CONTROL OF PARTICULATE MATTER (PM) EMISSIONS FROM INDUSTRIAL PLANT USING ANFIS BASED CONTROLLER

In recent times, the negative effect of air pollution such as particulate matter (PM) emitted from industrial plants has compelled researchers in finding efficient control system to control such pollutants in order to keep the environment safe. The aim of this study is to develop a reliable method of controlling the emissions of PM using wet scrubber system as a control device. The process of a wet scrubber is nonlinear in nature. Due to difficulty in selecting optimum scrubbing liquid droplet size in wet scrubbing process, the system becomes complex. Thus, Adaptive Neuro Fuzzy Inference System (ANFIS) based control technique is employed in this paper to handle the nonlinearities. ANFIS control technique has the advantage to integrate fuzzy logic systems and learning ability of neural network, thus able to handle nonlinear systems better. The controller is developed using data of PM emission from cement kiln. The system is simulated using triangular and trapezoidal membership function (MF) with 2 and 3 input MF in each case. The performance of the controller is evaluated based on settling time. The results indicated that the developed controller was able to maintain the PM emission below a set point of 20µg/m3 which is the maximum allowable PM emission limit recommended by world health organization (WHO). The controller with 2 input triangular membership functions indicated a better performance with a settling time of 5.2 seconds

Fuzzy logic based intelligent temperature controller for cassava post-harvest storage system

Significant amount of stored agricultural products are lost as a result of poor and inefficient storage systems in most developing countries, especially in tropical regions of the world. Improvements on the existing storage methods is important to guarantee food security. This study proposes the development of intelligent temperature control technique for fresh cassava roots crop post-harvest storage system using fuzzy logic controller (FLC). The intelligent controller which has two inputs (error in temperature and rate of change in the error) and one output (change in fan speed) was simulated with the developed storage system model for temperature control of fresh cassava roots crop. The results obtained shows that the controller can track appropriately the reference temperature and also gives good stability and robustness towards input disturbances. Faster response to maintain the storage temperature within acceptable limit close to reference point was also achieved successfully

Fuzzy Logic Controller (FLC) for the control of Particulate Matter (PM) emission in wet scrubber system

Air pollution such as particulate matter (PM) emitted from industries result in several thousands of deaths. In recognition of this global threat, a large number of abatement measures have been taken to minimize the emission of this pollutant. Wet scrubber system has been the most widely used control device for PM contaminants. Its operating variables (gas velocity, temperature profile, particle size, liquid droplet’s size, terminal settling velocity of liquid droplets, particle density and liquid to gas ratio) fluctuates randomly, thus resulting in a non-linear dynamic behavior of the system. This non-linearity generally limits the ability of the scrubber to control PM less than 5µm in diameter. Thus, in this study, intelligent control technique based on fuzzy logic controller (FLC) has been developed to solve the non-linearity in the system by selecting appropriate scrubbing liquid droplet size in order to improve system performance to control PM that are less than 5µm in diameter. The developed FLC has two inputs (error and change in error) and a single output. The results shows that within short settling time, the controller was able to effectively reduce the PM that are less than 5µm below the set-point (20µg/m3) which is the maximum allowable emission limit of PM contaminants by world health organization (WHO)

Crohn's disease with Pyoderma gangrenosum in a patient in northern Nigeria: A case report

Background: Crohn's disease is a major form of inflammatory bowel disease that can present with extra-intestinal manifestations. We report a case of Crohn's disease with pyodermagangrenosum in a Nigerian patient. The report is to alert physicians in our setting on the occurrence of this rare presentation.Case presentation: The patient presented with chronic bloody and mucoiddiarrhoea with associated weight loss and fever of one-year duration. There was also history of mouth rashes, anal pain and itching. One month prior to presentation, he developed leg ulcer. Colonoscopy showed multiple ulcerations with normal intervening mucosa. Colonic mucosal histology showed focal area of ulceration with extensive inflammatory infiltrate in the lamina propia and submucosa. The patient's symptoms improved after the commencement of sulfasalazine.Conclusion: Crohn's disease should be suspected in a patient with chronic leg ulcer

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Predictors of pediatric HIV disclosure among caregivers of HIV positive children attending special treatment clinic in Dalhatu Araf Specialist Hospital, Lafia, Nigeria

