Diptheria vaccine awareness survey among the general populace of Kaduna State

Aim: The aim of the study is to find the knowledge of Kaduna state populace on diphtheria vaccine which is the most effective way of tackling the disease as the Diphtheria antitoxin is not readily available for use in the country. Method: A survey conducted with a designed questionnaire at a confidence level of 95%, confidence interval of 12.5 showed Kaduna State populace’s responses on diphtheria, its vaccine and booster doses, the questionnaire was self administered and responses were collated using simple descriptive statistics. Results: A total number of 64 people responded; majority (37 of 64) were from the child bearing age fifty six, 56(88%), fifty nine, 59 (92%) were vaccinated against diphtheria but only eighteen, 18 (28%) knew about its booster doses. Twenty eight, 28 (45%) took their children for vaccine but only fourteen, 14 (11%) ever took them to receive the booster dose from among the respondents. Conclusion: Kaduna state residents have generally inconsequential awareness on diphtheria, its prevention and management. Key words: Diphtheria toxin; Diphtheria toxoid; Vaccine; Knowledge; Populac

Effect of pre-eclampsia on glomerular filtration rate in Sudanese women

Background: Creatinine clearance is safest method to measure glomerular filtration rate (GFR) in pregnancy. The objectives was to study a case-control study conducted in Omdurman Maternity Hospital aimed to assess GFR, using creatinine clearance and magnitude of changes of serum creatinine in pre-eclampsia.Methods: Pre-eclamptic were 70, normal pregnant 96 and non-pregnant 63. Investigations were done at St Hellier's hospital London. Serum and urine creatinine were measured using Jaffé reaction and spectrophotometer. 24-hour urine output was measured and creatinine clearance calculated to find GFR. GFR was calculated in ml/min/mm2 using John Hopkins’ method.Results: The mean serum creatinine in pre-eclamptic (68.6µmol/L) was less than non-pregnant (75.5µmol/L) (P=0.001) but was higher than normal pregnant (62.4µmol/L) (P=0.003). Mean GFR pre-eclamptic (68.6ml/min.1.73m2) was less than non-pregnant (87.0ml/min/1.73m2) (P=0.0001) and normal pregnant (89.0ml/min/1.73ml/min/1.73m2) (P =0.0001).Conclusions: GFR decreased at term in normal pregnancy and even more in pre-eclampsia. Serum creatinine levels increased and did not correlate with GFR changes in pre-eclampsia

Correlations of complete blood count, liver enzyme and serum uric Acid in Sudanese pre-eclamptic cases

Background: Pre-eclampsia is a serious disorder of pregnancy with unknown ethological factors that may occur at any stage of second or third trimester of pregnancy. The objectives of the present study were to assess changes in complete blood counts including platelets, liver enzymes and serum uric acid in pre-eclamptic cases compared to second-half normal pregnant and non-pregnant Sudanese women and their correlations to other biomarkers.Methods: This was a cross-sectional, case-control study performed from December 2008 to December 2010; in Omdurman Maternity Hospital, in concomitance with other studies in pre-eclampsia. The sample size included three groups, 72 up pre-eclamptic cases in their recent pregnancies, 96 normal pregnant in their second half of pregnancy and 63 non- pregnant (control) women; a total of 231 subjects. Questionnaire Interviews and clinical examination were done for all participants. Laboratory investigations were done including complete blood picture, liver enzymes and uric acid.  Results: The mean Hb concentration of the pre-eclamptic (11.3g/dl±1.7) was statistically significantly lower than that of the non-pregnant (12.1g/dl±0.2) (P=0.01) but not from that of the normal pregnant (11.4g/dl±0.1) (P=0.882) .There was no statistical significant difference in the mean WBC count between the pre-eclamptic (7.4x103/mm3±0.3) and non-pregnant (7.3x103/mm3±0.3) (P=0.797) and between the pre-eclamptic and normal pregnant (7.7x103/mm3±0.2) (P=0.270). There was a considerable statistical significant decrease in the mean platelets count of the pre-eclamptic (236.4/mm3±8.3) compared to the non-pregnant group (322.0/mm3±10.4) (P=0.0001) s well as to the normal pregnant (275.0/mm3±8.9) (P = 0.003). In the pre-eclamptic cases, serum ALT correlated significantly with TWCC (r=0.26, P=0.03) and serum AST (r=0.65, P=0.000). In the pre-eclamptic cases, serum AST correlated significantly with Hb (r=0.26, P=0.03), serum ALT and serum uric acid (r=0.36, P=0.01).Conclusions: There was a considerable statistical significant decrease in mean platelets count of the pre-eclamptic compared to the non-pregnant group and to the normal pregnant may be explained by hemodilution; whereas further decrease was due to pre-eclampsia. ALT and AST are strong prognostic indicators of pre-eclampsia

