HEALTH INFORMATION NEEDS AND SOURCES OF INFORMATION AS DETERMINANTS OF INFORMATION SEEEKING BEHAVIOUR OF FARMERS IN KWARA STATE, NIGERIA

This study investigated health information needs and sources of information as determinants of farmers information-seeking behaviour in Kwara State, Nigeria. The study adopted a four-stage sampling technique to select 360 farmers on whom the questionnaire was administered. Data collected were analyzed using descriptive statistics and the Pearson\u27s Product Moment Correlation. The study revealed that the information needs of farmers include information on health hazard preventive measures, identification of signs and symptoms and use of pesticides (x̄ = 27.91, SD = 9.76). Further, farmers\u27 information-seeking behaviours include obtained from health professionals, farmers\u27 groups, health programmes and knowledge transferred from older people in the community (x̄ = 14.73, SD = 4.166). The sources of information to the farmers included health brochures, farmers associations, and community health centres (x̄ = 22.74, SD = 9.057). Some of the challenges farmers face include poverty, geographical distance, and a shortage of experienced professionals (x̄ = 18.95, SD = 6.749). A significant relationship was found between health information needs and information-seeking behaviour (r = 0.052; p = 0.000; p \u3c 0.05), sources of information and information-seeking behaviour (r = 0.152; p = 0.000; p \u3c 0.05), and health information needs and sources of information had a joint influence on information seeking behaviour. The study recommended that governments at different levels - local, state, and federal should create more health information awareness on various specific information sources available to the farmers; farmers\u27 associations should continuously organize seminars for farmers; among others

Management of Indigenous Knowledge (Ifa and Egungun) in Osun State, Nigeria

This study discussed the Management of Indigenous Knowledge (ifa and egungun) in Osun state, Nigeria. The literature is replete with indigenous knowledge and its cultural expression and heritage. In order to successful carry out the study, a survey research method was adopted using interview as the main instrument and personal observation to complement the main instrument, data gathering, the interview questions was analyzed and interpreted. Thus, the study concluded that knowledge has to be documented and managed for future reference, aid in decision making, education and for archival purpose. Appropriate recommendations were put forward for solving the present situation. Some of which include - oral and written documentation should be done and managed, there should be a professional record manager to manage the documented records and also record knowledge can also be digitized

Management of Indigenous Knowledge (Ifa and Egungun) in Osun State, Nigeria

This study discussed the Management of Indigenous Knowledge (ifa and egungun) in Osun state, Nigeria. The literature is replete with indigenous knowledge and its cultural expression and heritage. In order to successful carry out the study, a survey research method was adopted using interview as the main instrument and personal observation to complement the main instrument, data gathering, the interview questions was analyzed and interpreted. Thus, the study concluded that knowledge has to be documented and managed for future reference, aid in decision making, education and for archival purpose. Appropriate recommendations were put forward for solving the present situation. Some of which include - oral and written documentation should be done and managed, there should be a professional record manager to manage the documented records and also record knowledge can also be digitized

The Management, Dissemination of Ifa Oracle and Egungun Festival for Knowledge Preservation and Promotion of African Cultural Heritage in Osun State, Nigeria

The study examines the Management, Dissemination of Ifa oracle and Egungun festival for knowledge preservation and promotion of African Cultural Heritage in Osun State, Nigera. The study traced the origin of Ifa oracle and Egungun in Nigeria, the relevancy of its celebration to national development and how the knowledge are been documented, managed and disseminated. Descriptive survey research method was employed for the study while the major instrument for data gathering was Interview and complemented by personal observation. Ifa oracle and Egungun Priests were been interviewed to elicit information on the methods of documentation, management and dissemination of Ifa oracle and Egungun festival knowledge. Some of the findings revealed that findings that Ifa oracle and Egungun festival was practiced in order to correct ills in the society and to usher in a new blessing for the year ahead. The preservation of Ifa oracle and Egungun festival knowledge was purely through oral memorization. It was however recommended that proper documentation and management of knowledge should be encouraged for proper knowledge transfer and future reference. In addition, the records should be deposited in a public library for proper consultation. Keywords: Management, Documentation, Ifa Oracle, Egungun Festival, African Heritage DOI: 10.7176/JPCR/43-02 Publication date: April 30th 201

