Unnecessary surgical operations on an undiagnosed sickler in abdominal crisis: Case report

This is a case of a child that presented with signs and symptoms of acute abdomen. There were scars from previous surgical operations on his abdomen following presentation with similar signs and symptoms suggestive of acute abdomen in two different hospitals. Furthermore, on careful physical examination some features of sickle cell anaemia were present. Blood was taken for laboratory investigations prior to commencement of intravenous 5% Dextrose-water. And lo! There was dramatic relief of his symptoms with a beam of smile on his face. Haemoglobin genotype revealed HbSS

Microstructural characterization of friction stir lap welds of aluminium incorporated with titanium carbide

In this research study, the characterization of the microstructure evolution of friction stir lap welds (FSLW) of Aluminium incorporated with Titanium Carbide powder to form Aluminium based composites is presented. The Titanium Carbide powder was infused at the weld interface to produce a composite. The FSLW were conducted on an Intelligent Stir Welding for Industry and Research (I-STIR) Process Development System (PDS). Different welding parameters were used for the welding process. Rotational speeds of 1600 rpm and 2000 rpm and transverse speeds of 100 mm/min, 200 mm/min and 300 mm/min were employed. The process parameters were carefully selected to represent a low, medium and high setting for the feed rates. The microstructural evolution of the samples were studied. Optical microscope and scanning electron microscopy (SEM) techniques were used to investigate the particle distribution of the welded samples. The results obtained revealed the influence of the welding parameters on the particle distribution of the welded samples. A homogenous mixture of the materials was observed at higher rotational speed of 2000 rpm

Microstructural evolution and mechanical characterizations of AL-TiC matrix composites produced via friction stir

Abstract: In this research work, ample study was conducted on the material characterization of aluminium (Al) and titanium carbide (TiC) metal matrix composites produced via friction stir welding. Different process parameters were employed for the welding process. Rotational speeds of 1600 rpm to 2000 rpm at an interval of 200 rpm and traverse speeds of 100 to 300 mm/min at an interval of 100 mm/min were employed for the welding conducted on an Intelligent Stir Welding for Industry and Research (I-STIR) Process Development System (PDS) platform. The characterizations carried out include optical microscopy and the scanning electron microscopy analyses combined with Energy Dispersive Spectroscopy (SEM/EDS) techniques to investigate the particle distribution, microstructural evolution and the chemical analysis of the welded samples. Vickers microhardness tests were used to determine the hardness distribution of the welded zone and tensile testing was conducted to quantify the strength of the welded area to the base metal in order to establish the optimal process parameters. Based on the results obtained from the characterization analysis, it was found that the process parameters played a major role in the microstructural evolution. Homogenous distribution of the TiC particles was observed at high rotational speed of 2000 rpm and low traverse speed of 100 mm/min. The highest hardness value was measured at the stir zone of the weld due to the presence of the TiC reinforcement particles. The tensile strength also increased as the rotational speed increased and 92% joint efficiency was recorded in a sample produced at 2000 rpm and 100 mm/min. The EDS analysis revealed that Al, Ti and C made up the composition formed at the stir zone. The optimum process parameter setting was found to be at 2000 rpm and 100 mm/min and can be recommended

The use of factor analysis and acid base accounting to probe the speciation of toxic metals in gold mine waste

The generation of acidic drainage has become pervasive over the years and toxic elements are released due to exposure to oxidising agents, unforeseen circumstances, and human interactions. Uncontrolled acidic mine drainage release can result in substantial ecological disruption in sensitive and productive receiving waters. This study probes the element mobility of gold tailings with regard to various zones identified, based on possible phenomena such as the natural water medium, or acidic and alkaline media using sequential extraction and multivariate analyses. Factor analysis results, coupled with mineralogy, were corroborated with acid generation potential to identify various relationships that exist and establish the efficacy of the research towards predicting acid mine drainage generation potential. The statistical analysis was able to establish that pH or acidity, Fe ions, Ca2+ and Mg2+ played a major role in the released metals. Out of the four factors (80.8% accounted for) identified in factor analysis results for water fraction (WF), Fe contributed to three factors which showed the presence of Fe ions (assuming Fe2+ and Fe3+) responsible for the increased acidity of the tailings

The Financial Burden of Non-Communicable Chronic Diseases in Rural Nigeria: Wealth and Gender Heterogeneity in Health Care Utilization and Health Expenditures

