural Integrity of A 2-Storey Building Using None Destructive Testing Method

The paper assessed the condition of the existing two-storey building of six classrooms in Government Girls Day Secondary School, Gumel, Jigawa State. The method of Non Destructive Testing (NDT) using a rebound hammer was adopted. Five structural elements(slabs, beams, columns, staircases and foundations) were assessed. The cumulative average strength of the five structural elements was 32.7 RN. Results revealed that despite signs of physical defects on the building such as cracks, exposed column reinforcement bars, etc. it was still considered safe for use. The study recommended that to prevent the building from deteriorating further, periodic structural assessment and good maintenance practice should be carried out. This is to prolong the life span of the building and prevent any threat to the building users and third parties. Keywords: Non-destructive test, Rebound hammer, structural integrity, structural component

Gynaecological malignancies in Azare, North-East Nigeria: an assessment of types, stage at presentation and treatment affordability

Background: In many parts of the world, presentations for most gynecological cancers are late; this makes treatment difficult due to the cost of chemotherapy or radiotherapy which form the bedrock for cure or palliation. Objective of this study was to determine the types, stage at diagnosis, affordability of care and outcome of treatment of gynaecological cancers in Federal Medical Centre Azare, Bauchi State, Nigeria.Methods: All cases of gynaecological cancers seen over a ten-year period, from 1st January, 2003 to 31st December, 2012 were reviewed retrospectively. The number of all gynaecological cases seen during the period was also extracted.Results: Gynaecological cancer cases accounted for 11.84 % of 8,642 gynaecological cases seen during the period of study.  The mean age and parity of the women were 42±5 SD years and 5±1 SD respectively. Cervical cancer accounted for 55 %, ovarian cancer 30%, endometrial cancer 6%, choriocarcinoma 5%, secondaries/ cancers of undetermined origin were 4%.  Ninety-two percent presented with advanced stage of diseases. Only 25.3% could afford the cost of full treatment, and 8.4% attained cure of their disease. The modalities of treatment available were surgery and chemotherapy.Conclusions: Cervical and Ovarian Cancers remain the leading types of gynaecological cancers in our environment and late presentations are frequent occurrence. Late presentation and unaffordability of treatments are major challenges associated with the management of these patients. Early presentation and funding mechanisms for gynaecological cancers are keys to improved cure rate and reduced mortality

Probing the use of long lived intra-ligand π-π * excited states for photocatalytic systems: a study of the photophysics and photochemistry of [ReCl(CO)3(dppz-(CH3)2)]

We report the excited state photophysics and photochemistry of [ReCl(CO)3(dppz-(CH3)2)] (dppz-(CH3)2 = 11,12-dimethyl-dipyrido[3,2-a:2’,3’-c]phenazine) in CH3CN using timeresolved infrared (TRIR) and Fourier transform infrared (FTIR) spectroscopy. Excitation of the 1MLCT (metal-to-ligand charge transfer) band of [ReCl(CO)3(dppz-(CH3)2)] populates a 3MLCT excited state which rapidly interconverts on a timescale < 1 ns to a long lived IL (intra-ligand) π-π* excited state with a lifetime of 190 (± 5) ns. In the presence of an electron donor (NEt3), the IL excited state of [ReCl(CO)3(dppz-(CH3)2)] can be reductively quenched to [ReCl(CO)3(dppz-(CH3)2)]− with the radical in the latter localised on the distal phenazine (phz) portion of the dppz ligand. The phz based electron in [ReCl(CO)3(dppz-(CH3)2)]− has minimal interaction with the rhenium metal centre which increases the stability of the photosensitiser in its reduced form. In non-dried, non-degassed CH3CN (1 M NEt3), [ReCl(CO)3(dppz-(CH3)2)]− shows no significant change in the carbonyl region of the IR spectrum for at least 2 hours during continuous photolysis. In addition, we investigate the use of [ReCl(CO)3(dppz-(CH3)2)]− to reduce the previously studied catalyst [NiFe2], with facile electron transfer from [ReCl(CO)3(dppz-(CH3)2)]− to form [NiFe2]–

Knowledge of risk factors, beliefs and practices of female healthcare professionals towards breast cancer in a tertiary institution in Lagos, Nigeria

