An Internet-Based Telemedicine System in Nigeria

Telecommunication technologies are being used to change the healthcare industry in unprecedented and irreversible ways. These technologies are enabling delivery of healthcare to remotely placed patients and facilitating information exchange between generalists and specialists. For many decades now, the use of advanced telecommunications and information technologies has been investigated in an effort to improve healthcare. In particular, the focus has been centered on telemedicine. Telemedicine has been defined as the delivery of healthcare and the exchange of health information across distances, including all medical activities: making diagnosis, treatment, prevention, education and research (Craig, 1999). Telemedicine is also defined as the use of telecommunication technologies to provide medical information and services (Perednia & Allen, 1995). It may be as simple as two health professionals discussing a patient\u27s case over the telephone, or as sophisticated as using satellite technology to broadcast a consultation between healthcare centres in two countries using videoconferencing equipment. The American Telemedicine Association defines telemedicine as the use of medical information exchanged from one site to another via electronic communication for health and education of the patient or healthcare providers and for the purpose of improving patient care (ATA, 2001). Wootton (1996) considered telemedicine as a process, rather than a technology: telemedicine connects patients and healthcare professional in a chain of care

Human Capital and Capital Goods Import in the Sub Sahara Africa

The study investigated the impacts of human capital and  capital goods import on the economic growth of the SSA. 30 countries were used in the Panel- ARDL analysis where economic growth is the dependent variable and capital goods import, human capital, primary export, investment exchange rate, among others were used as the independent variables. The result from the panel analysis indicates that capital goods import significantly and positively influence economic growth but human capital fails to have significant positive impact on economic growth of the SSA. Earlier, the trend analysis and the correlation results have shown that there is a weak association between capital goods import and human capital in the SSA. The results offer an expository analysis that reveals that the quality of the human capital is very germane to the effective utilization of capital goods import for purpose of growth in a primary goods export dominated region like the SSA

Causes, effects and remedies of errors in Nigerian construction documents

Errors entail different meanings and usages depending on how it is conceptualized. The purpose of this paper is to determine the causes, effects and remedies of the errors in Nigerian construction documents. A structured questionnaire was administered on ninety consultants (Builders, architects, engineers and quantity surveyors) obtained from regulatory bodies of each profession. Forty four questionnaires were returned and this gives a response rate of 49%. The findings of the research show that clients are the major stakeholders responsible for the generation of errors in Nigerian construction documents. The causes of the errors are lack of adequate documentation, poor communication, negligence and changes to specifications among others and the effects on construction projects include project abandonment, delays, rework, dissatisfaction by project owners and lack of confidence in project consultants. The suggested solutions include provision of comprehensive information, good communication among project teams, effective and efficient project management, constructability, design review management and adequate financial provision. The study recommends that clients should allow adequate time for the preparation of construction documents and adopt appropriate procurement method. The designers were advised to engage in partnering while preparing construction documents

An Exploratory Study of Techniques for Monitoring Oil Pipeline Vandalism

Wireless Sensor Networks are crucial substructure made up of microcontroller, sensing units and communication interfaces designed to enable the users possess the capability to measure, collect and responds to phenomenon within the surrounding been monitored. WSN are viewed as an edge between the physical and the virtual world. More so, the demand of fluid transportation from the production point to the region of end users has led to an increase in the number of pipelines that are fabricated globally. Pipeline infrastructure is generally regarded by many countries as a key element for national development, therefore shielding and observing the pipeline is essential for a successful economy. The current techniques in pipeline monitoring and surveillance include visual inspection, the use of Unmanned Aircraft, Ground Penetrating Radar, Fibre Cabling Technology, and Wireless Sensor Networks. This paper presents the various techniques, strengths and weaknesses when deployed for continuous monitoring of oil pipeline infrastructure

Energy drinks consumption among football players in Lagos, Nigeria

Objectives: This study assessed the prevalence, frequency and reasons for the consumption of energy drinks among members/ of registered football clubs in Lagos, Nigeria. A descriptive cross-sectional study design was employed and the study setting was Onikan Stadium Lagos, Lagos State, Nigeria. A simple random sampling technique was employed to select 350 members of the football clubs. Method: A pretested self-administered questionnaire was used to assess the prevalence, frequency and reasons for consumption of energy drinks. Epi Info® software (version 6.04) was used for data analysis. Results: Most of the respondents (76.3%) were energy-drink consumers but none of them was a daily user. Most of those who took it (71.9%) drank at least two cans a week. Power Horse™ was the most preferred choice (58.4%) and more than one-third (37.1%) mixed it with alcohol. The commonest reasons for using energy drinks were leisure (42%), performance enhancement (25.1%) and drinking with friends (25.1%). Single students between ages 21 and 30 years consumed energy drinks more than married, younger or older workers (p < 0.05). Conclusions: The majority of the football players were weekly energy-drink users and the commonest reason for consumption was leisure. Although it can be expected that football players consume energy drinks to enhance their sporting performance, it was of concern to find that one-third of the football players mixed energy drinks with alcohol. Education regarding the effects of energy-drink consumption and alcohol is needed among the football players in Lagos

