Predictors of Households’ Adoption of Gas Cooking Stove in Some Rural Communities of Abia and Ebonyi States, Southeast Nigeria

This paper aims at the factors that predict household’s adoption of gas cooking stoves in selected rural communities of Southeast Nigeria. Leaning on theories of Knowledge gap, Groupthink, Technological determinism and Innovation Diffusion, it explores the theme of adoption as a selective process while interrogating the idea of an energy ladder. The paper probes the factors that accentuate poor energy choices in the face of availability of the better domestic energy source, gas. Based on data from 600 respondents, 300 from each of the southeastern Nigeria states of Abia and Ebonyi, an ordinal regression in the form of a Generalized Linear Model was used to predict the proportional odds of the dependent ordinal variables. Parameter estimates of the regression model predicting ordinal likelihood (odds) of using cooking gas indicate that none of the categories underage bracket were significant. The odds of households with male heads having very high usage of cooking gas stove were 1.563 (95% CI, .882 to 1.830) times more than that of households with female heads. The odds are against larger households; households with heads that are of lower education levels; households that regularly cook with fuelwood and those with lower income. The study recommends advocacy to bridge the knowledge gap and a subsidization regime that can overcome the income challenge

Predictors of Households’ Adoption of Gas Cooking Stove in Some Rural Communities of Abia and Ebonyi States, Southeast Nigeria

This paper aims at the factors that predict household’s adoption of gas cooking stoves in selected rural communities of Southeast Nigeria. Leaning on theories of Knowledge gap, Groupthink, Technological determinism and Innovation Diffusion, it explores the theme of adoption as a selective process while interrogating the idea of an energy ladder. The paper probes the factors that accentuate poor energy choices in the face of availability of the better domestic energy source, gas. Based on data from 600 respondents, 300 from each of the southeastern Nigeria states of Abia and Ebonyi, an ordinal regression in the form of a Generalized Linear Model was used to predict the proportional odds of the dependent ordinal variables. Parameter estimates of the regression model predicting ordinal likelihood (odds) of using cooking gas indicate that none of the categories underage bracket were significant. The odds of households with male heads having very high usage of cooking gas stove were 1.563 (95% CI, .882 to 1.830) times more than that of households with female heads. The odds are against larger households; households with heads that are of lower education levels; households that regularly cook with fuelwood and those with lower income. The study recommends advocacy to bridge the knowledge gap and a subsidization regime that can overcome the income challenge

Predictors of Households’ Adoption of Gas Cooking Stove in Some Rural Communities of Abia and Ebonyi States, Southeast Nigeria

This paper aims at the factors that predict household’s adoption of gas cooking stoves in selected rural communities of Southeast Nigeria. Leaning on theories of Knowledge gap, Groupthink, Technological determinism and Innovation Diffusion, it explores the theme of adoption as a selective process while interrogating the idea of an energy ladder. The paper probes the factors that accentuate poor energy choices in the face of availability of the better domestic energy source, gas. Based on data from 600 respondents, 300 from each of the southeastern Nigeria states of Abia and Ebonyi, an ordinal regression in the form of a Generalized Linear Model was used to predict the proportional odds of the dependent ordinal variables. Parameter estimates of the regression model predicting ordinal likelihood (odds) of using cooking gas indicate that none of the categories underage bracket were significant. The odds of households with male heads having very high usage of cooking gas stove were 1.563 (95% CI, .882 to 1.830) times more than that of households with female heads. The odds are against larger households; households with heads that are of lower education levels; households that regularly cook with fuelwood and those with lower income. The study recommends advocacy to bridge the knowledge gap and a subsidization regime that can overcome the income challenge

Dedicated anticoagulation management protocols in fragility femoral fracture care – a source of significant variance and limited effectiveness in improving time to surgery: The hip and femoral fracture anticoagulation surgical timing evaluation (HASTE) study

\ua9 2024 The Author(s)Introduction: Approximately 20 % of femoral fragility fracture patients take anticoagulants, typically warfarin or Direct Oral AntiCoagulant (DOAC). These can impact timing of surgery affecting patient survival. Due to several possible approaches and numerous factors to consider in the preoperative workup of anticoagulated patients, potential for variations in clinical practice exist. Some hospitals employ dedicated anticoagulation management protocols to address this issue, and to improve time to surgery. This study aimed to determine the proportion of hospitals with such protocols, compare protocol guidance between hospitals, and evaluate the effectiveness of protocols in facilitating prompt surgery. Methods: Data was prospectively collected through a collaborative, multicentre approach involving hospitals across the UK. Femoral fragility fracture patients aged ≥60 years and admitted to hospital between 1st May to 31st July 2023 were included. Information from dedicated anticoagulation management protocols were collated on several domains relating to perioperative care including administration of reversal agents and instructions on timing of surgery as well as others. Logistic regression was used to evaluate effects of dedicated protocols on time to surgery. Results: Dedicated protocols for management of patients taking warfarin and DOACs were present at 41 (52.6 %) and 43 (55.1 %) hospitals respectively. For patients taking warfarin, 39/41 (95.1 %) protocols specified the dose of vitamin k and the most common was 5 milligrams intravenously (n=21). INR threshold values for proceeding to surgery varied between protocols; 1.5 (n=28), 1.8 (n=6), and 2 (n=6). For patients taking DOACs, 35/43 (81.4 %) and 8/43 (18.6 %) protocols advised timing of surgery based on renal function and absolute time from last dose respectively. Analysis of 10,197 patients from 78 hospitals showed fewer patients taking DOACs received surgery within 36 h of admission at hospitals with a dedicated protocol compared to those without (adjusted OR 0.73, 95% CI 0.54–0.99, p=0.040), while there were no differences among patients taking warfarin (adjusted OR 1.64, 95% CI 0.75–3.57, p=0.219). Conclusions: Around half of hospitals employed a dedicated anticoagulation management protocol for femoral fragility fracture patients, and substantial variation was observed in guidance between protocols. Dedicated protocols currently being used at hospitals were ineffective at improving the defined targets for time to surgery