Farmers Adoption Scenarios for the Control of Cassava Mosaic Disease under the Cassava Enterprise Development Project in Enugu State, Nigeria

This study determined farmers’ adoption levels of the cassava varieties and value adding technologies introduced under the project. Data for the study were collected from 260 randomly selected respondents using interview schedule. Farmers’ adoption indices were used to summarize information on adoption levels, while exploratory factor analysis procedure using principal factor model with varimax rotation was used in grouping the major constraint factors to adoption. Results showed that farmers were still at the interest stage of the adoption of the cassava mosaic disease (CMD) resistant varieties ( ̅=2.44), cassava processing innovations ( ̅=2.32), and improved marketing methods ( ̅=2.25). Farmers were at the evaluation stage in the adoption of agronomic practices ( ̅= 3.27) while, processors were at the evaluation stage in both processing and improved marketing innovations ( ̅= 3.43 and 3.12 respectively). However, they were at interest stage ( ̅= 2.84) in the adoption of the value adding technologies. Public and private extension agencies should therefore be encouraged to continue the extension service delivery of the CEDP innovations for greater proportion of cassava farmers to adopt the new varieties for sustainable production of cassava in the country.Keywords: Improved cassava variety, Cassava mosaic disease, Cassava enterprise development projec

Transactional Sex in Nigerian Universities among Female Students: Drivers and Safety Concerns

Freedom away from parents and guardians for students in higher institutions could have effects on their sexual decisions and behaviours, which when not guided could portend devastating consequences. Such a decision could lead to indulging in transactional sex (TS), a kind of sexual relationship that is adopted in exchange for material and non-material benefits. In this study, we underscored why female students are involved in TS in some Nigerian universities and offer potential remedies that could mitigate or prevent associated negative consequences. The study relied on a qualitative research methodology, adopting in-depth interviews to source data from 40 female students across 5 universities in southeastern Nigeria. Data were analysed in thematic categories that reflected the research questions. Family pressure/parental disconnectedness, gender, peer influence, poor economic background, greed, etc., influenced TS involvement. We also identified some psychosocial and health risks associated with TS. The roles of social service professionals were found to be of much importance, although the universities that were studied barely employed and/or utilised their services

SONOGRAPHIC REFERENCE LUMINAL DIAMETER OF THE ABDOMINAL AORTA AMONG SUBJECTS IN NIGERIA

Objective: The objective of the study was to develop a reference luminal diameter (LD) of the abdominal aorta (AA) in Abuja, Nigeria. Methods: The LD of the AA of 422 male and female healthy subjects was measured sonographically using standard protocol. The relationship between age, body mass index (BMI), gender, and the LD of the AA was determined in the subjects. Statistical analysis was performed by the Student’s t-test and Pearson’s correlation coefficient at p < 0.05 level of significance. Results: The values of the LD of the AA in the healthy subjects were 15.16 ± 0.55 mm in males and 15.15 ± 0.55 mm in females. The 5th and 95th percentile normal reference limits of the AA were 14.20–16.10 mm, respectively. There were no significant differences in the LD measurements in male and female subjects. Age correlated strongly positively with LD (ɼ=0.90) of the AA in both genders. BMI showed weak positive correlation with LD (ɼ=0.136) of the AA in female healthy subjects only. Conclusion: The reference LD of the AA in the study population was 15.16 ± 0.55 mm in males and 15.15 ± 0.55 mm in females. The LD of the AA increased proportionately with age

Tertiary Institutions’ Social Health Insurance Program:Awareness, knowledge, and utilization for dental treatment among students of a Nigerian University

Background: Awareness and knowledge can play key roles in influencing the utilization of health insurance programs in Nigeria.Objectives: This study aims to investigate the awareness and use of the Tertiary Institutions/Voluntary Participant Social Health Insurance Program (TISHIP) for undergraduate dental services.Materials and Methods: A cross-sectional descriptive study was conducted in the Enugu Campus of the University of Nigeria and the study population comprised full-time undergraduate students of the institution with a total sample size of 400.Results: Majority (66.7%) of the respondents were aware of the TISHIP, but 37% were aware that it covered dental treatments, and 16.1% had received dental treatment under TISHIP. Fifty point eight percent (50.8%) of the respondents were not registered under the insurance program. The reason respondents had not registered was because majority (49.7%) were not aware of the compulsory registration into the scheme. Respondents agreed that TISHIP would promote equity in healthcare delivery (57.5%), promote improved health facilities (39.4%), and 52.5% were willing to participate in the scheme while 47.9% were undecided on whether TISHIP was worth the financial contribution. Presumed high cost of dental treatment (51.9%) and non-availability of materials for dental treatment at dental facilities (50.8%) were factors that affected the utilization of TISHIP (P < 0.05).Conclusion: Despite the positive effect of TISHIP in cushioning the cost of dental care, utilization is poor, thus there is a need to scale up awareness among the students’ population

Liana communities exhibit different species composition, diversity and community structure across forest types in the Congo Basin

Lianas are poorly characterized for central African forests. We quantify variation in liana composition, diversity and community structure in different forest types in the Yangambi Man and Biosphere Reserve, Democratic Republic of Congo. These attributes of liana assemblages were examined in 12 1-ha plots, randomly demarcated within regrowth forest, old growth monodominant forest, old growth mixed forest and old growth edge forest. Using a combination of multivariate and univariate community analyses, we visualize the patterns of these liana assemblage attributes and/or test for their significant differences across forest types. The combined 12 1-ha area contains 2,638 lianas (>= 2 cm diameter) representing 105 species, 49 genera and 22 families. Liana species composition differed significantly across forest types. Taxonomic diversity was higher in old growth mixed forests compared to old growth monodominant and regrowth forests. Trait diversity was higher than expected in the regrowth forest as opposed to the rest of forest types. Similarly, the regrowth forest differed from the rest of forest types in the pattern of liana species ecological traits and diameter frequency distribution. The regrowth forest was also less densely populated in lianas and had lower liana total basal area than the rest of forest types. We speculate that the mechanism of liana competitive exclusion by dominant tree species is mainly responsible for the lower liana species diversity in monodominant compared to mixed forests. We attribute variation in liana community structure between regrowth and old growth forests mostly to short development time of size hierarchies

