EFFECT OF POST-WELD HEAT TREATMENT ON THE MICROSTRUCTURE AND MECHANICAL PROPERTIES OF ARC WELDED MEDIUM CARBON STEEL

Effect of post- weld heat treatment on the microstructure and mechanical properties of arc welded medium carbon steel was investigated. Medium carbon steel samples were butt- welded by using the shielded metal arc welding technique and, thereafter, heat treated by annealing, normalising and quench hardening in water. The microstructure of the as- welded and post- weld heated samples was characterised by means of optical microscopy while the hardness, toughness and tensile properties of the samples were determined by using Indentec universal hardness testing machine, Izod impact testing machine and Denison tensile testing machine respectively. The results of the optical microscopic test show that fine grains of pearlite in ferrite were obtained in normalized samples and martensite was also observed in quenched samples. On the other hand, mechanical property tests indicated that normalized welded specimens gave good combination of mechanical properties. http://dx.doi.org/10.4314/njt.v35i2.1

Out-of-pocket health expenditure for under-five illnesses in a semi-urban community in Northern Nigeria

Background: Household expenditure on health is increasingly becoming a major source of health care financing in Nigeria. Recognizing the limitations of this pattern of financing health care, the government has introduced a social health insurance scheme policy that has provided for government meeting the health care costs of children. However, there is a dearth of information on the pattern and costs of under-five illnesses at community level. This study therefore sought to determine the magnitude and causes of illnesses among under-fives, sources of healthcare and out of pocket expenditure among children under-five in Layin Zomo, a semi-urban area of Northern Nigeria Methodology: A cross-sectional community-based descriptive study design was used to study a population of under-fives in the settlement. A 50% sample of all under-fives in the settlement was drawn using systematic sampling method. Information was sought from the mothers/caregivers on illness episodes in the three months preceding the study, place and cost of treatment among the 324 sampled population. Result: The findings showed that 26. 9% of the children had been ill within three months of the study with fever; cough and diarrhoea being the leading causes of illness. Majority of respondents, 41.7% sought treatment from patent medicine vendors. The median out of pocket expenditure on treatment per illness episode was 171 Naira ($1.2) and the estimated annual per capita out of pocket treatment cost per child was 255 Naira ($1.8). Conclusion: While the study has provided some data for computation of the out of pocket health expenditure for treatment of under-five illnesses, the poverty context within which such expenditures are incurred limits the utilization of such information to determine the premium rate for the proposed children under five programme under the National Health Insurance Scheme. Key Words: Healthcare; Out-of-pocket expenditure; Under-fives; Zaria Journal of Community Medicine & Primary Health Care Vol.16(1) 2004: 29-3

Isolates of Mycoplasma mycoides subspecies mycoides (SC) in small ruminants in Sahel zone of Nigeria and its implications on disease control

A study on the isolation of Mycoplasma mycoides subspecies mycoides (SC) in small ruminants and its implication on disease control was carried out in the Sahel zone of Nigeria. This was achieved by the examination of pneumonic lesions in apparently normal and affected lungs of sheep and goats slaughtered at Maiduguri municipal abattoir. A total of 400 lungs (200 each from sheep and goats) were examined at post-mortem (PM) for pneumonic lesions. Of this number, 50 (25%) sheep had pneumonic lungs, while almost double the number 89 (44.5%) of goats showed pneumonic lungs. The prevalence of pneumonic lungs in the sheep was higher amongst the females (34.3%) than the males (23%), while in the goats, the prevalence was higher in the males (48%) compared to the females (38.7%) examined. Seven different Mycoplasma species were isolated from both unaffected and affected lungs of sheep and goats. 42 isolates were obtained from 150 unaffected sheep samples, whilst 36 isolates were obtained from 50 affected sheep. Of the 111 unaffected and 89 affected caprine lung samples, a total of 55 and 66 Mycoplasma isolates were recovered respectively. The commonly occurring Mycoplasmas in both unaffected and affected lungs of sheep and goats were Mycoplasma ovipneumoniae (30%), Mycoplama mycoides subspecies capri (29.5%), Mycoplama mycoides subspecies mycoides SC (13.5%) and Mycoplasma capricolum (11.5%) with Mycobacterium bovis (1.5%) being the least isolated. To the best of the authors’ knowledge, this is the first report of the occurrence of Mycoplasma mycoides subspecies mycoides SC the causative agent of contagious bovine pleuropneumonia (CBPP) in cattle in small ruminants (sheep and goats) in Nigeria. Although the isolation rate of M. bovis was low in this study, its isolation in non-bovine ruminants is significant as it shows evidence of mycoplasma circulation between various animal species reared in close contact. These findings may pose serious impediments to the control of endemic CBPP in Nigeria.Key words: Isolates, Mycoplasma mycoides subspecies mycoides, sheep, goats, Nigeria

