Swelling Behaviour of Starch-g-Acrylic Acid Hydrogel and its Potential Application in Removal of Rhodamine B and Alkali Blue Dyes

Starch-g-acrylic acid hydrogel was prepared by free radical polymerization technique adopting potassium persulphate (KPS) as an initiator and N’N-methylenebisacrylamide (MBA) as a linking agent. The aim of the research is to inspect the potentials of starch-based hydrogel in remediating wastewater. Fourier Transform Infrared (FT-IR) spectroscopy was used to find the formation of hydrogel while Differential Scanning Calorimetry (DSC) and Scanning Electron Microscopy (SEM) were used for the characterization of the hydrogel. The FT-IR spectroscopy confirmed hydrogel formation. The DSC results showed that the generated hydrogel is thermally stable, and the SEM depicts a good porous site for dye adsorption. Batch adsorption for Rhodamine B (RDB) and Alkali blue (AB) dyes under the variation of contact time was 105 minutes for both dyes with percentage removal of 89.80 and 60.32%, adsorbent dose was 0.4 and 0.8 g with percentage removal of 86.42 and 57.95%, concentration was 50 and 30 ppm with percentage removal of 67.01 and 77.18% and pH was 8 for both dyes with percentage removal of 77.43 and 79.13% as the optimum. The results indicates that acrylic acid monomer was efficiently grafted on the starch, and the adsorption method correlated with Freundlich isotherm equation. It was concluded that the starch-based hydrogel is an appropriate adsorbent and can be explored for industrial wastewater treatment

Intelligent controllers for velocity tracking of two wheeled inverted pendulum mobile robot

Velocity tracking is one of the important objectives of vehicle, machines and mobile robots. A two wheeled inverted pendulum (TWIP) is a class of mobile robot that is open loop unstable with high nonlinearities which makes it difficult to control its velocity because of its nature of pitch falling if left unattended. In this work, three soft computing techniques were proposed to track a desired velocity of the TWIP. Fuzzy Logic Control (FLC), Neural Network Inverse Model control (NN) and an Adaptive Neuro-Fuzzy Inference System (ANFIS) were designed and simulated on the TWIP model. All the three controllers have shown practically good performance in tracking the desired speed and keeping the robot in upright position and ANFIS has shown slightly better performance than FLC, while NN consumes more energy

Ovarian Cancer in the Sudan - Identifying the Social and Clinical Factors that Prevent an Early Diagnosis

Ovarian cancer, because it often presents with vague symptoms, is a difficult disease to diagnose at the early stages, especially in developing countries. In Sudan, diagnosis is further complicated by additional factors and challenges. First, as in any developing country, access to treatment, facilities and medical staff is generally lacking. Secondly, Sudan is the second largest country in Africa: its very size presents difficulties for the implementation of a centralized health system. The two tertiary hospitals in or near the capital have long patient waiting lists.The lack of female education in sub-Saharan Africa, together with social and economic issues affecting women, is a further obstacle to disease diagnosis and management. Misdiagnosis, leading to inappropriate treatment, may result from the presence of comorbid diseases such as Tuberculosis (TB), which can mimic ovarian cancer and obstruct early detection. Most patients are identified at the later stages when the complications associated with invasive procedures and conventional chemotherapy make treatment much less effective. The early detection of biomarkers may prove to be a vital tool to indicate targets for immunotherapy treatment.Financial aid may help improve the outcomes for patients with ovarian cancer in the Sudan, assisting with diagnosing and management procedures including training medical staff. Research and development, documentation and updating the statistical register for the whole country are also important requirements for future improvements.Finally, there is a need to promote interdisciplinary work between surgeons and clinical oncologists to optimize international guidelines and protocols in accordance with the facilities available

Negative imaginary theorem with an application to robust control of a crane system

This paper presents an integral sliding mode (ISM) control for a case of negative imaginary (NI) systems. A gantry crane system (GCS) is considered in this work. ISM is a nonlinear control method introducing significant properties of precision, robustness, stress-free tuning and implementation. The GCS model considered in this work is derived based on the x direction and sway motion of the payload. The GCS is a negative imaginary (NI) system with a single pole at the origin. ISM consist of two blocks; the inner block made up of a pole placement controller (NI controller), designed using linear matrix inequality for robustness and outer block made up of sliding mode control to reject disturbances. The ISM is designed to control position tracking and anti-swing payload motion. The robustness of the control scheme is tested with an input disturbance of a sine wave signal. The simulation results show the effectiveness of the control scheme