<p>Abstract</p> <p>Background</p> <p>Breast cancer is the leading female malignancy in Nigeria. Screening for early detection has led to reduction in mortality from the disease. It is known that attitudes of physicians and motivation by community nurses influence uptake of screening methods by women. This study aims to investigate knowledge of breast cancer risk factors, beliefs about treatment and practice of screening methods among a cohort of female healthcare professionals in Lagos, Nigeria.</p> <p>Methods</p> <p>A cross-sectional study was conducted using a self-administered questionnaire to assess the knowledge of breast cancer risk factors, beliefs about treatment and practice of screening methods among 207 female doctors, nurses and other healthcare professionals working in a university teaching hospital in Lagos, Nigeria. Stratified random sampling method was employed. Chi square test, analysis of variance and Mantel-Haenszel test were performed in data analysis using SPSS v10.0 and Epi Info version 6 statistical packages.</p> <p>Results</p> <p>Female doctors obtained a mean knowledge score of 74% and were the only professional group that had satisfactory knowledge of risk factors. Majority (86%) believed that early breast cancer is curable while half of participants believed that prayer can make breast cancer disappear from the affected breast. Eighty three percent practice breast self-examination (BSE) once a month and only 8% have ever had a mammogram. Age, knowledge of risk factors, profession and beliefs were not significantly associated with rate of BSE in this study.</p> <p>Conclusion</p> <p>Results from this study suggest the need for continuing medical education programmes aimed at improving knowledge of breast cancer among female healthcare providers other than doctors.</p

The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BACKGROUND Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations. METHODS The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 cause-of-death analysis estimated mortality and years of life lost (YLLs) from 288 causes of death by age-sex-location-year in 204 countries and territories and 811 subnational locations for each year from 1990 until 2021. The analysis used 56 604 data sources, including data from vital registration and verbal autopsy as well as surveys, censuses, surveillance systems, and cancer registries, among others. As with previous GBD rounds, cause-specific death rates for most causes were estimated using the Cause of Death Ensemble model-a modelling tool developed for GBD to assess the out-of-sample predictive validity of different statistical models and covariate permutations and combine those results to produce cause-specific mortality estimates-with alternative strategies adapted to model causes with insufficient data, substantial changes in reporting over the study period, or unusual epidemiology. YLLs were computed as the product of the number of deaths for each cause-age-sex-location-year and the standard life expectancy at each age. As part of the modelling process, uncertainty intervals (UIs) were generated using the 2·5th and 97·5th percentiles from a 1000-draw distribution for each metric. We decomposed life expectancy by cause of death, location, and year to show cause-specific effects on life expectancy from 1990 to 2021. We also used the coefficient of variation and the fraction of population affected by 90% of deaths to highlight concentrations of mortality. Findings are reported in counts and age-standardised rates. Methodological improvements for cause-of-death estimates in GBD 2021 include the expansion of under-5-years age group to include four new age groups, enhanced methods to account for stochastic variation of sparse data, and the inclusion of COVID-19 and other pandemic-related mortality-which includes excess mortality associated with the pandemic, excluding COVID-19, lower respiratory infections, measles, malaria, and pertussis. For this analysis, 199 new country-years of vital registration cause-of-death data, 5 country-years of surveillance data, 21 country-years of verbal autopsy data, and 94 country-years of other data types were added to those used in previous GBD rounds. FINDINGS The leading causes of age-standardised deaths globally were the same in 2019 as they were in 1990; in descending order, these were, ischaemic heart disease, stroke, chronic obstructive pulmonary disease, and lower respiratory infections. In 2021, however, COVID-19 replaced stroke as the second-leading age-standardised cause of death, with 94·0 deaths (95% UI 89·2-100·0) per 100 000 population. The COVID-19 pandemic shifted the rankings of the leading five causes, lowering stroke to the third-leading and chronic obstructive pulmonary disease to the fourth-leading position. In 2021, the highest age-standardised death rates from COVID-19 occurred in sub-Saharan Africa (271·0 deaths [250·1-290·7] per 100 000 population) and Latin America and the Caribbean (195·4 deaths [182·1-211·4] per 100 000 population). The lowest age-standardised death rates from COVID-19 were in the high-income super-region (48·1 deaths [47·4-48·8] per 100 000 population) and southeast Asia, east Asia, and Oceania (23·2 deaths [16·3-37·2] per 100 000 population). Globally, life expectancy steadily improved between 1990 and 2019 for 18 of the 22 investigated causes. Decomposition of global and regional life expectancy showed the positive effect that reductions in deaths from enteric infections, lower respiratory infections, stroke, and neonatal deaths, among others have contributed to improved survival over the study period. However, a net reduction of 1·6 years occurred in global life expectancy between 2019 and 2021, primarily due to increased death rates from COVID-19 and other pandemic-related mortality. Life expectancy was highly variable between super-regions over the study period, with southeast Asia, east Asia, and Oceania gaining 8·3 years (6·7-9·9) overall, while having the smallest reduction in life expectancy due to COVID-19 (0·4 years). The largest reduction in life expectancy due to COVID-19 occurred in Latin America and the Caribbean (3·6 years). Additionally, 53 of the 288 causes of death were highly concentrated in locations with less than 50% of the global population as of 2021, and these causes of death became progressively more concentrated since 1990, when only 44 causes showed this pattern. The concentration phenomenon is discussed heuristically with respect to enteric and lower respiratory infections, malaria, HIV/AIDS, neonatal disorders, tuberculosis, and measles. INTERPRETATION Long-standing gains in life expectancy and reductions in many of the leading causes of death have been disrupted by the COVID-19 pandemic, the adverse effects of which were spread unevenly among populations. Despite the pandemic, there has been continued progress in combatting several notable causes of death, leading to improved global life expectancy over the study period. Each of the seven GBD super-regions showed an overall improvement from 1990 and 2021, obscuring the negative effect in the years of the pandemic. Additionally, our findings regarding regional variation in causes of death driving increases in life expectancy hold clear policy utility. Analyses of shifting mortality trends reveal that several causes, once widespread globally, are now increasingly concentrated geographically. These changes in mortality concentration, alongside further investigation of changing risks, interventions, and relevant policy, present an important opportunity to deepen our understanding of mortality-reduction strategies. Examining patterns in mortality concentration might reveal areas where successful public health interventions have been implemented. Translating these successes to locations where certain causes of death remain entrenched can inform policies that work to improve life expectancy for people everywhere. FUNDING Bill & Melinda Gates Foundation