Insight into wastewater decontamination using polymeric adsorbents

The use of polymeric adsorbent for decontamination of various sources of water was critically reviewed. This arises from the alarming increase in water scarcity in many parts of the world due to increase in population,which exerts immense pressure on the available water resources. Treatment of wastewater, stormwater and seawater via series of technological pathways like adsorption, desalination, advanced oxidation and solid-phase microextraction constitute new strategies for removal of toxins, antibiotics, complex matrix samples, and heavy metals for sustainable production of potable drinking water. This study reviewed the use of polymeric adsorbents such as nano-magnetic polymers (NMPs), polysaccharides, extracellular polymeric substances (EPS), and covalent organic polymers (COPs) for effective decontamination of water. These materials were critically analyzed with emphasis on their characteristics, strengths, drawbacks, as well as the enhancement techniques. Furthermore, the mechanisms of adsorption involved were also discussed. This review shows that polymeric adsorbents have demonstrated remarkable removal efficiency for several contaminants

Commercialisation of eHealth Innovations in the Market of UK Healthcare Sector: A Framework for Sustainable Business Model.

This is the peer reviewed version of the following article: Festus Oluseyi Oderanti, and Feng Li, ‘Commercialization of eHealth innovations in the market of the UK healthcare sector: A framework for a sustainable business model’, Psychology & Marketing, Vol. 35 (2): 120-137, February 2018, which has been published in final form at https://doi.org/10.1002/mar.21074. Under embargo until 10 January 2020. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.Demographic trends with extended life expectancy are placing increasing pressures on the UK state-funded healthcare budgets. eHealth innovations are expected to facilitate new avenues for cost-effective and safe methods of care, for enabling elderly people to live independently at their own homes and for assisting governments to cope with the demographic challenges. However, despite heavy investment in these innovations, large-scale deployment of eHealth continues to face significant obstacles, and lack of sustainable business models (BMs) is widely regarded as part of the greatest barriers. Through various empirical methods that include facilitated workshops, case studies of relevant organizations, and user groups, this paper investigates the reasons the private market of eHealth innovations has proved difficult to establish, and therefore it develops a framework for sustainable BMs that could elimiesnate barriers of eHealth innovation commercialization. Results of the study suggest that to achieve sustainable commercialization, BM frameworks and innovation diffusion characteristics should be considered complements but not substitutes.Peer reviewe