Comparison of Contraceptive Methods Chosen by Breastfeeding, and Non-Breastfeeding, Women at a Family Planning Clinic in Northern Nigeria

A. ception. Conclusion: Breastfeeding rates were high among women seeking contraception. The pattern of contraception is similar among both breastfeeding and non-breastfeeding women, with injectable contraception being the preferred choice. Awareness should be raised on the safety of a wider variety of contraception available for breastfeeding women

Sonografski prikaz dimenzija bubrega u bolesnika s esencijalnom hipertenzijom u sveučilišnoj bolnici Abubakar Tafawa Balewa u gradu Bauchi u Nigeriji

Introduction: Hypertension is one of the commonest non-communicable diseases worldwide; it is the second most common cause of end-stage renal disease. Objective: To evaluate the renal dimensions and volume of essential hypertension patients in Abubakar Tafawa Balewa University Teaching Hospital, Bauchi and to compare the dimensions with that of apparently healthy volunteers. Materials and Methods: A total of two hundred and eleven individuals (comprising 121 females and 90 males) with essential hypertension attending an outpatient clinic in Abubakar Tafawa Balewa University Teaching Hospital Bauchi, and an equal number of healthy volunteers (comprising of 172 females and 49 males) were studied as controls. Both the healthy volunteers and the Hypertensive patients’ renal length, renal width, antero-posterior diameter, and parenchymal thickness were assessed. Statistical Package for Social Sciences (SPSS version 20.0) was used for data analysis. Results: Study show the mean renal length for hypertensive patients to be 9.1 ± 0.79 cm and 9.1 ± 0.73 cm, the mean renal width of 3.5 ± 0.48 cm and 3.8 ± 0.68 cm, and mean renal volume of 87.22 ± 19.58 cm3 and 95.08 ± 22.93 cm3 for the right and left kidneys respectively. Results equally show statistically significant difference in anteroposterior diameter (p<0.05), parenchymal thickness (p<0.05) and renal volume (p<0.05) between the hypertensive group and the volunteer group for both right and left kidneys. Conclusion: This study has established baseline renal dimensions for hypertensive in our population (Bauchi Metropolis). The hypertensive subjects showed a decrease in renal anteroposterior diameter, parenchymal thickness and volume compared to control group.Uvod: Hipertenzija je jedna od najčešćih nezaraznih bolesti u svijetu; drugi je najčešći uzrok završnog stadija bubrežne bolesti. Cilj: Procijeniti dimenzije bubrega i bubrežni volumen kod hipertenzivnih bolesnika u Sveučilišnoj bolnici Abubakar Tafawa Balewa u gradu Bauchi i usporediti ih s dimenzijama kod naizgled zdravih ispitanika koji su se dobrovoljno javili za sudjelovanje u istraživanju. Materijali i metode: Uzorak se sastojao od dvjesto jedanaest ispitanika (121 žena i 90 muškaraca) koji boluju od esencijalne hipertenzije i na ambulantnom su liječenju u Sveučilišnoj bolnici Abubakar Tafawa Balewa u gradu Bauchi i jednakog broja zdravih ispitanika (172 žene i 49 muškaraca), koji su bili kontrolna skupina. Proučavana je duljina i širina bubrega, anteroposteriorni promjer i debljina parenhima kod ispitanika s hipertenzijom i kod zdravih ispitanika. Za analizu podataka primijenjen je statistički paket za društvene znanosti (SPSS verzija 20.0). Rezultati: Studija pokazuje da je prosječna dužina bubrega kod hipertenzivnih bolesnika 9,1 ± 0,79 cm i 9,1 ± 0,73 cm, prosječna bubrežna širina 3,5 ± 0,48 cm i 3,8 ± 0,68 cm, a prosječni bubrežni volumen 87,22 ± 19,58 cm3 i 95,08 ± 22,93 cm3 za desni i lijevi bubreg pojedinačno. Rezultati također pokazuju statistički značajnu razliku u anteroposteriornom promjeru (p < 0,05), debljini parenhima (p < 0,05) i bubrežnom volumenu (p < 0,05) između hipertenzivne skupine i kontrolne skupine za desni i lijevi bubreg. Zaključak: Ovom su studijom utvrđene osnovne bubrežne dimenzije kod hipertenzivnih bolesnika u populaciji grada Bauchi, glavnog grada Savezne države Bauchi u Nigeriji. Kod ispitanika koji boluju od hipertenzije ustanovljeno je smanjenje anteroposteriornog promjera bubrega, debljine parenhima i bubrežnog volumena u usporedbi s kontrolnom skupinom

