Mortality and cause of death in Abuth, Zaria: 1999-2005

Background: Accurate mortality statistics are needed for policy formulation,implementation and monitoring of health intervention that are aimed at improving the health status of the people. Mortality level is one of the indicators of the quality of life and status of health of a population. However, accurate collection, collation, analysis and interpretation of such data is poorly organised in developing nations, including Nigeria leading to a gap in health policy formulation, implementation and monitoring. Therefore, policies and strategies for disease prevention are based on empirical evidence rather than on data primarily collected to formulate disease specific interventions.Though, hospital data have inherent deficiency in its use to design prevention. However, when accurately generated and adequately managed would provide both qualitative and quantitative information on morbidity and mortality if not for the entire society at least for a segment of the population utilizing it. We implemented a system of death certification to determine causes and pattern of mortality in Ahmadu Bello University Teaching Hospital, Zaria Methods: From May 1999 to November 2005, all case folders of deceased patients were retrieved from the central library of health information management department of the hospital; case folders of deceased patients are required to have in them a completed IFMCCD(International Form of Medical Certification of Cause of Death). All case folders of deceased patients after relevant information were extracted by the staff of health management information department, were passed on to the staff of department of Community Medicine directly involved in this study. The completed cause of death certificates received in the department of Community Medicine (between May 1999 and November 2005), were examined. Coding rules were employed to select the appropriate code for those certificates that were incorrectly completed. The underlying cause of death as identified from the correctly completed IFMCCDS is coded according to ICD-10.Results: For the period under study, there were 4019 deaths: 2212 males and 1807 females. Total of 2914 (72.5%) deaths were certified, using the IFMCCD of which 1641 of them were males and 1273 females and formed the basis of this analysis. Coverage rates ranges from 56.2% in 2001 to 85% in 1999. The proportion of garbage codes ranges from 0% to 2.4% while the three leading causes of death are HIV infection, road traffic accident (RTA), and cardiovascular diseases among the ten. The time-trend of the leading causes of death show RTA maintaining steady upward climb while malaria, septicemia, PEM, sepsis in the neonatal period shows unsteady fluctuation. Conclusion: This study assessed the pattern of mortality and causes of death in ABU Teaching Hospital, Zaria; it also provided information on leading causes of death

Scanning electron microscope description of the afowo oil sand deposits in south-western nigeria

The Afowo oil sand deposits in parts of Southwestern Nigeria were described by scanning electron microscope for characterizing the reservoir sands, based on their clay content. Twelve core oil sand samples were collected, six of which were selected for analysis based onthe similarities in their physical and textural characteristics. The prepared oil sand samples were then described by scanning electron microscope studies (VEGA TESCAN/LMU scanning electron microscope-SEM).The analysis revealed that the oil sands contained minerals which had been precipitated and occurred as pore filling cement; these minerals included sheet kaolinite, vermiform kaolinite, k- feldspar, pyrite crystals, and corrosion quartz and corrosion feldspar. The SEM images also showed 2-4 µm micro pores and 2-5µm fractures.The study showed that the clay minerals contained in the Afowo formation's reservoir rocks were mainly kaolinite which was not expected to have any negative effects on reservoir quality, especially during enhanced oil recovery operation

Enhanced Deep Transfer Learning Model based on Spatial-Temporal driven Scalograms for Precise Decoding of Motor Intent in Stroke Survivors