Background: HIV‑infected children now live longer due to the availability of HIV counseling, testing, and treatment with highly active antiretroviral treatment (HAART). Efforts to help these children to know about the HIV infection and their status are important steps toward long‑term disease management. This study was conducted to determine the factors associated with pediatric HIV disclosure among caregivers of children attending Special Treatment Clinic at Dalhatu Araf Specialist Hospital, Lafia. Methods: This was a descriptivecross‑sectional study conducted among 160 caregivers of children attending the Special Treatment Clinic (STC) at DASH, Lafia, selected by systematic random sampling technique. Interviewer administered structured questionnaire was used to collect data, while bivariate and multivariate analyses were done with the Epi Info version 7. Results: Pediatric HIV disclosure rate in this study was 33.8%. The mean age at pediatric HIV disclosure was 9.85 ± 1.86 years. The independent predictors for pediatric HIV disclosure following logistic regression were child’s age, 10–14 years (AOR = 4.46; 95%CI 1.47–13.61), child knowledge of caregivers’ HIV status (AOR = 51.18; 95%CI 13.40–195.66), and caregivers’ age ≥40 years (AOR = 3.58; 95%CI 1.25–11.74). Conclusions: The pediatric HIV disclosure was low in this study due to the caregivers’ and their wards’ factors. Health care workers need to intensify health education on the benefit of pediatric HIV disclosure at the STC clinic.&nbsp

Fuzzy logic based intelligent temperature controller for cassava post-harvest storage system

Significant amount of stored agricultural products are lost as a result of poor and inefficient storage systems in most developing countries, especially in tropical regions of the world. Improvements on the existing storage methods is important to guarantee food security. This study proposes the development of intelligent temperature control technique for fresh cassava roots crop post-harvest storage system using fuzzy logic controller (FLC). The intelligent controller which has two inputs (error in temperature and rate of change in the error) and one output (change in fan speed) was simulated with the developed storage system model for temperature control of fresh cassava roots crop. The results obtained shows that the controller can track appropriately the reference temperature and also gives good stability and robustness towards input disturbances. Faster response to maintain the storage temperature within acceptable limit close to reference point was also achieved successfully

Determinants of client satisfaction with family planning services in government health facilities in Sokoto, Northern Nigeria

Introduction: Satisfaction evaluation is an excellent opportunity to involve clients in the process of assessing programs from users′ perspective and is recognized as a component of quality of care. This study aimed to identify determinants of client satisfaction with the family planning (FP) services provided in government health facilities in Sokoto metropolis. Materials and Methods: A descriptive cross-sectional study was conducted among FP clients that patronized the FP commodity delivery point in selected health facility in Sokoto, Northern Nigeria. A multi-stage sampling technique was used to select the study respondents. List of the clients that attended each clinic was compiled and used as a sampling frame. A set of pretested exit interviewer-administered questionnaire was used to collect data from the clients. Ethical approval was granted for the conduct of the study, and individual informed consent was obtained from each client. Thereafter, the exit questionnaire was administered. Results: All the respondents were females and those aged 25-29 years constituted a larger proportion of 26%. Overall mean age was 30.8 ± 7.0 years. Large proportion (85%) expressed satisfaction with FP services provided. About 49% of the respondents reported waiting for 30 min before being attended to by service providers while 13% waited for more than 2 h. Average waiting time was 60.3 ± 21.3 min with clients mean desired waiting time of 35.2 ± 11.1 min. Clinic waiting time, being examined during the visit, and attitude of both service providers and other clinic staffs were found to be the key determinants of client satisfaction. Conclusion: Although, most of the clients waited for more than 30 min, majority were satisfied with the services offered. There is a need to reduce waiting time of FP clients at the clinic and ensure clients are appropriately examined

The Response of Nigerian Government to COVID-19: Patient Management and Diagnosis – A Mini-Review

A series of pneumonia cases of unknown cause has emerged in Wuhan, Hubei, China, in December 2019 with clinical manifestation highly related to pneumonia. Analysis of the respiratory tract sample of the infected patients by deep sequencing revealed a coronavirus named 2019 novel coronavirus (2019-nCoV), which is relatively considered as a deadly severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Coronaviruses are positive RNA viruses, non-segmented assigned to the family of Coronaviridae, and the order Nidovirales. They are widely distributed in humans and other mammals. Although coronavirus infection is mild, beta coronaviruses (SARS-CoV-2, MERS-CoV-2, and SARS-CoV) epidemic and pandemic have claimed the lives of people all over the world in the past two decades and presently. There is a scarcity of information on COVID-19 in Nigeria, there are less published information on how physicians are managing COVID-19, SARS-CoV-2 diagnosis, and its success and challenge. This research reviewed the current COVID-19 diagnostic techniques used in Nigeria, drugs used in patient management, and general management adopted by physicians. RT-qPCR is the standard diagnostic technique recommended by NCDC, while patient management is basically using a drug such as Lopinavirritonavir and vitamins. However serological tests can be used for supportive information. Hence, PCR-based diagnostic technique is adopted in Nigeria to test for COVID-19, but information about the challenge and success of using PCR in COVID-19 diagnosis is not available which is a new area of research