Covering Materials Incorporating Radiation-Preventing Techniques to Meet Greenhouse Cooling Challenges in Arid Regions: A Review

Cooling greenhouses is essential to provide a suitable environment for plant growth in arid regions characterized by brackish water resources. However, using conventional cooling methods are facing many challenges. Filtering out near infra-red radiation (NIR) at the greenhouse cover can significantly reduce the heating load and can solve the overheating problem of the greenhouse air. This paper is to review (i) the problems of using conventional cooling methods and (ii) the advantages of greenhouse covers that incorporate NIR reflectors. This survey focuses on how the cover type affects the transmittance of photosynthetically active radiation (PAR), the reflectance or absorptance of NIR and the greenhouse air temperature. NIR-reflecting plastic films seem to be the most suitable, low cost and simple cover for greenhouses under arid conditions. Therefore, this review discusses how various additives should be incorporated in plastic film to increase its mechanical properties, durability and ability to stand up to extremely harsh weather. Presently, NIR-reflecting covers are able to reduce greenhouse air temperature by no more than 5°C. This reduction is not enough in regions where the ambient temperature may exceed 45°C in summer. There is a need to develop improved NIR-reflecting plastic film covers

Design and implementation home security system and monitoring by using wireless sensor networks WSN/internet of things IOT

The dramatic advancments on communication and networking technologies have led to the emergence of Internet-of-Things (IoT). IoT technology has opened the door for various applications. In particular, the home automation was one of the common applications that took the advantage of IoT. Several research efforts have addressed the home automation system using IoT covering wide range of functionalities. One of the concerning tasks is providing a secure system that can give alarms for suspicious activities within the house. This paper presents a secure house system based on IoT where several activities are being sensed and detected. Specifically, gas, humidity, body temperature and motion have been considered within the sensing based on two main types of micro-controller including Arduino and Raspberry Pi. Consequentially, an Android prototype has bene developed in order to give an interactive interface for warning the house owner regarding any suscpicious activities. Results of simulation demonstrated the efficancy of the proposed syste

Prediction of Voltage Sag Relative Location with Data-Driven Algorithms in Distribution Grid

Power quality (PQ) problems, including voltage sag, flicker, and harmonics, are the main concerns for the grid operator. Among these disturbances, voltage sag, which affects the sensitive loads in the interconnected system, is a crucial problem in the transmission and distribution systems. The determination of the voltage sag relative location as a downstream (DS) and upstream (US) is an important issue that should be considered when mitigating the sag problem. Therefore, this paper proposes a novel approach to determine the voltage sag relative location based on voltage sag event records of the power quality monitoring system (PQMS) in the real distribution system. By this method, the relative location of voltage sag is defined by Gaussian naive Bayes (Gaussian NB) and K-nearest neighbors (K-NN) algorithms. The proposed methods are compared with support vector machine (SVM) and artificial neural network (ANN). The results indicate that K-NN and Gaussian NB algorithms define the relative location of a voltage sag with 98.75% and 97.34% accuracy, respectively

A framework of a route optimization scheme for nested mobile network

Network mobility technology is now being accomplished with the foundation of NEMO (NEtwork MObility), developed by Internet Engineering Task Force (IETF). Although, it achieves optimal and continuous communication, it still suffers from some limitations, especially when the level of nesting increases. To overcome these drawbacks, this paper will present a route optimization framework for nested mobile network using hierarchical structure with Binding Update Tree (BUT). This framework should reduce packet overhead, handoff latency, packet transmission delay, and achieve optimal routing. At last, a comparison will be done with bi-directional tunneling used by NEMO Basic Support to evaluate the performance of the proposed framework