Objectives Better insights into health care utilization and out-of-pocket expenditures for non-communicable chronic diseases (NCCD) are needed to develop accessible health care and limit the increasing financial burden of NCCDs in Sub-Saharan Africa. Methods A household survey was conducted in rural Kwara State, Nigeria, among 5,761 individuals. Data were obtained using biomedical and socio-economic questionnaires. Health care utilization, NCCD-related health expenditures and distances to health care providers were compared by sex and by wealth quintile, and a Heckman regression model was used to estimate health expenditures taking selection bias in health care utilization into account. Results The prevalence of NCCDs in our sample was 6.2%. NCCD-affected individuals from the wealthiest quintile utilized formal health care nearly twice as often as those from the lowest quintile (87.8% vs 46.2%, p = 0.002). Women reported foregone formal care more often than men (43.5% vs. 27.0%, p = 0.058). Health expenditures relative to annual consumption of the poorest quintile exceeded those of the highest quintile 2.2-fold, and the poorest quintile exhibited a higher rate of catastrophic health spending (10.8% among NCCD-affected households) than the three upper quintiles (4.2% to 6.7%). Long travel distances to the nearest provider, highest for the poorest quintile, were a significant deterrent to seeking care. Using distance to the nearest facility as instrument to account for selection into health care utilization, we estimated out-of-pocket health care expenditures for NCCDs to be significantly higher in the lowest wealth quintile compared to the three upper quintiles. Conclusions Facing potentially high health care costs and poor accessibility of health care facilities, many individuals suffering from NCCDs—particularly women and the poor—forego formal care, thereby increasing the risk of more severe illness in the future. When seeking care, the poor spend less on treatment than the rich, suggestive of lower quality care, while their expenditures represent a higher share of their annual household consumption. This calls for targeted interventions that enhance health care accessibility and provide financial protection from the consequences of NCCDs, especially for vulnerable populations

Health-seeking behaviours of older black women living with non-communicable diseases in an urban township in South Africa

BACKGROUND: Various studies have shown that non-communicable diseases (NCDs) especially diabetes and hypertension are prevalent among older women living in South African urban areas, placing a heavy burden on the healthcare system. This study aimed to understand the health-seeking behaviour, healthcare practices and prevalence of traditional herbal medicine (THM) use among older women self-reporting NCDs from the Prospective Urban Rural Epidemiology study (PURE). METHOD: A homogenous purposive sampling of PURE participants was used to recruit women who were 50 years or older (n = 250). Descriptive statistics were used to examine the number of NCDs reported by the study sample, health seeking behaviour and practices as well as THM use. Logistic regression was also employed to investigate possible associations between reported conditions and THM use or medical pluralism. RESULTS: Within the study sample, 72 % self-reported an NCD. Of those with self-reported NCDs, 46 % had one, and 54 % had two or more NCDs. Those with NCDs usually visited public clinics (80 %), relied on doctors (90 %) and nurses (85 %) for health information, and mostly used conventional medicine (CM) to manage high blood pressure (81 %). About 30 % of those with NCDs indicated using THM, of whom 29 (53 %) reported practicing medical pluralism. Participants with dental problems (OR: 3.24, 95 % CI: 1.30–8.20), headaches (OR: 2.42, 95 % CI: 1.24–4.94), heart burn (OR: 2.30, 95 % CI: 1.18–4.48) and severe tiredness (OR: 2.05, 95 % CI: 1.08–3.99) were more likely to use THM. Anxiety and allergies increased the likelihood to practise medical pluralism by five and 20 times, respectively. CONCLUSION: Self-reported NCD with co-morbidities was prevalent among the participants in the study. Most of the study participants utilized state-owned clinics and hospitals for the management of their chronic conditions. THM use was not very common. However, among those who used THM, medical pluralism was prevalent. Family history was the most common reason for THM use, with many THM patrons utilizing these for treatment of a health condition. Older black women with anxiety and allergies were more likely to practise medical pluralism

Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management

Research outputs produced to support a quantitative population survey, quantitative health facility survey, focus groups and in-depth interviews performed by the projec

Third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia

<p>Abstract</p> <p>Background</p> <p>The burden of non-communicable diseases is rising globally. This trend seems to be faster in developing countries of the Middle East. In this study, we presented the latest prevalence rates of a number of important non-communicable diseases and their risk factors in the Iranian population.</p> <p>Methods</p> <p>The results of this study are extracted from the third national Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD-2007), conducted in 2007. A total of 5,287 Iranian citizens, aged 15–64 years, were included in this survey. Interviewer-administered questionnaires were applied to collect the data of participants including the demographics, diet, physical activity, smoking, history of hypertension, and history of diabetes. Anthropometric characteristics were measured and serum biochemistry profiles were determined on venous blood samples. Diabetes (fasting plasma glucose ≥ 126 mg/dl), hypertension (systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, or use of anti-hypertensive drugs), dyslipidemia (hypertriglyceridemia: triglycerides ≥ 150 mg/dl, hypercholesterolemia: total cholesterol ≥ 200 mg/dl), obesity (body mass index ≥ 30 kg/m²), and central obesity (waist circumference ≥ 80 cm in females and ≥ 94 cm in males) were identified and the national prevalence rates were estimated.</p> <p>Results</p> <p>The prevalence of diabetes, hypertension, obesity, and central obesity was 8.7% (95%CI = 7.4–10.2%), 26.6% (95%CI = 24.4–28.9%), 22.3% (95%CI = 20.2–24.5%), and 53.6% (95%CI = 50.4–56.8%), respectively. The prevalence of hypertriglyceridemia and hypercholesterolemia was 36.4% (95%CI = 34.1–38.9%) and 42.9% (95%CI = 40.4–45.4%), respectively. All of the mentioned prevalence rates were higher among females (except hypertriglyceridemia) and urban residents.</p> <p>Conclusion</p> <p>We documented a strikingly high prevalence of a number of chronic non-communicable diseases and their risk factors among Iranian adults. Urgent preventive interventions should be implemented to combat the growing public health problems in Iran.</p