Exclusive breastfeeding and its relevance to infant teething

Objective: To determine the relevance of exclusive breast-feeding practice, in the development of healthy oral tissue among teething infants. Method: A cross sectional study design of children aged 6-36 months was carried out in 14 wards of Jos North Local Government Area. A multistage sampling technique was adopted in selecting 1081 mothers who qualified and were interviewed using structured interviewer questionnaire on their knowledge and perception on common complaints during teething in children. The index children were examined for number and type of teeth erupted using mouth mirror under natural light. Result: One thousand and eighty-one mothers and their babies were interviewed and examined; out these 16.5%, 38.7% and 44.8% babies were of age groups 6-12, 13-24 and 25-36 months respectively; 50.2% were female and 49.8% were male. Of the babies examined 62.4% were exclusively breast-fed. There was a significant association between maternal educational status and knowledge of teething complaints. Three hundred and twenty-six (30.1%) babies had cough during their teething period, 349 (32.3%) experienced drooling of saliva, and 352 (32.6%) were observed to bite objects during teething. The high percentage of babies that were exclusively breast-fed but did not experience these symptoms were found to be statistically significant (p = 0.00). Seven hundred and forty-two (68.6%) babies had diarrhoea during teething; out of these 459(42.5%) were exclusively breast-fed and it was however not found to be statistically significant (p = 0.55). Conclusion: This study draws attention to the relatively poor anecdotal evidence related to symptoms associated with the teething process. The result has also demonstrated that exclusive breast-feeding is not only able to reduce the symptoms ascribed to teething, but also promote the development of a healthy oral tissue

Application of High-Voltage, Precision, Low-Power Max9943/Max9944 Operational Amplifier in Industrial Process Control Using ±20ma OR 4-20ma Current-Loop Systems

This article explains how to apply a high-voltage, high-current-drive operational amplifier to convert a voltage signal into a ±20mA or 4–20mA current signal for use in process-control industrial applications. The MAX9943 op amp a family of high-voltage amplifiers that offers precision, low drift, and low power consumption device was used as case study]. Experiments are described and test results presented. Current loops are known for their high immune to noise compare to voltage-modulated signals, a feature that makes it ideal for use in a noisy industrial environment. This signal can travel over a long distance, sending or receiving information from remote locations. A current loop typically includes a sensor, transmitter, receiver, and an ADC or a micro-controller (figure 1). The sensor measures a physical parameters such as pressure or temperature and provides a corresponding output voltage. The transmitter converts the sensor's output into a proportional 4mA-to-20mA current signal, while the receiver then converts the 4mA-to-20mA current into a voltage signal output. This receiver's output is then received, interpreted and converts into a digital signal output by an ADC or a micro-controller. Experiment performed using the relationship the relationship stated in equation 5, shows that if the input voltage level rise above or fall below ±2.5v, the op amp device attains its saturation point and its output voltage can no longer increase. As shown in figure 3, where the curve flatten and no longer follow the ideal linearity characteristics that was supposed

MEAT QUALITY CHARACTERISTICS OF IMPROVED INDIGENOUS CHICKENS (FUNAAB-ALPHA) FED TURMERIC (Curcuma longa) OR CLOVE (Syzygium aromaticum) AS FEED ADDITIVES

The experiment was conducted to investigate meat quality of improved indigenous chickens (FUNAAB alpha) fed diet containing turmeric (Curcuma longa) and clove (Syzigium aromaticum) powders. One hundred and thirty-five (135) mixed sexed day-old improved indigenous FUNAAB alpha chicks were brooded collectively for two weeks, and assigned into three (3) treatment groups. Each treatment was replicated three times, consisting of fifteen (15) birds. Feed and water were provided ad-libitum through the duration of experiment. The control group was fed the basal diet at starter and  finisher phases (T1), while the other groups were fed clove (Syzygium aromaticum) powder at 3 g/kg (T2) and turmeric (Curcuma longa) (T3) powder at 4 g/kg respectively as additives.   Data obtained were subjected to a One – Way Analysis of Variance in a Completely Randomised Design. Muscle obtained after evisceration was subjected to quality analysis. Proximate composition of meat obtained from chickens fed the basal diet had the highest (p<0.05) moisture content value of 75.45% compared to other treatments. Water absorptive capacity and cook loss of meat obtained from chickens fed 4 g/kg dietary turmeric showed (p<0.05) values of 3% and 16.4% respectively. Meat sensory properties analysed revealed (p<0.05) score in groups fed 3g/kg and 4 g/kg clove and turmeric powders respectively, for tenderness (6.14) and overall acceptability (7.19). Meanwhile (p<0.05) lipoprotein profile was observed in group fed 4 g/kg turmeric powder. Inclusion, turmeric and clove had beneficial effects on FUNAAB Alpha. &nbsp