Vermicomposting: Tool for Sustainable Ruminant Manure Management

Ruminants are important sources of meat and milk. Their production is associated with manure excretion. Estimates of over 3,900,000 million metric tonnes of manure are produced daily from ruminants worldwide. Storage and spread of this waste on land pose health risks and environmental problems. Efficient and sustainable way of handling ruminant manure is required. Composting and vermicomposting are considered two of the best techniques for solid biomass waste management. This paper presents vermicomposting as an effective tool for ruminant manure management. Vermicomposting is a mesophilic biooxidation and stabilisation process of organic materials that involves the joint action of earthworm and microorganism. Compared with composting, vermicomposting has higher rate of stabilisation and it is greatly modifying its physical and biochemical properties, with low C : N ratio and homogenous end product. It is also costeffective and ecofriendly waste management. Due to its innate biological, biochemical and physicochemical properties, vermicomposting can be used to promote sustainable ruminant manure management. Vermicomposts are excellent sources of biofertiliser and their addition improves the physiochemical and biological properties of agricultural soils. In addition, earthworms from the vermicomposting can be used as source of protein to fishes and monogastric animals. Vermicompost can also be used as raw materials for bioindustries

Solar absorption systems with integrated absorption energy storage-A review

Solar driven absorption systems are becoming more tractive and common in air conditioning industry. However, the issue of intermittency of the solar energy remains the critical concern in real applications. Hence, energy storage is inevitable to bridge the energy demand and intermittency gap. Among the existing thermal energy storage options, sensible heat storage is the most widely adopted in solar thermal applications. Research interest on absorption energy storage is increasing recently owing to low heat loss and high-energy storage capability. This paper presents a specific review on solar absorption energy storage and its integration with conventional absorption chillers. Specific future research directions on the subject are highlighted in the paper. These include economic viability of the absorption energy storage, improved design of heat exchangers and considering the concept of absorption energy storage as an option for shifting solar thermal energy collected during the peak day-hours to the off peak night-hours for air conditioning, among others

Charging and discharging characteristics of absorption energy storage integrated with a solar driven double-effect absorption chiller for air conditioning applications

The operation of solar driven air conditioning systems is limited to the availability of solar radiation. Consequently, to achieve extended cooling period, energy storage is necessary. This study presents performance evaluation and charging and discharging characteristics of an absorption energy storage coupled with solar driven double-effect water-lithium bromide (H2O-LiBr) absorption system through thermodynamic modeling and simulation. The absorption energy storage stores the solar heat in the form of chemical energy during the day and discharges later for cooling application. The integrated system achieved effective cooling for about fourteen hours on daily basis. The results indicate an average coefficient of performance (COP) of 1.35 for the integrated absorption chiller-storage unit and exergy efficiency of 25%. Furthermore, the overall COP of the integrated solar cooling system is 0.99 and the overall exergy efficiency is 6.8%, while the energy storage density for typical climatic conditions of Dhahran, Saudi Arabia is found to be 444.3 MJ/m3. The energy storage density obtained from the integrated solar driven H2O-LiBr double-effect absorption system is found to be higher by 13–54% compared to other integrated systems based on single-effect configuration