Quality of care, loss to follow-up and mortality among paediatric and adolescent HIV patients on antiretroviral therapy in Abuja, Nigeria: a 15-year retrospective review

Background: Loss to follow up, and mortality still remains very high among HIV positive children and adolescents in many under privileged settings, in spite of massive scale up of anti-retroviral treatment. We assessed the quality of care using 7-point indicators, loss to follow up, and mortality among HIV positive children and adolescents in our health institution.Method: A 15-year (2006 to 2020) retrospective review was conducted among HIV positive children who assessed care in paediatric out-patient special treatment clinic of our tertiary health institution in Nigeria for above objective.Results: Of the 563 subjects initiated on antiretroviral therapy, 349 (62.0%) still remained on treatment. There were 285 (50.6%) males, highest enrollment 280 (49.7%) was at 2006-2010, most 192 (34.1%) were 0-24 months of age, 244 (43.3%) were under-weight, and 176 (31.3%) had severe immune suppression at enrollment. Sixty-eight (12.1%) were lost to follow-up, mortality was 14 (2.5%), 103 (18.3.1%), and 25 (4.4%) were transferred to adult clinic, and to other centers. While over 85% had a high-quality indicator score of 458 (81.4%), with significant difference between the male and female (x2=8.56, p=0.003,), only 231 (66.2%) had adequate viral suppression of 0.001 with multivariate analysis.Conclusions: Though the study recorded high quality score services to HIV positive children and adolescents in our center, loss to follow-up, and mortality was however high. More is needed to be done to improve the viral load suppression among our clients

Ex-ante Evaluation of Cassava Research for Development in Malawi: A Farm Household and Random Utility Modeling Approach

Ex ante evaluation of agricultural research for development projects has become important in recent years for priority setting, ex post impact assessment and learning about generalizability to other populations and contexts. We apply farm household and random utility modeling to baseline survey data and evaluate the impact of a cassava research for development project in Malawi prior to its implementation. The project is being implemented to unlock the potential of cassava in response to the global food crisis. We find that a high proportion of farm households are not self-sufficient in food production and can be assisted by increasing the productivity of land and labor in production, processing and marketing of cassava to reduce deficits and increase marketed surplus. The research for development embeds research in an innovation systems network and speeds up exposure, awareness, adoption and diffusion. This increases the likelihood that incremental benefits will be generated and accrue earlier compared to the counterfactual without the project.Resource /Energy Economics and Policy,

Building Successful Campus and Field Faculty Teams

This article discusses how to build successful campus and field faculty teams in order to meet the Land-Grant research and outreach mission more effectively. Data was collected through individual interviews, telephone surveys, and focus group discussions. Differences between campus and field faculty with regards to their respective work environments were noted, including supervision, appointment, evaluation, publication, promotion and tenure, scholarly pursuit, and funding. Improved campus and field faculty interaction can be achieved if all faculty take initiative in identifying mutually beneficial work and are diligent in creating a body of work that is recognized in both the field- and campus-based cultures

Expanding the application of cassava value chain technologies through UPoCA project

Root and Tuber . IITA TechnologiesCassava has long been expected to play a key role in rural economic growth in Africa, but are we there yet? Although research partnerships have produced elite cassava varieties with 50% more yielding potential and demonstrated technologies to boost processing and marketing of cassava, the sub-sector is constrained by low productivity and marketing dificulties. In DR Congo, Ghana, Malawi and Sierra Leone, for example, cassava value chain actors are yet to respond to 2007 estimated $59 million trade opportunities through substitution of imported wheat lour with locally produced high quality cassava lour. Industrial pull for cassava would also aggravate hunger and poverty if yields do not increase from current national averages of 5 to 19t/ha to more than 25t/ha expected of released varieties under low input agriculture. In 2008, USAID and IITA initiated the project “Unleashing the Power of Cassava in Response to Food Price Crisis (UPOCA) as a multi-country and inter-institutional partnership enabling cassava sub-sectors to realize their full potential in rural economies. UPoCA project covers DR Congo, Ghana, Malawi, Mozambique, Nigeria, Sierra Leone, and Tanzania. UPoCA project draws on prior research results to increase on-farm cassava productivity and value adding processing for markets. By end 2009, small holder beneiciaries associated with 55 partner organizations and 11 agricultural related irms established 306 community cassava stem multiplication sites and root production farms totalling 10,097ha with 58 improved varieties. Through experiential learning at 24 hands-on short-term courses, 345 men and 142 women learnt improved techniques in cassava production, processing, product development, and packaging/labelling and 8 technologies were introduced to rural communities. Seven other papers in this symposium, based on these evolving UPoCA achievements, show that a longer-term cassava research for development partnership platform of this nature will enable cassava sub-sectors to contribute signiicantly to rural economic growth in Africa

Cassava, plantain and moringa grown in an Alfisol and their resilience to bush fire in eastern Nigeria