Pterodactyl: Trade Study for an Integrated Control System Design of a Mechanically Deployable Entry Vehicle

This paper presents the trade study method used to evaluate and downselect from a set of guidance and control (G&C) system designs for a mechanically Deployable Entry Vehicle (DEV). The Pterodactyl project was prompted by the challenge to develop an effective G&C system for a vehicle without a backshell, which is the case for DEVs. For the DEV, the project assumed a specific aeroshell geometry pertaining to an Adaptable, Deployable Entry and Placement Technology (ADEPT) vehicle, which was successfully developed by NASAs Space Technology Mission Directorate (STMD) prior to this study. The Pterodactyl project designed three different entry G&C systems for precision targeting. This paper details the Figures of Merit (FOMs) and metrics used during the course of the projects G&C system assessment. The relative importance of the FOMs was determined from the Analytic Hierarchy Process (AHP), which was used to develop weights that were combined with quantitative design metrics and engineering judgement to rank the G&C systems against one another. This systematic method takes into consideration the projects input while simultaneously reducing unintentional judgement bias and ultimately was used to select a single G&C design for the project to pursue in the next design phase

Epidemiologic review of Zika virus disease

Zika virus disease has resonated great concern globally. The World Health Organization declared it “a public health emergency of International concern” on 1st February, 2016. The recent outbreaks have become a major challenge due to a drift from its earlier known benign exanthematous spectrum to a causal link to microcephaly. Historically, the name Zika virus comes from the Zika Forest of Uganda. It was first identified in 1947 among Rhesus Macaque sub-population. Two genetically distinct isolates have been well characterized; the Asian and African strains. This virus is spread by bites of day-time-active Aedes mosquitoes; the Aedes aegypti and Aedes albopictus. Zika Virus appears to spread along a narrow equatorial belt of Africa to Asia through the Pacific Ocean to French Polynesia, New Caledonia (southwest Pacific Ocean), the Cook Islands (south Pacific), and Easter Island (a Chilean territory in Polynesia), and most recently to Mexico, Central America, the Caribbean, and South America, where today has assumed a pandemic proportion.Up to eighty percent of infections are asymptomatic. Symptomatic infections are characterized by a self-limiting febrile illness and maculopapular rash, arthralgia, conjunctivitis, back pain and mild headaches. Maternal Zika viral load is thought to be a significant risk factor to fetal infection leading to invasion of either trophoblasts or placental cells or both through maternal decidua. Zika viral RNA proteins and associated extensive selective tissue injuries have been demonstrated in the brains and spinal cords of abortuses. Diagnosis of Zika virus is essentially based on viral RNA detection from clinical specimens. Currently, licensed preventive medicines or vaccines are unavailable. With the wide spate of recent outbreaks and consequent neurologic morbidity and mortality, there is need for deployment of point-of-care equipment for screening of pregnant women in our environment. This is an ambitious call for advocacy by all relevant health care providers.Keywords: Zika Virus, disease outbreaks, microcephaly, Aedes mosquitoe

Computed Tomography Scanner Distribution and Downtimes in Southeast Nigeria

Background: It is clearly known and documented that the first computed tomography (CT) scanner was installed in 1987 at the University College Hospital (UCH) Ibadan, Southwest-Nigeria. Ironically, it is neither clearly documented how many more scanners have been installed after then, nor about their functionality. Objective: To establish the actual number and functionality of CT scanners in the Southeast geopolitical zone of Nigeria.Methodology: The survey was undertaken from March – June, 2016. Radiographers across different tertiary hospitals in southeast (SE) Nigeria, were requested through phone calls to ascertain the number of CT scanners in their respective states of residence. Their feedback was crosschecked using entirely different Radiographers. Internet searches were conducted to authenticate some information obtained. For Anambra State where all but one of the authors worked or schooled, physical visits were made to all centres. Data elicited covered scanner specifications, installation details, ownership, and functionality, amongst others. These were recorded in a pro forma sheet and later collated and presented in tables. Result: A total of 23 CT centres with 28 CT scanners were confirmed. These were distributed across the zone as follows: Anambra; 10 (35.8 %), Imo; 6 (21.4 %), Enugu; 6 (21.4 %), Abia; 4 (14.3 %) and Ebonyi; 2 (7.1 %). Private ownership accounted for 19 (68.0 %) of the scanners while the remaining 9 (32.0 %) were distributed between the Federal Government (n = 5; 18.0 %), public-private partnership (n = 2; 7.0 %), and state governments (n = 2; 7.0 %), respectively. Appropriate personnel were engaged in the facilities. Majority of the scanners were installed in the current decade (2006 – 2016). At least 12 (43.0 %) of the scanners experienced downtime within the period of the survey with 7 scanners having downtime ≥ 1 year. Conclusion: There are 23 radiodiagnostic facilities with 28 CT scanners in the Southeast zone of Nigeria. Five facilities each own two scanners. There appears to be a good distribution of CT scanners with appropriate personnel. A high downtime rate was observed, suggesting the need for the employment of centre-based CT engineers, to ensure that CT patients have as prompt an access as can be achieved