Cost-Effectiveness of Alternative Models of Community Health Workers for promotion of Maternal, Newborn and Child Health in Northern Nigeria

Background: Community health workers (CHWs) have proven to be successful in mobilizing rural populations to utilize primary health services where they can be supported by skilled health workers. This study assessed the cost-effectiveness of three CHW models implemented in northern Nigeria. Method: Using a quasi-experimental design, we compare the costs and health outcomes for communities where CHW models were implemented versus those where no CHW models were implemented. The three CHW models were Community Volunteer (CV), Nigeria Subsidy Reinvestment and Empowerment Programme for Maternal and Child Health Village Health Worker (VHW), and the Junior Community Health Extension Worker providing community based service delivery (JCHEW-CBSD). The unit costs, consultation patterns, benefit-cost ratios, and cost-effectiveness ratios were calculated for the three CHW models. Results: Compared to the CVs, the VHWs and the JCHEW-CBSDs had the highest levels of interactions in the community, each helping to educate 120-130 pregnant women each year. JCHEW-CBSDs made the most referrals for antenatal care (220) and facility births (122); however, women who interacted with the VHWs increased their antenatal care visits the most, with 92% of the women having made at least one and 70% having made 4+ ANC visits. The unit cost of the CVs was lowest, compared to the other two models, at $127 versus$3176 for the VHW model and $4443 for the JCHEWCBSD model. The outcomes per unit cost ratios were highest for the VHW model. For every$1000 invested in the VHW, there were 54 ANC 4+ visits and 95.9 deliveries attended by a skilled birth attendant. The Incremental Cost-Effectiveness Ratios for the VHW model were also lower than for the JCHEW-CBSD model, ranging from a low of an additional $25 per incremental ANC visits to$152 for increments in attended deliveries, the latter amount three times lower than for the JCHEW-CBSD model. Conclusion: This cost-effectiveness study of CHW models in Northern Nigeria shows that the SURE-P VHW model was most cost-effective. The VHW model, an enhanced volunteer model, promises the greatest return on investment if scaled up in northern Nigeria and settings with similar health care delivery contexts

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The awareness and use of modern contraceptive methods among female undergraduate students in a tertiary institution in Northwestern Nigeria

Background: Young Nigerian women receive poor or no sex and contraceptive education and are increasingly being exposed to unplanned pregnancies with the attendant consequences of unsafe abortions. Few studies have been conducted among young women probably due to the low contraceptive use in the country and the belief that contraception is for married women. The study aimed to examine the awareness and use of modern contraceptives among undergraduate females in a tertiary institution in northwestern Nigeria.Methods: It was a prospective, descriptive, cross-sectional study carried out among 329 female students of Ahmadu Bello University, Zaria from November, 2011 to January, 2012. Semi-structured pre-tested questionnaires were administered using the convenience sampling technique. Data was analysed using the SPSS version 16.0.Results: The age range was 16-49 years, mean of 22.7 ± 4.8years. Most were Hausa (31.3%) and majority were Christians (56.6%). Seventy nine per cent were single and 77.5% lived on campus. Ninety-two percent were aware of contraception with the internet (62.3%) being their main source of information.  The contraceptive prevalence was 33.4%. The most known and used method was the male condom,  81.5% and 30.7% respectively. The main reason for the choice of contraceptive methods was non-contradiction to cultural beliefs (93.9%).Conclusion: Contraceptive awareness is high; however rate of use is low. There is a need to further enlighten female students on the availability and use of contraceptive methods.Keywords: Modern, Contraceptive, Undergraduate, Females, Northwestern Nigeri

Uterine inversion complicating traditional termination of pregnancy: case report

Abortion services remain cladenstine and unsafe in most parts of Africa. This is a case of a mid-trimester abortion induced by traditional methods which resulted in uterine inversion, a previously unreported complication of induced abortion. Until abortion services are accessible and safe on the continent, morbidity and mortality from it could be beyond imagination. Keywords: Uterine Inversion; Abortion by traditional methods Obstetrics and Gynaecology Forum Vol. 15(4) 2005: 25-2