Significance of Pyuria in the Diagnosis of Urinary Tract Infection in Children with Sickle Cell Anaemia in Maiduguri, Nigeria

Urinary tract infection (UTI) is a significant cause of morbidity and mortality in children, especially in those with sickle cell disease, who are at higher risk of infections. It will be useful to have a simple test which can be used in resource limited health facilities as a means of screening such children for UTI with the view to instituting prompt treatment. This study is carried out to determine the usefulness of significant pyuria in detecting UTI in febrile children with sickle cell anaemia (SCA). Two hundred and fifty febrile children with sickle cell anaemia that attended State Specialist Hospital and University of Maiduguri Teaching Hospital (UMTH) were prospectively studied with their consent. Urine sample was collected using standard procedure, examined for pus cells and was cultured at the Microbiology laboratory of UMTH. The study showed UTI prevalence of 26%. Significant pyuria was found to have sensitivity of 55.4%, specificity of 77.8%, the efficacy of the test was 72.0% and the test has low positive predictive value of 46.8% in detecting bacteriuria in SCA patients. The significant pyuria observed in this study support its usefulness in the diagnosis of UTI among children with SCA especially in communities having limited facilities or personnel for carrying out urine culture.Keywords: Sickle Cell Anaemia, Bacteriuria, Pyuri

Typhoid fever in children: Clinical presentation and risk factors

Objective: The diagnosis of typhoid fever based on widal test is on the rise despite its set back. We prospectively reviewed over one year period, cases of typhoid fever admitted in our centre to document the pattern of clinical presentation, risk factors and the reliability of Widal test in its diagnosis.Methods: This was a prospective study carried out in a NigerianTeaching Hospital. All children, whose parents consented, admittedwith a diagnosis of typhoid fever using the Centre for Disease Controland prevention (CDC) case definition for typhoid fever, between 1stJanuary and 31st December 2010, were consecutively reviewed using astructured questionnaire.Results: A total of 42 patients were admitted out of which 35 were analysed, the remaining 7 were excluded because consent was notobtained. The disease was more common in males than females withM: F ratio of 3:2. The study gives the incidence of suspected typhoidof 30.5 per 1000 admission. The age range of the study population was 6months to 15 years with cases being common among the age group fiveto nine years 13(37.1%). It has a bimodal peak of occurrence as itoccurs commonly in April/May and in August/September. The diseasewas common in the low socioeconomic classes. All the 35 patientshad fever (100%), vomiting 25 (71.4%), typhoid psychosis 3 (8.6%) and 4 (11.4%) had intestinal perforation. Culture was positive in 8 (22.9%) of the patients. Widal test were significant in 20 (57.1%) with a sensitivity of 62.5%, specificity 44.4%, positive predictive value 25%, negative predictive value 80% and the efficiency of the test was 48.6%.Conclusion: The incidence of typhoid fever in this study is 30.5 per 1000 admission, it is common during rainy and harmattan period. The use of Widal test is not too helpful in diagnosis of typhoid fever. Therefore, culture samples should be done in all cases of suspected typhoid fever

The relationship between web enjoyment and student perceptions and learning using a web-based tutorial

Web enjoyment has been regarded as a component of system experience. However, there has been little targeted research considering the role of web enjoyment alone in student learning using web-based systems. To address this gap, this study aims to examine the influence of web enjoyment on learning performance and perceptions by controlling system experience as a variable in the study. 74 students participated in the study, using a web-based tutorial covering subject matter in the area of 'Computation and algorithms'. Their learning performance was assessed with a pre-test and a post-test and their learning perceptions were evaluated with a questionnaire. The results indicated that there are positive relationships between the levels of web enjoyment and perceived usefulness and non-linear navigation for users with similar, significant levels of system experience. The implications of these findings in relation to web-based learning are explored and ways in which the needs of students who report different levels of web enjoyment might be met are discussed

Boolean modeling of transcriptome data reveals novel modes of heterotrimeric G-protein action

Classical mechanisms of heterotrimeric G-protein signaling are observed to function in regulation of the transcriptome. Conversely, many theoretical regulatory modes of the G-protein are not manifested in the transcriptomes we investigate.A new mechanism of G-protein signaling is revealed, in which the β subunit regulates gene expression identically in the presence or absence of the α subunit.We find evidence of cross-talk between G-protein-mediated and hormone-mediated transcriptional regulation.We find evidence of system specificity in G-protein signaling

Brain tissue volume changes following weight gain in adults with anorexia nervosa

Objective: To measure brain volume deficits among underweight patients with anorexia nervosa (AN) compared to control participants and evaluate the reversibility of these deficits with short-term weight restoration. Method: Brain volume changes in gray matter (GM), white matter (WM), and cerebrospinal fluid (CSF) were examined in 32 adult women with AN and compared to 21, age and body mass index-range matched control women. Results: Patients with AN had a significant increase in GM (p = .006, η2 = 0.14) and WM volume (p = .001, η2 = 0.19) following weight restoration. Patients on average had lower levels of GM at low weight (647.63 ± 62.07 ml) compared to controls (679.93 ± 53.31 ml), which increased with weight restoration (662.64 ± 69.71 ml), but did not fully normalize. Discussion: This study suggests that underweight adult patients with AN have reduced GM and WM volumes that increase with short-term weight restoration

Neural tube defects in four Shetland sheepdog puppies: clinical characterisation and computed tomography investigation

Case report Here we report on the occurrence of neural tube defects in four related Shetland sheepdog puppies. Neural tube defects present as a range of congenital malformations affecting the spine, skull and associated structures. Despite the severity of these malformations and their relatively high prevalence in humans, the aetiology is not well understood. It is even less well characterised in veterinary medicine. Affected puppies were investigated using computed tomography and then post-mortem examination. Computed tomography identified a range of brain and spine abnormalities in the affected animals, including caudal anencephaly, encephalocele, spina bifida and malformed vertebrae. Other observed abnormalities in these puppies, including cranioschisis, atresia ani and hydrocephalus, may be secondary to, or associated with, the primary neural tube defects identified. Conclusion This case report describes multiple related cases of neural tube defects in an Australian cohort of dogs. This study also highlights the potential of advanced imaging techniques in identifying congenital anomalies in stillborn and neonatal puppies. Further research is required to investigate the aetiology of neural tube defects in this group of affected Shetland sheepdogs

A study of the benefits of retrofitting cardiovascular exercise equipment of a gym with human energy harvesting technology

Gemstone Team HEAT (Human Energy Acquisition Technology)This study seeks to identify the benefits of implementing human energy harvesting technology in gym exercise equipment. The central premise is that work put into fitness equipment by gym members can be used to generate electricity for the gym. This supplemental energy source can reduce the gym's overall need for electricity, therefore enhancing the gym as a green gym similar to the way of other alternative energy sources. The study includes an analysis of consumer preferences using detailed survey questionnaires, as well as an investigation of energy efficiency of gym establishments. Moreover, the feasibility of implementing this technology was evaluated from the standpoint of a business plan. By exploring the issue of a green gym from each of these three perspectives, this research shows that retrofitting a gym with energy harvesting technology can successfully enhance the image of the gym while making its operations more profitable