Long-range and rapid transport of individual nano-objects by a hybrid electrothermoplasmonic nanotweezer

Plasmon-enhanced optical trapping is being actively studied to provide efficient manipulation of nanometre-sized objects. However, a long-standing issue with previously proposed solutions is how to controllably load the trap on-demand without relying on Brownian diffusion. Here, we show that the photo-induced heating of a nanoantenna in conjunction with an applied a.c. electric field can initiate rapid microscale fluid motion and particle transport with a velocity exceeding 10 μm s -1 , which is over two orders of magnitude faster than previously predicted. Our electrothermoplasmonic device enables on-demand long-range and rapid delivery of single nano-objects to specific plasmonic nanoantennas, where they can be trapped and even locked in place. We also present a physical model that elucidates the role of both heat-induced fluidic motion and plasmonic field enhancement in the plasmon-assisted optical trapping process. Finally, by applying a d.c. field or low-frequency a.c. field (below 10 Hz) while the particle is held in the trap by the gradient force, the trapped nano-objects can be immobilized into plasmonic hotspots, thereby providing the potential for effective low-power nanomanufacturing on-chip

Asymmetric response of forest and grassy biomes to climate variability across the African Humid Period : influenced by anthropogenic disturbance?

A comprehensive understanding of the relationship between land cover, climate change and disturbance dynamics is needed to inform scenarios of vegetation change on the African continent. Although significant advances have been made, large uncertainties exist in projections of future biodiversity and ecosystem change for the world's largest tropical landmass. To better illustrate the effects of climate–disturbance–ecosystem interactions on continental‐scale vegetation change, we apply a novel statistical multivariate envelope approach to subfossil pollen data and climate model outputs (TraCE‐21ka). We target paleoenvironmental records across continental Africa, from the African Humid Period (AHP: ca 14 700–5500 yr BP) – an interval of spatially and temporally variable hydroclimatic conditions – until recent times, to improve our understanding of overarching vegetation trends and to compare changes between forest and grassy biomes (savanna and grassland). Our results suggest that although climate variability was the dominant driver of change, forest and grassy biomes responded asymmetrically: 1) the climatic envelope of grassy biomes expanded, or persisted in increasingly diverse climatic conditions, during the second half of the AHP whilst that of forest did not; 2) forest retreat occurred much more slowly during the mid to late Holocene compared to the early AHP forest expansion; and 3) as forest and grassy biomes diverged during the second half of the AHP, their ecological relationship (envelope overlap) fundamentally changed. Based on these asymmetries and associated changes in human land use, we propose and discuss three hypotheses about the influence of anthropogenic disturbance on continental‐scale vegetation change

Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy

Inhaled corticosteroids (ICSs) are the most effective anti-inflammatory agents available for the treatment of asthma and represent the mainstay of therapy for most patients with the disease. Although these medications are considered safe at low-to-moderate doses, safety concerns with prolonged use of high ICS doses remain; among these concerns is the risk of adrenal suppression (AS). AS is a condition characterized by the inability to produce adequate amounts of the glucocorticoid, cortisol, which is critical during periods of physiological stress. It is a proven, yet under-recognized, complication of most forms of glucocorticoid therapy that can persist for up to 1 year after cessation of corticosteroid treatment. If left unnoticed, AS can lead to significant morbidity and even mortality. More than 60 recent cases of AS have been described in the literature and almost all cases have involved children being treated with ≥500 μg/day of fluticasone

Value of hospital antimicrobial stewardship programs [ASPs]:a systematic review

Abstract Background Hospital antimicrobial stewardship programs (ASPs) aim to promote judicious use of antimicrobials to combat antimicrobial resistance. For ASPs to be developed, adopted, and implemented, an economic value assessment is essential. Few studies demonstrate the cost-effectiveness of ASPs. This systematic review aimed to evaluate the economic and clinical impact of ASPs. Methods An update to the Dik et al. systematic review (2000–2014) was conducted on EMBASE and Medline using PRISMA guidelines. The updated search was limited to primary research studies in English (30 September 2014–31 December 2017) that evaluated patient and/or economic outcomes after implementation of hospital ASPs including length of stay (LOS), antimicrobial use, and total (including operational and implementation) costs. Results One hundred forty-six studies meeting inclusion criteria were included. The majority of these studies were conducted within the last 5 years in North America (49%), Europe (25%), and Asia (14%), with few studies conducted in Africa (3%), South America (3%), and Australia (3%). Most studies were conducted in hospitals with 500–1000 beds and evaluated LOS and change in antibiotic expenditure, the majority of which showed a decrease in LOS (85%) and antibiotic expenditure (92%). The mean cost-savings varied by hospital size and region after implementation of ASPs. Average cost savings in US studies were $732 per patient (range:$2.50 to $2640), with similar trends exhibited in European studies. The key driver of cost savings was from reduction in LOS. Savings were higher among hospitals with comprehensive ASPs which included therapy review and antibiotic restrictions. Conclusions Our data indicates that hospital ASPs have significant value with beneficial clinical and economic impacts. More robust published data is required in terms of implementation, LOS, and overall costs so that decision-makers can make a stronger case for investing in ASPs, considering competing priorities. Such data on ASPs in lower- and middle-income countries is limited and requires urgent attention