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BACKGROUND Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations. METHODS The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 cause-of-death analysis estimated mortality and years of life lost (YLLs) from 288 causes of death by age-sex-location-year in 204 countries and territories and 811 subnational locations for each year from 1990 until 2021. The analysis used 56 604 data sources, including data from vital registration and verbal autopsy as well as surveys, censuses, surveillance systems, and cancer registries, among others. As with previous GBD rounds, cause-specific death rates for most causes were estimated using the Cause of Death Ensemble model-a modelling tool developed for GBD to assess the out-of-sample predictive validity of different statistical models and covariate permutations and combine those results to produce cause-specific mortality estimates-with alternative strategies adapted to model causes with insufficient data, substantial changes in reporting over the study period, or unusual epidemiology. YLLs were computed as the product of the number of deaths for each cause-age-sex-location-year and the standard life expectancy at each age. As part of the modelling process, uncertainty intervals (UIs) were generated using the 2·5th and 97·5th percentiles from a 1000-draw distribution for each metric. We decomposed life expectancy by cause of death, location, and year to show cause-specific effects on life expectancy from 1990 to 2021. We also used the coefficient of variation and the fraction of population affected by 90% of deaths to highlight concentrations of mortality. Findings are reported in counts and age-standardised rates. Methodological improvements for cause-of-death estimates in GBD 2021 include the expansion of under-5-years age group to include four new age groups, enhanced methods to account for stochastic variation of sparse data, and the inclusion of COVID-19 and other pandemic-related mortality-which includes excess mortality associated with the pandemic, excluding COVID-19, lower respiratory infections, measles, malaria, and pertussis. For this analysis, 199 new country-years of vital registration cause-of-death data, 5 country-years of surveillance data, 21 country-years of verbal autopsy data, and 94 country-years of other data types were added to those used in previous GBD rounds. FINDINGS The leading causes of age-standardised deaths globally were the same in 2019 as they were in 1990; in descending order, these were, ischaemic heart disease, stroke, chronic obstructive pulmonary disease, and lower respiratory infections. In 2021, however, COVID-19 replaced stroke as the second-leading age-standardised cause of death, with 94·0 deaths (95% UI 89·2-100·0) per 100 000 population. The COVID-19 pandemic shifted the rankings of the leading five causes, lowering stroke to the third-leading and chronic obstructive pulmonary disease to the fourth-leading position. In 2021, the highest age-standardised death rates from COVID-19 occurred in sub-Saharan Africa (271·0 deaths [250·1-290·7] per 100 000 population) and Latin America and the Caribbean (195·4 deaths [182·1-211·4] per 100 000 population). The lowest age-standardised death rates from COVID-19 were in the high-income super-region (48·1 deaths [47·4-48·8] per 100 000 population) and southeast Asia, east Asia, and Oceania (23·2 deaths [16·3-37·2] per 100 000 population). Globally, life expectancy steadily improved between 1990 and 2019 for 18 of the 22 investigated causes. Decomposition of global and regional life expectancy showed the positive effect that reductions in deaths from enteric infections, lower respiratory infections, stroke, and neonatal deaths, among others have contributed to improved survival over the study period. However, a net reduction of 1·6 years occurred in global life expectancy between 2019 and 2021, primarily due to increased death rates from COVID-19 and other pandemic-related mortality. Life expectancy was highly variable between super-regions over the study period, with southeast Asia, east Asia, and Oceania gaining 8·3 years (6·7-9·9) overall, while having the smallest reduction in life expectancy due to COVID-19 (0·4 years). The largest reduction in life expectancy due to COVID-19 occurred in Latin America and the Caribbean (3·6 years). Additionally, 53 of the 288 causes of death were highly concentrated in locations with less than 50% of the global population as of 2021, and these causes of death became progressively more concentrated since 1990, when only 44 causes showed this pattern. The concentration phenomenon is discussed heuristically with respect to enteric and lower respiratory infections, malaria, HIV/AIDS, neonatal disorders, tuberculosis, and measles. INTERPRETATION Long-standing gains in life expectancy and reductions in many of the leading causes of death have been disrupted by the COVID-19 pandemic, the adverse effects of which were spread unevenly among populations. Despite the pandemic, there has been continued progress in combatting several notable causes of death, leading to improved global life expectancy over the study period. Each of the seven GBD super-regions showed an overall improvement from 1990 and 2021, obscuring the negative effect in the years of the pandemic. Additionally, our findings regarding regional variation in causes of death driving increases in life expectancy hold clear policy utility. Analyses of shifting mortality trends reveal that several causes, once widespread globally, are now increasingly concentrated geographically. These changes in mortality concentration, alongside further investigation of changing risks, interventions, and relevant policy, present an important opportunity to deepen our understanding of mortality-reduction strategies. Examining patterns in mortality concentration might reveal areas where successful public health interventions have been implemented. Translating these successes to locations where certain causes of death remain entrenched can inform policies that work to improve life expectancy for people everywhere. FUNDING Bill & Melinda Gates Foundation

Virtual Interface Architecture Draft Write-Up

This memory is dynamically treated as a cache by user processes, the pin-down cache. The user keeps a list of pages previously pinned-down, so as to avoid trying to pin pages that are already pinned-dow

Assessment of Cost Variation in Solid and Hollow Floor Construction in Lagos State

The differences in construction methods between different forms of slabs construction tend to result into variation in the cost of the slabs for any building project. Thus, this study aims at assessing the variation in construction cost among various construction methods available for hollow and solid floors in construction projects within Lagos State. The research design for this study was a survey design approach and the population of the study are active professionals (Architects, Civil Engineers, Builders, Quantity Surveyors, Consultant) and contractors because they are the major participants in the construction activities of the construction industry in Lagos State, Nigeria. The research is based on 46 returned questionnaires out of the 60 that was administered. The data from the questionnaires were analyzed using descriptive tools such as frequencies, percentage and mean values. The hypotheses were tested with paired sample t-test and it was found that the system or method of slab construction well known to the respondents is cast in situ, precast and semi-precast. The study also shows that the cost of in-situ solid slabs are higher than that of hollow slab which is an indication that solid slab construction is more expensive than hollow slab construction provided the hollow slab is a one-way hollow floor and not waffle floor. In pre cast solid slab construction the cost of transportation of units to sites, cost of expertise required in the construction process and the cost of fabrication off site are the three highest and most expensive aspects of precast solid slab while cost of erection and placement and the cost of grouting and topping if required are less expensive. Therefore there is difference in the cost of construction between the solid and hollow slabs but the difference is not appreciable. The study's major recommendation is that, adequate and careful analysis must be done in the choice of floor system being adopted for any project