Studies on Serum Haemolytic Complement and Haematological Parameters in Apparently Healthy Dromedary Camels (Camelus Dromedarius) in Northern Nigeria

Studies on serum haemolytic compliment and haematological parameters in 330 apparently healthy dromedary camels (Camelus dromedarius) were conducted in northern, Nigeria. The survey was conducted in the abattoirs of three major northern cities of Maiduguri, Kano and Sokoto. The parameters measured using standard procedures were complement level via the classicalpathway (CH ), packed cell volume (PCV), red blood cell 50 (RBC) and white blood cell counts (WBC). Mean CH units in 50 the camels investigated was 360 ± 15.8. In addition, PCV 12 (32.9 ± 1.5), total RBC (10.2 x 10 /L ± 1.2) and WBC (7.2 x 109 ± 1.3) values were obtained. There was no significant(p>0.05) differences between sexes and ages in all the parameters studied. The result obtained can be used as preliminary data in the investigation of the role of complement and blood cells in some immune mediated parasitic, bacterial and viral diseases of the dromedary camel in the study area

Malaria and anemia prevention in pregnant women of rural Burkina Faso

BACKGROUND: Pregnant women are a major risk group for malaria in endemic areas. Only little information exists on the compliance of pregnant women with malaria and anaemia preventive drug regimens in the rural areas of sub-Saharan Africa (SSA). In this study, we collected information on malaria and anaemia prevention behaviour in pregnant women of rural Burkina Faso. METHODS: Cross-sectional qualitative and quantitative survey among 225 women of eight villages in rural northwestern Burkina Faso. Four of the villages had a health centre offering antenatal care (ANC) services while the other four were more than five kilometers away from a health centre. RESULTS: Overall ANC coverage (at least one visit) was 71% (95% in health centre villages vs 50% in remote villages). Malaria and anaemia were considered as the biggest problems during pregnancy in this community. ANC using women were quite satisfied with the quality of services, and compliance with malaria and anaemia prevention regimens (chloroquine and iron/folic acid) was high in this population. Knowledge on the benefit of bed nets and good nutrition was less prominent. Distance, lack of money and ignorance were the main reasons for women to not attend ANC services. CONCLUSIONS: There is an urgent need to improve access of rural SSA women to ANC services, either through increasing the number of rural health centres or establishing functioning outreach services. Moreover, alternative malaria and anaemia prevention programmes such as intermittent preventive treatment with effective antimalarials and the distribution of insecticide-treated bed nets need to become implemented on a large scale

Maternal deaths in Sagamu in the new millennium: a facility-based retrospective analysis

BACKGROUND: Health institutions need to contribute their quota towards the achievement of the Millennium Development Goal (MDG) with respect to maternal health. In order to do so, current data on maternal mortality is essential for careproviders and policy makers to appreciate the burden of the problem and understand how best to distribute resources. This study presents the magnitude and distribution of causes of maternal deaths at the beginning of the 21st century in a Nigerian referral hospital and derives recommendations to reduce its frequency. METHODS: A retrospective descriptive analysis of all cases of maternal deaths at Olabisi Onabanjo University Teaching Hospital, Sagamu, Southwest Nigeria between 1 January 2000 to 30 June 2005. RESULTS: There were 75 maternal deaths, 2509 live births and 2728 deliveries during the study period. Sixty-three (84.0%) of the deaths were direct maternal deaths while 12 (16.0%) were indirect maternal deaths. Major causes of deaths were hypertensive disorders in pregnancy (28.0%), haemorrhage (21.3%) and sepsis (20.0%). Overall, eclampsia was the leading cause of deaths singly accounting for 24.0% of all maternal deaths. Abortion and HIV-related mortality accounted for 1.3% and 4.0% of maternal deaths, respectively. The maternal mortality ratio of 2989.2 per 100,000 live births was significantly higher than that reported for 1988–1997 in the same institution. Up to 67/794 (8.4%) patients referred from other facilities died compared to 8/1934 (0.4%) booked patients (OR: 22.1; 95% CI: 10.2–50.1). Maternal death was more likely to follow operative deliveries than non-operative deliveries (27/545 vs 22/2161; OR: 5.07; 95% CI: 2.77–9.31). CONCLUSION: At the middle of the first decade of the new millennium, a large number of pregnant women receiving care in this centre continue to die from preventable causes of maternal death. Adoption of evidence-based protocol for the management of eclampsia and improvement in the quality of obstetric care for unbooked emergencies would go a long way to significantly reduce the frequency of maternal deaths in this institution