Motor function loss greatly impacts post-stroke survivors while performing activities of daily living. In the recent years, intelligent rehabilitation robotics have been proposed to enable the patients recover their lost limb functions. Besides, a large proportion of these robots function in passive mode that only allow users to navigate trajectories that rarely align with their limb movement intent, thus precluding full functional recovery. A potential solution would be to explore utilizing an efficient Transfer Learning based Convolutional Neural Network (TL-CNN) to decode multiple classes of post-stroke patients’ motion intentions towards realizing dexterously active robotic training during rehabilitation. In this regard, we propose and examined for the first time, the use of Spatial-Temporal Descriptor based Continuous Wavelet Transform (STD-CWT) as input to TL-CNN to optimally decode limb movement intent patterns of stroke patients to provide adequate input for active motor training in rehabilitation robots. Importantly, we examined the proposed (STD-CWT) method on three distinct wavelets including the Morse, Amor, and Bump, and compared their decoding outcomes with those of the commonly adopted CWT technique under similar experimental conditions. Our method was validated using electromyogram signals of five stroke survivors who performed up to twenty-two distinct limb motions. The obtained results showed that the proposed technique recorded a significantly higher decoding (p<0.05) and converges faster compared to the commonly adopted method. The proposed method equally recorded obvious class separability for individual movement classes across the stroke patients. Findings from this study suggest that the STD-CWT Scalograms would provide potential inputs for robust decoding of motor intent that may facilitate intuitively active motor training in stroke rehabilitation robots. © 20XX IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works

Succinylation of potato (Ipomoea batatas) starch: effect of varying ethanol concentration on pasting, structural, morphological, and functional properties

The shortcomings arising from usage of native starches in various industrial processes have demanded the need for modification in order to enhance its functionality. This study investigated the impact of ethanol concentration on pasting, structural, morphological, and functional properties of succinylated potato starch. Some granules of the potato starch sample also appeared to be multilobed and fractured. The Fourier transform -1 infrared spectroscopy (FT-IR) study revealed the presence of carbonyl group (1747 cm-1 ) in the starch chains as an additional functional group after succinylation. The statistical analysis of the study data revealed a significant (p &lt; 0.05) decrease in protein, fat, fibre, ash, and reduction in moisture contents after modification. Analysis with visco-analyzer showed reduction in pasting parameters after modification. Modification of native potato starch with ethanol improved the functionality of the starch by imparting some additional physicochemical and functional properties. These improved properties upon modification, therefore, suggest some potential favorable qualities for special applications

Outcomes at 18 mo of 37 noma (cancrum oris) cases surgically treated at the Noma Children's Hospital, Sokoto, Nigeria

Contains fulltext : 228557.pdf (Publisher’s version ) (Open Access

Duplication of effort across Development Projects in Nigeria: An example using the Master Health Facility List

ObjectiveDuplication of effort across development projects is often the resultant effect of poor donor coordination in low and middle income countries which receive development assistance. This paper examines the persistence of duplication through a case study of health facility listing exercises in Nigeria.MethodsDocument reviews, key informant interviews and a stakeholder’s meeting were undertaken to identify similar health facility listing exercises between 2010 and 2016.ResultsAs an outcome of this process, ten different health facility listing efforts were identified.Discussions Proper coordination and collaboration could have resulted in a single list grown over time, ensuring return on investments. This study provides evidence of the persistence of duplication, years after global commitment to harmonization, better coordination and efficient use of development assistance were agreed to.ConclusionsThe paper concludes by making a proposal for strategic leadership in the health sector and the need to leverage information and communications technology through the development of an electronic Health Facility Registry that can archive the data on health facilities, create opportunity for continuous updates of the list and provide for easy sharing of the data across different country stakeholders thereby eliminating duplication

Human Exposure to Novel Bartonella Species from Contact with Fruit Bats

Twice a year in southwestern Nigeria, during a traditional bat festival, community participants enter designated caves to capture bats, which are then consumed for food or traded. We investigated the presence of Bartonella species in Egyptian fruit bats (Rousettus aegyptiacus) and bat flies (Eucampsipoda africana) from these caves and assessed whether Bartonella infections had occurred in persons from the surrounding communities. Our results indicate that these bats and flies harbor Bartonella strains, which multilocus sequence typing indicated probably represent a novel Bartonella species, proposed as Bartonella rousetti. In serum from 8 of 204 persons, we detected antibodies to B. rousetti without cross-reactivity to other Bartonella species. This work suggests that bat-associated Bartonella strains might be capable of infecting humans