Early Clinical Outcomes of Surgical Management following Vacuum-Assisted Closure in Poststernotomy Mediastinitis

Background: Poststernotomy mediastinitis, commonly called deep sternal wound infection (DSWI), is a highly concerning complication that can occur in individuals who have undergone cardiac surgery. The optimal way for management is still not well established; antibiotics and frequent debridement followed by surgical closure are the mainstay for better outcomes. Objectives: To assess the outcome of early surgical debridement vacuum-assisted closure (VAC) for the management of mediastinitis following cardiac surgery. Patients and methods: This prospective study, including 32 patients with DSWI, was performed at Menoufia University Hospital between March 2021 and October 2023. All patients were managed using VAC of the wound for 5–7 days, followed by surgical closure. Results: A total of 32 patients presented with DSWI after elective (87.5%) and emergent (12.5%) cardiac surgery. There were 18 male patients and 14 female patients, with ages ranging from 38 to 74. VAC was used for 5–7 days after surgical debridement, and then surgical closure was done directly (18.8%) or using pectoral (56.2%) or omental flap (25%). Conclusion: Our study supported VAC therapy as a safe and effective management for DSWI. VAC decreased the mean hospital stay, wound size, and reinfection rate

A comparative study between coblation and bipolar electrocautery tonsillectomy in children

Background and objective: Tonsillectomy with or without adenoidectomy is an operation done frequently in all otolaryngology departments all over the world. Many new surgical techniques found over the last few decades to decrease the morbidity of this surgery. This study aimed to compare intraoperative efficiency and postoperative recovery between coblation and bipolar electrocautery tonsillectomy. Methods: This prospective study was carried out on 60 patients that underwent tonsillectomy over six months from 1(st) August 2014 to 31(st) January 2015 in Rizgary Teaching Hospital, Erbil city. They patients equally divided into two groups; coblation tonsillectomy (30 patients) and bipolar electrocautery tonsillectomy (30 patients). Their age ranged between 2.5-12 years. The operative time and intraoperative blood loss were recorded for each patient and compared. The parents were given a pain diary to record the level of pain each morning for ten days. Also, they were asked to report any complication like bleeding. Results: There was no statistically significant difference in the mean operation time between the coblation group and bipolar electrocautery group (6.89 min vs. 7.83 min, P = 0.11). The mean intraoperative blood loss was statistically lower for the bipolar electrocautery group versus the coblation group (1.43 ml vs. 15.37 ml, P <0.001). There was a statistically significant difference in the daily pain scores between the two groups in which the coblation group was associated with lower mean pain score. No episodes of primary or secondary hemorrhage were recorded. Conclusion: Bipolar electrocautery tonsillectomy offers the same operative speed, less intraoperative blood loss, more postoperative pain scores when compared with coblation tonsillectomy

Modelling outcomes after paediatric brain injury with admission laboratory values: a machine-learning approach.

BACKGROUND: Severe traumatic brain injury (TBI) is a leading cause of mortality in children, but the accurate prediction of outcomes at the point of admission remains very challenging. Admission laboratory results are a promising potential source of prognostic data, but have not been widely explored in paediatric cohorts. Herein, we use machine-learning methods to analyse 14 different serum parameters together and develop a prognostic model to predict 6-month outcomes in children with severe TBI. METHODS: A retrospective review of patients admitted to Cambridge University Hospital's Paediatric Intensive Care Unit between 2009 and 2013 with a TBI. The data for 14 admission serum parameters were recorded. Logistic regression and a support vector machine (SVM) were trained with these data against dichotimised outcomes from the recorded 6-month Glasgow Outcome Scale. RESULTS: Ninety-four patients were identified. Admission levels of lactate, H+, and glucose were identified as being the most informative of 6-month outcomes. Four different models were produced. The SVM using just the three most informative parameters was the best able to predict favourable outcomes at 6 months (sensitivity = 80%, specificity = 99%). CONCLUSIONS: Our results demonstrate the potential for highly accurate outcome prediction after severe paediatric TBI using admission laboratory data