The outcome of trachomatous trichiasis surgery in Ethiopia: risk factors for recurrence.

BACKGROUND: Over 1.2 million people are blind from trachomatous trichiasis (TT). Lid rotation surgery is the mainstay of treatment, but recurrence rates can be high. We investigated the outcomes (recurrence rates and other complications) of posterior lamellar tarsal rotation (PLTR) surgery, one of the two most widely practised TT procedures in endemic settings. METHODOLOGY/PRINCIPAL FINDINGS: We conducted a two-year follow-up study of 1300 participants who had PLTR surgery, conducted by one of five TT nurse surgeons. None had previously undergone TT surgery. All participants received a detailed trachoma eye examination at baseline and 6, 12, 18 and 24 months post-operatively. The study investigated the recurrence rates, other complications and factors associated with recurrence. Recurrence occurred in 207/635 (32.6%) and 108/641 (16.9%) of participants with pre-operative major (>5 trichiatic lashes) and minor (5 lashes (major recurrence). Recurrence was greatest in the first six months after surgery: 172 cases (55%) occurring in this period. Recurrence was associated with major TT pre-operatively (OR 2.39, 95% CI 1.83-3.11), pre-operative entropic lashes compared to misdirected/metaplastic lashes (OR 1.99, 95% CI 1.23-3.20), age over 40 years (OR 1.59, 95% CI 1.14-2.20) and specific surgeons (surgeon recurrence risk range: 18%-53%). Granuloma occurred in 69 (5.7%) and notching in 156 (13.0%). CONCLUSIONS/SIGNIFICANCE: Risk of recurrence is high despite high volume, highly trained surgeons. However, the vast majority are minor recurrences, which may not have significant corneal or visual consequences. Inter-surgeon variation in recurrence is concerning; surgical technique, training and immediate post-operative lid position require further investigation

A qualitative investigation into knowledge, beliefs, and practices surrounding mastitis in sub-Saharan Africa: what implications for vertical transmission of HIV?

BACKGROUND: Mastitis constitutes an important risk factor in HIV vertical transmission. Very little, however, is known on how women in sub-Saharan Africa conceptualise health problems related to breastfeeding, such as mastitis, and how they act when sick. We aimed at filling this gap in knowledge, by documenting the indigenous nosography of mastitis, health seeking behaviour, and remedies for prophylaxis and treatment in rural sub-Saharan Africa. METHODS: The study was conducted in the Nouna Health District, rural Burkina Faso. We employed a combination of in-depth individual interviews and focus group discussions reaching both women and guérisseuers. All material was transcribed, translated, and analysed inductively, applying data and analyst triangulation. RESULTS: Respondents perceived breast problems related to lactation to be highly prevalent and described a sequence of symptoms which resembles the biomedical understanding of pathologies related to breastfeeding, ranging from breast engorgement (stasis) to inflammation (mastitis) and infection (breast abscess). The aetiology of disease, however, differed from biomedical notions as both women and guerisseurs distinguished between "natural" and "unnatural" causes of health problems related to breastfeeding. To prevent and treat such pathologies, women used a combination of traditional and biomedical therapies, depending on the perceived cause of illness. In general, however, a marked preference for traditional systems of care was observed. CONCLUSION: Health problems related to breastfeeding are perceived to be very common in rural Burkina Faso. Further epidemiological research to assess the actual prevalence of such pathologies is urgently needed to inform the design of adequate control measures, especially given the impact of mastitis on HIV vertical transmission. Our investigation into local illness concepts and health care seeking behaviour is useful to ensure that such measures be culturally sensitive. Further research into the efficacy of local customs and traditional healing methods and their effect on viral load in breast milk is also urgently needed