Research on the resistance of cassava to fire is scarce because ordinarily researchers would not set their cassava farms on fire for such evaluation. Stems rendered useless by fire were commonly reported by farmers but no information on root yields and shoot regeneration. This study compared the superiority of two improved International Institute of Tropical Agriculture (IITA) cassava varieties (“Yellow root” and “Agric”) over plantain and moringa in a cassava + plantain + moringa intercropping arranged in a randomized complete block design at the University of Nigeria, Nsukka, Research Farm. The original aim was to compare the performances of the crops in the mixture. It was set on fire by unknown persons in early February 2018. Crop growth data were collected after six months. Less than 5% and 4% of plantain and moringa stands regenerated respectively. The stands appeared impoverished. More than 90% of both cassava varieties regenerated stems suitable for use as cuttings. Average fresh root yield obtained was 18.5 t ha-1 with ˜ 95% marketable and only < 5% rotten. The “Yellow root” gave significantly higher starch content (30.9 vs 19.7%) than “Agric”. The root: shoot ratio (3.35 vs 5.28), fresh root weight (22.5 vs 14.5 t h1) and marketable root weight (21.61 vs 13.72 t ha1) for both varieties were statistically similar. This evaluation confirmed cassava as a better food security crop than plantain and more resilient to fire than both plantain and moringa. The two IITA improved varieties proved to be equally resilient to bush fire

Financial Deepening and Sustained Economic Growth in Nigeria: What Nonlinear Models Reveal

Motivated by the desire to expose a possible nonlinearity and non-proportionality in linking financial deepening and economic growth, we investigated the finance-growth nexus from a linear and nonlinear perspective using dataset from Nigeria for 1981: Q1 to 2017: Q4. Using the Autoregressive Distributed Lag (ARDL) and Nonlinear Autoregressive distributed Lag (NARDL) models, and it was found that economic growth tends to adjust nonlinearly to financial deepening than it does linearly. This is expected to guide policy makers towards ensuring that the linearity and nonlinearity polarity of the finance-growth nexus are always factored-in while formulating policies relative to driving sustained growth through financial deepening

Multiple uterine fibroids in an 18-year-old: a case report and review of literature

Uterine fibroids are benign monoclonal neoplasms arising from smooth muscle cells in the uterine wall. They are common&nbsp; gynaecological tumours in women of reproductive age, but, a rare occurrence in adolescence. We present a case of a Nigerian 18-year-old undergraduate with abnormal uterine bleeding and abdominal swelling with a clinical diagnosis of uterine fibroids. She had an open abdominal myomectomy. Histology confirmed uterine fibroids. There is need for medical practitioners to consider this condition as a differential diagnosis especially among this group of women albeit a rare occurrence. Keywords: uterine fibroid, gynaecological tumours, reproductive age, myomectomy, Nigeri

Tooth brushing, tongue cleaning and snacking behaviour of dental technology and therapist students

Objective: To determine the tooth brushing, tongue cleaning and snacking behaviour of dental technology and therapist students. Methods: A descriptive cross-sectional study of students of Federal School of Dental Therapy and Technology Enugu, Nigeria. Self-administered questionnaire was used to obtain information on demography, frequency, duration and technique of tooth brushing and tongue cleaning as well as information on consumption of snacks. Results: A total of 242 students responded. Dental technology students made up 52.5% of the respondents and dental therapist in training made up 47.5%. Majority (63.2%) of the respondents considered the strength of tooth brush when purchasing a tooth brush and 78.9% use tooth brushes with medium strength. Sevententh (71.9%) of the respondents brush their teeth twice daily and 52.1% brush for 3-5 minutes. About onethird (30.2%) brush their teeth in front of a mirror. Chewing stick was used by 51.7% of respondents in addition to the use of tooth brush. Tongue cleaning was done by 94.2% with only 9.5% using a tongue cleaner. Only 20.2% reported regular snacks consumption. Nine-tenth (90.4%) of respondents were previously involved in educating others, apart from their colleagues, on tooth brushing. Conclusion: This survey revealed that most of the dental therapy and technology students had satisfactory tooth-brushing behaviour. The zeal to educate others about proper tooth brushing revealed in this study suggests that the students may be helpful in oral health promotion.Keywords: toothbrushing; tongue cleaning; snacking behaviour; dental auxiliary students; Nigeri

Proton Therapy for Head and Neck Adenoid Cystic Carcinoma: Initial Clinical Outcomes

Background The purpose of this study was to report outcomes of proton therapy in head and neck adenoid cystic carcinoma. Methods We conducted a retrospective analysis of 26 patients treated between 2004 and 2012. Twenty patients (77%) had base of skull involvement; 19 (73%) were treated for initial disease and 7 (27%) for recurrent disease. Twenty patients were treated postoperatively, 6 after biopsy alone and 24 had positive margins or gross residual disease. Median dose delivered was 72 Gy (relative biological effectiveness [RBE]). Results Median follow-up was 25 months (range, 7–50 months). The 2-year overall survival was 93% for initial disease course and 57% for recurrent disease (p = .19). The 2-year local control was 95% for initial disease and 86% for recurrent disease (p = .48). The 2-year distant metastatic rate was 25%. Late toxicity of grade 0 or 1 was seen in 17 patients, grade 2 in 5, grade 3 in 2, grade 4 in 1, and grade 5 in 1. Conclusion Initial outcomes of proton therapy are encouraging. Longer follow-up is required