Chloroquine-induced Acute Dystonic Reactions after a Standard Therapeutic Dose for Uncomplicated Malaria

Acute dystonic reactions (ADR) are extrapyramidal effects that usually occur after the initiation of a wide variety of drugs or triggering factors besides neuroleptics. We report the case of a 54-year-old man who was admitted with an approximately 10-hour history of muscle twitching around the eyes, face and neck after he took the first dose of oral chloroquine phosphate (1 g [600 mg base]) prescribed for uncomplicated malaria. He was given intravenous diazepam (10 mg statum) followed by 10 mg of oral diazepam 3 times a day. The symptoms improved within 30 minutes of treatment, and he was discharged 14 hours later after a complete recovery

Religion as a Social Determinant of Maternal Health Care Service Utilisation in Nigeria

This study examines the relationship between religious affiliation and utilisation of maternal health care services using 2013 Nigeria Demographic and Health Survey data. The outcome variable is utilisation of maternal health care service measured by antenatal care and place of delivery. The explanatory variables were religion and three purposively selected social determinants of health, namely the social gradient, work condition and social exclusion. The chi-square test and multinomial logistic regression were applied. Result show that 50.7% had the recommended 4 or more antenatal care visits; 23.4% and 13.5% respectively utilise public and private sector facilities for their most recent child delivery. The relative risk of having 4 or more antenatal visits reduce by a factor of 0.7863 for Muslim women (p<0.05), and increase by a factor of 5.3806 for women in higher social ladder (p<0.01). Religion should be integrated into the social determinants of health framework.

ANALYSIS OF VIBRATION EFFECT ON FACTORY FOUNDATION IN A FLOUR MILL

Thirteen roller machines, in operation at a flour mill, all on one floor, were analyzed for spectra transmission and propagation, using a vibration analyzer. The vibration analyzer was placed at 8 different positions around each roller machine, generating unique spectra curves symbolic of signals transmitted. It was observered that with exponential characteristics above 2 in the polynomial equations  resulted in significant signal propagation requiring isolation of the machines necessary. Results indicates that out of the 7 machines requiring isolation, cork  would be needed for 3 with maximum displacement of 0.19 to 0.20mm, while composite pad would be needed for 4 with a maximum displacement of 0.10 to 0.16mm. The study had shown that vibration effects could be successfully monitored on factory floors through the vibration analyzer application, thus, minimizing harzardous effects on factory workers and facilties