ADOPTION OF ARTIFICIAL INTELLIGENCE FOR EFFECTIVE LIBRARY SERVICE DELIVERY IN ACADEMIC LIBRARIES IN NIGERIA

Due to the growing presence of artificial intelligence (AI) in developed countries, this paper looks at the adoption of artificial intelligence for effective library services in academic libraries in Nigeria. The paper describes the concept of artificial intelligence while tracing its origin. It further established the advantage of adopting artificial intelligence in academic libraries which include user-friendly, infinite functions, ability to take complex work among others; and the challenges faced by library management towards the adoption of artificial intelligence which include financial uncertainty, job loss, technological disadvantages among others. The paper concluded that the adoption of AI in academic libraries is setting a new level of efficient and effective library service delivery but the adoption in developing countries such as Nigeria is low due to some of the identified challenges. The paper recommended that government and library management must come together to proffer the way forward for academic libraries in terms of meeting up with the latest standard of the use of AI in libraries; Library staff should be exposed to training and retraining in the use of artificial intelligence in delivering of libraries’ services; among others

Efficacy of Piperonyl Butoxide (PBO) synergist on Pyrethroid and Dichlorodiphenyl Trichloroethane (DDT) resistant mosquitoes in Lekki, Lagos State, Nigeria

Vector control using insecticide is an integral part of the global strategy for management of mosquito-borne diseases.. The development of  insecticides resistance is a major concern in mosquito control. We evaluated the effect of piperonyl butoxide (PBO) synergist on dichlorodiphenyl trichloroethane (DDT) and pyrethroids resistant Anopheles gambiae s.l., Culex quinquefasciatus and Aedes aegypti in Lekki peninsula area of LagosState, Nigeria. Mosquito larval collected from breeding sites in Lekki peninsula were allowed to emerge in the insectary and identified using  appropriate morphological keys. Two-three days old female adults were subjected to susceptibility assays using WHO kits and insecticides impregnated test papers. Twenty (20) female adult mosquitoes of each genus were exposed to DDT (4 %) and permethrin (0.75 %) alone.  Subsequently, another set of 20 of each genus were pre-exposed to PBO (4 %) for 1 hour before exposing them to permethrin and DDT, all assays were carried out in four biological replicates. The knockdown time was recorded as the time intervals for 60 minutes and mortality at 24 hour. Resistance to DDT was detected with percentages mortality of 55, 60 and 87.5 % for An. gambiae, Cx. quinquefasciatus and Ae. aegypti species respectively. Pre-exposure of mosquitoes to PBO significantly suppressed (p<0.05) resistance to both DDT and permethrin in all the mosquito  species indicating the activities of P450 monooxygenase as a detoxifying enzymes mediating resistance to DDT and pyrethroids. Therefore, PBO should be incorporated in insecticide resistance management strategies in this area and others with similar mosquitos’ resistance profile. Keywords: Mosquitoes, Dichlorodiphenyl trichloroethane, Pyrethroids, Piperonyl butoxide, Insecticides resistanc

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation

Mapping development and health effects of cooking with solid fuels in low-income and middle-income countries, 2000-18 : a geospatial modelling study

Background More than 3 billion people do not have access to clean energy and primarily use solid fuels to cook. Use of solid fuels generates household air pollution, which was associated with more than 2 million deaths in 2019. Although local patterns in cooking vary systematically, subnational trends in use of solid fuels have yet to be comprehensively analysed. We estimated the prevalence of solid-fuel use with high spatial resolution to explore subnational inequalities, assess local progress, and assess the effects on health in low-income and middle-income countries (LMICs) without universal access to clean fuels.Methods We did a geospatial modelling study to map the prevalence of solid-fuel use for cooking at a 5 km x 5 km resolution in 98 LMICs based on 2.1 million household observations of the primary cooking fuel used from 663 population-based household surveys over the years 2000 to 2018. We use observed temporal patterns to forecast household air pollution in 2030 and to assess the probability of attaining the Sustainable Development Goal (SDG) target indicator for clean cooking. We aligned our estimates of household air pollution to geospatial estimates of ambient air pollution to establish the risk transition occurring in LMICs. Finally, we quantified the effect of residual primary solid-fuel use for cooking on child health by doing a counterfactual risk assessment to estimate the proportion of deaths from lower respiratory tract infections in children younger than 5 years that could be associated with household air pollution.Findings Although primary reliance on solid-fuel use for cooking has declined globally, it remains widespread. 593 million people live in districts where the prevalence of solid-fuel use for cooking exceeds 95%. 66% of people in LMICs live in districts that are not on track to meet the SDG target for universal access to clean energy by 2030. Household air pollution continues to be a major contributor to particulate exposure in LMICs, and rising ambient air pollution is undermining potential gains from reductions in the prevalence of solid-fuel use for cooking in many countries. We estimated that, in 2018, 205000 (95% uncertainty interval 147000-257000) children younger than 5 years died from lower respiratory tract infections that could be attributed to household air pollution.Interpretation Efforts to accelerate the adoption of clean cooking fuels need to be substantially increased and recalibrated to account for subnational inequalities, because there are substantial opportunities to improve air quality and avert child mortality associated with household air pollution. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.Peer reviewe