Pterodactyl: Trade Study for an Integrated Control System Design of a Mechanically Deployed Entry Vehicle

This paper presents a trade study method used to evaluate and down-select from a set of guidance and control (G&C) system designs for a mechanically deployable entry vehicle (DEV). The Pterodactyl project, funded by NASA's Space Technology Mission Directorate (STMD), was prompted by the challenge to develop an effective G&C system for a vehicle without a backshell, which is the case for DEVs. For the DEV, the project assumed a specific aeroshell geometry pertaining to an Adaptable, Deployable, Entry Placement Technology (ADEPT) vehicle, which was successfully developed by STMD prior to this study. The Pterodactyl project designed three different G&C systems for the vehicle's precise entry, which this paper briefly discusses. This paper details the Figures of Merit (FOMs) and metrics used during the course of the project's G&C system assessment. Each G&C configuration was traded against the three FOMs categories: G&C system performance, affordability and life cycle costs, and safety and mission success. The relative importance of the FOMs was determined from the Analytical Hierarchy Process (AHP), which was used to develop weights that were combined with quantitative design metrics and engineering judgement to rank the G&C systems against one another. This systematic method takes into consideration the project's input while simultaneously reducing unintentional judgement bias and ultimately was used to select a single G&C design for the project to continue pursuing in the next prototyping and testing phase

Treating symptomatic uterine fibroids with myomectomy: current practice and views of UK consultants

Background: The demand for uterus-sparing treatments is increasing as more women postpone childbirth to their 30–40s, when fibroids are more symptomatic. With an increasing choice of treatment options and changing care-provider profiles, now is an opportune time to survey current practices and opinions. Using a 25-stem questionnaire, a web-based survey was used to capture the practices and opinions of UK consultant gynecologists on the treatment of symptomatic fibroids, including the types of procedure most frequently used, methods used to reduce blood loss, and awareness and acceptability of treatment options, and to assess the impact of gender and experience of the treating gynecologist. Results: The response rate was 22%. Laparascopic myomectomy is used least frequently, with 80% of the respondents using GnRHa preoperatively to minimize blood loss and correct anemia, while vasopressin is most frequently used to reduce intraoperative blood loss. Female consultants operate significantly less frequently than males. Those with more than 10 years consultant experience are more likely to perform an open myomectomy compared to those with less than 10 years experience. Conclusions: Compared to a similar survey performed 10 years ago, surgical methods remain to be the most common treatments, but use of less invasive treatments such as UAE has increased. Consultants’ attitudes appear to be responding to the patient demand for less radical treatments. However, it is yet to be seen if the changing consultant demographics will keep up with this demand. The low response rate warrants cautious interpretation of the results, but they provide an interesting snapshot of current views and practices

Testicular tuberculosis presenting with metastatic intracranial tuberculomas only: a case report

<p>Abstract</p> <p>Introduction</p> <p>Intracranial tuberculomas are a rare complication of tuberculosis occurring through hematogenous spread from an extracranial source, most often of pulmonary origin. Testicular tuberculosis with only intracranial spread is an even rarer finding and to the best of our knowledge, has not been reported in the literature. Clinical suspicion or recognition and prompt diagnosis are important because early treatment can prevent patient deterioration and lead to clinical improvement.</p> <p>Case presentation</p> <p>We present the case of a 51-year-old African man with testicular tuberculosis and multiple intracranial tuberculomas who was initially managed for testicular cancer with intracranial metastasis. He had undergone left radical orchidectomy, but subsequently developed hemiparesis and lost consciousness. Following histopathological confirmation of the postoperative sample as chronic granulomatous infection due to tuberculosis, he sustained significant clinical improvement with antituberculous therapy, recovered fully and was discharged at two weeks post-treatment.</p> <p>Conclusion</p> <p>The clinical presentation of intracranial tuberculomas from an extracranial source is protean, and delayed diagnosis could have devastating consequences. The need to have a high index of suspicion is important, since neuroimaging features may not be pathognomonic.</p

Pentanol isomer synthesis in engineered microorganisms

Pentanol isomers such as 2-methyl-1-butanol and 3-methyl-1-butanol are a useful class of chemicals with a potential application as biofuels. They are found as natural by-products of microbial fermentations from amino acid substrates. However, the production titer and yield of the natural processes are too low to be considered for practical applications. Through metabolic engineering, microbial strains for the production of these isomers have been developed, as well as that for 1-pentanol and pentenol. Although the current production levels are still too low for immediate industrial applications, the approach holds significant promise for major breakthroughs in production efficiency