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016

BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. METHODS: We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by our estimate of all-age deaths generated from our overall estimation process. For 163 locations, including subnational units in countries with a population greater than 200 million with complete vital registration (VR) systems, our estimates were largely driven by the observed data, with corrections for small fluctuations in numbers and estimation for recent years where there were lags in data reporting (lags were variable by location, generally between 1 year and 6 years). For other locations, we took advantage of different data sources available to measure under-5 mortality rates (U5MR) using complete birth histories, summary birth histories, and incomplete VR with adjustments; we measured adult mortality rate (the probability of death in individuals aged 15-60 years) using adjusted incomplete VR, sibling histories, and household death recall. We used the U5MR and adult mortality rate, together with crude death rate due to HIV in the GBD model life table system, to estimate age-specific and sex-specific death rates for each location-year. Using various international databases, we identified fatal discontinuities, which we defined as increases in the death rate of more than one death per million, resulting from conflict and terrorism, natural disasters, major transport or technological accidents, and a subset of epidemic infectious diseases; these were added to estimates in the relevant years. In 47 countries with an identified peak adult prevalence for HIV/AIDS of more than 0·5% and where VR systems were less than 65% complete, we informed our estimates of age-sex-specific mortality using the Estimation and Projection Package (EPP)-Spectrum model fitted to national HIV/AIDS prevalence surveys and antenatal clinic serosurveillance systems. We estimated stillbirths, early neonatal, late neonatal, and childhood mortality using both survey and VR data in spatiotemporal Gaussian process regression models. We estimated abridged life tables for all location-years using age-specific death rates. We grouped locations into development quintiles based on the Socio-demographic Index (SDI) and analysed mortality trends by quintile. Using spline regression, we estimated the expected mortality rate for each age-sex group as a function of SDI. We identified countries with higher life expectancy than expected by comparing observed life expectancy to anticipated life expectancy on the basis of development status alone. FINDINGS: Completeness in the registration of deaths increased from 28% in 1970 to a peak of 45% in 2013; completeness was lower after 2013 because of lags in reporting. Total deaths in children younger than 5 years decreased from 1970 to 2016, and slower decreases occurred at ages 5-24 years. By contrast, numbers of adult deaths increased in each 5-year age bracket above the age of 25 years. The distribution of annualised rates of change in age-specific mortality rate differed over the period 2000 to 2016 compared with earlier decades: increasing annualised rates of change were less frequent, although rising annualised rates of change still occurred in some locations, particularly for adolescent and younger adult age groups. Rates of stillbirths and under-5 mortality both decreased globally from 1970. Evidence for global convergence of death rates was mixed; although the absolute difference between age-standardised death rates narrowed between countries at the lowest and highest levels of SDI, the ratio of these death rates-a measure of relative inequality-increased slightly. There was a strong shift between 1970 and 2016 toward higher life expectancy, most noticeably at higher levels of SDI. Among countries with populations greater than 1 million in 2016, life expectancy at birth was highest for women in Japan, at 86·9 years (95% UI 86·7-87·2), and for men in Singapore, at 81·3 years (78·8-83·7) in 2016. Male life expectancy was generally lower than female life expectancy between 1970 and 2016, an

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation