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The nature of post-occupancy modifications of selected low-income housing estates in Nigeria
No full textThis paper aims to evaluate the nature of post-occupancy modifications of selected income housing estates in Nigeria. The research adopts both the quantitative and qualitative approaches and is essentially survey-based. Therefore, the research population is all housing units of low-income public housing estates in Owerri Metropolis. A simple random technique was further adopted to select five low-income housing estates within the low-income group for this study. Participants of this study were further sampled and selected based on the following requirements and eligibility criteria - they must be residents in the residential estates under study; they must be household heads (or their representatives) of the buildings in the selected housing estates and the building must have been in existence for over ten years (which is enough time for modification to have taken place). The data were collected through the use of a structured questionnaire and field observations, and analysis of this data relied on the computer-based statistical software called STATA 13.0. Results were presented and discussed, pinpointing the nature of post-occupancy modifications in the five selected low-income housing estates. The results further show various kinds of modifications (addition of rooms, alteration of site arrangement, alteration of fence design, alteration of roofing pattern, addition of shop spaces, change of use, and outright total modification) have taken place across the five housing estates studied.</p
Assessment of knowledge and awareness of oral health in rural and urban school teachers in Bareilly city: A cross-sectional study
No full textBackground: To assess the oral health knowledge and awareness among urban and rural school teachers in and around Bareilly. Materials and methods: A cross-sectional study was conducted on 279 school teachers of rural and urban, Bareilly using a questionnaire to assess the knowledge, and awareness regarding oral health. Descriptive analysis was done and data were analyzed using chi-square and ANOVA test. Results: The age of the teachers ranged from 19-50 years with a mean age of 36.73±10.5 years. Among them, 17.20%(48) were males and 82.7% (231) females, among which 75% of the population brushed their teeth twice daily. Most of the teachers (40.38%) used a brush and paste and 57% of teachers changed their brushes every 3mnths, 10% in every 6 months while 27% were those who changes their brush when their bristles get frayed up. Conclusion: From the results of the study, it is evident that school teachers in both urban and rural areas, with more emphasis on the rural area, need to be provided with adequate training on effective oral hygiene practices.</p
Denture in the rectum: A case report
No full textSwallowed foreign bodies are uncommon during general anesthesia. In the majority of the cases, these foreign bodies are passed spontaneously and uneventfully and the minority requires endoscopic or surgical intervention. It is recommended that every removable prosthesis should be removed, labeled, and stored in a safe place preoperatively. Furthermore, if a foreign body was missing, proper notification should be done in the immediate postoperative period to enable early detection and avoid any complications that might result from its impaction in distal places. This paper reports a case of a swallowed denture during induction of anesthesia. The clinical and imaging findings are presented along with a review of the literature. A 53-year old woman was admitted for laparoscopic cholecystectomy. A week postoperatively, the patient reported a colicky lower abdominal pain increasing in severity. Lowe
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width:98pt">9474946637r quadrants deep tenderness was elicited by examination. A foreign body was detected within the proximal rectum by abdominal CT scan. The foreign body was the patient’s denture that was not removed earlier during the induction of anesthesia. Endoscopic foreign body removal was done by flexible sigmoidoscopy. This case report highlights the importance of removing any removable prosthesis before induction of anesthesia and reporting any missing prosthesis such as dentures in the immediate postoperative period.</p
A conceptual review on pretreatment anxiety management in a dental setting using hypnosis and progressive muscle relaxation
No full textDental anxiety is associated with the thought or idea of seeing the dentist and undergoing dental procedures. Anxiety-associated problems in the dental setting include avoidance of appointments, inability to provide successful dental care, and delay in optimal recovery. Anxiolysis is important to the level of being mandatory for suitable administration of dental care. Since times immemorial, dentists have struggled to manage anxiety successfully by employing changing concepts and strategies over time. Pharmacological modalities to allay anxiety-like sedation and general anesthesia are popular yet associated with an added cost per patient, side effects, expensive armamentarium, documentation, and patient monitoring. Non-pharmacological modalities for anxiety management have been employed over time but have limited nature of success. The use of hypnosis as a therapeutic modality for healing and resolving anxiety is known for over five thousand years and has been a part of many cultures over time. Progressive Muscle Relaxation, which was documented first in 1908 is based on the principle of releasing neuromuscular tension in the body which creates a state of emotional equilibrium. In the present paper, an in-depth review of the techniques i.e. Hypnosis and Progressive Muscle Relaxation is provided from the perspective of a dental clinician from historical evolution to practical recommendations. Both Hypnosis and Progressive Muscle Relaxation hold promise to be adjunct tools in the modern dentist’s armamentarium to manage anxiety.</p
Management of serious arterial injuries of the limbs
No full textIntroduction: The majority of arterial traumas concern the arteries of the limbs and today most often occur in a multiple lesion context. In addition, the iatrogenic pathology due to catheterizations, and the specific accidents of drug addiction have been added to classic vascular trauma and pose a specific management problem.Objective: The objective of this study is to compare the results of our series with other data from the literature. This, in order to elucidate the intersections as well as the differences, the purpose of which is to codify the principles of management of serious vascular trauma to the limbs.Patients and methods: A retrospective review was conducted in the Cardiovascular Surgery Department of Gafsa Hospital, of 23 patients with severe vascular limb trauma between 2012 and 2020. Patient data included socioeconomic data, mechanism lesion, the clinical admission profile, the vascular axis affected, whether or not an additional examination is carried out, the associated lesions as well as the therapeutic management and evolution. Our series excluded patients lost to follow-up as well as those admitted for minor arterial trauma.Results: The average age of our patients was 38.3 years (extremes: 3 and 81), with a clear male predominance of 86.7%. The mechanism was primarily weapon assault white (39%) followed by iatrogenic accidents (35%) and public road accidents (13%). The upper limb was the most traumatized (52%). In the most affected territories, there was the wound of the brachial artery in the first place (34.8%), followed by the territory of the common femoral artery (21.7%). The most frequent clinical picture was the association of hemorrhage with ischemia (34.8%), followed by hemorrhage (30.8%) then false aneurysms (21.7%). During our series, CT angiography was requested in 30.7% of patients, and arterial echo-Doppler for 26% of patients. The surgical intervention was an end-to-end suture (34.7%), the interposition of a venous graft was performed in 4.3% of cases, and 5 patients benefited from a bypass (21.7%). Limb salvage was 100%.Conclusion: The management of serious vascular trauma has experienced great development in terms of diagnostic and therapeutic means which aim to revascularize the affected limb and stop the bleeding, on which the functional and vital prognosis depend respectively.</p
Experimental investigation of gamma stirling engine coupling to convert thermal to cooling energy in different laboratory conditions
No full textThe main aim of this research is to experimentally investigate the two coupled identical ST500 gamma-type Stirling engines and convert thermal energy to cooling energy. Using a new structure and two coupled Stirling engines at different temperatures and pressures and the use of biomass fuel within the 4 -8 bar average pressure range of the first engine heat source, the 1-4 bar average pressure range of the second engine heat sink, and Stirling heat engine temperature range of 480-580 ºC, the effective cooling is obtained in the cooling engine. In doing tests, attempts were made to reach lower than 9 percent error results in different parts of the engine, including insulation, fluid leakage, belt loss, and measurement devices. According to the obtained results, 8 bars increase in the average pressure range of the gas in the first engine heat source, a 1 bar reduction in the average pressure range of the gas in the second engine heat sink, the increased temperature of the heat source up to 580ºC, and the use of the light operating fluid such as helium will affect the generation of cooling up to-16ºC.</p
Adult-onset Still’s disease complicated with macrophage activation syndrome: A case report
No full textAdult-onset Still’s disease is a rare systemic disease while macrophage activation syndrome is a fulminant complication of Still’s disease. As mortality is high in macrophage activation syndrome, prompt diagnosis is crucial to commence definitive management. Adult-onset Still’s disease is a rare systemic disease while macrophage activation syndrome is a fulminant complication of Still’s disease. As mortality is high in macrophage activation syndrome, prompt diagnosis is crucial to commence definitive management. Macrophage activation syndrome is a complication of adult-onset Still’s disease. When first-line immunosuppressives fail, second-line medications including biologic therapy can be considered with good results. </p
Proportion and associated factors of sexual violence among female night junior school students in Gondar town, Northwest, Ethiopia, 2019
Get PDFIntroduction: Sexual violence is a series public of health problems and human right issues affecting millions of people each year throughout the world with short and long-term impacts on women and girls’ physical, mental, sexual, and reproductive health. Therefore, this study aims to assess the magnitude of sexual violence and associated factors among night school female students in the study area. Methods: Institution-based cross-sectional study design was conducted among 422 night junior school female students in Gondar town, Northwest, Ethiopia. Participants were selected by using simple random sampling and data were collected by self - administered structured questionnaire. Data entry and analysis was done by EPI info version 7 and SPSS statistical packages version 20 respectively and descriptive statistics were done. Moreover, binary logistic regression analyses were also carried out to identify factors associated with sexual violence.Results: In this study, the mean age (+_SD) study participants was 19.3±3.1years. The the proportion of school life sexual violence in this study was found to be 63.4% with a 95% the confidence interval of (57.9, 67.1). the overall 91 (21.9%) of the participants were faced attempted rape in their school life. Regarding sexual harassment at least one form of sexual harassment was reported among 244 (58.8%) from these 135 (32.5%) unwanted sexual Act/asked to have sex, about 152(36.6%) faced unwelcome touching body parts like breast, and 131 (31.6%) faced unwelcome kissing. School life sexual violence was positively associated with those females who had ever started sexual intercourse (AOR= 0.58, 95%CI, 0.362, 0.924), being rural child-hood residence (AOR=) 1.9, 95%CI 1.2,2.9) and traveling more than 30 minutes from school to home (AOR= 2.2,95%CI, 1.124, 4.452).Conclusion: The proportion of sexual violence in this study area was relatively high and it was significantly associated with being a rural child -hood residence. Therefore, appropriate intervention is needed Especially those students who grew up in a rural areas during the child-hood period.</p
Proof of Einstein’s postulates
Get PDFBased on the assumption that the experiment confirms the STR, it is shown that the value of the speed of light is a very slowly decreasing function of its frequency, so that at a frequency of 2.2989.10-18 S-1, the speed of light becomes zero. Such light represents resting particles – photonics that could serve as the Absolute Reference System, but due to their negligible mass, do not have a noticeable effect on the processes taking place. This explains Einstein’s principle of relativity. The formulas for the change in the speed and frequency of light during the transition from one IRS to another, within the measurement error, remain unchanged, which proves the postulate of the constancy of the speed of light in any IRS. It is shown that all STR formulas include not the speed of light, but the fundamental constant C, equal to the speed of light with a frequency ν = ∞. The proposed explanation of the correctness of Einstein’s postulates is logically, apparently, the only possible one.</p
In infectious diseases, Echinacea comes to the rescue
Get PDFE. purpurea has amazing medicinal properties that effectively deal with human diseases. Today, we find frightening figures in the WHO news about the increase in coronavirus infection and the number of deaths. This article presents a simple way of self-defense by increasing the body’s immune reactivity. In order to alleviate the condition and prevent not only COVID but also a variety of viral, as well as bacterial, and fungal infections, doctors can use the ornamental plant Echinacea (E.), which was once used by the indigenous people of America, the Indians, for almost all occasions. This article presents a small list of important biologically active components of E. and the range of their use, as well as a simple recipe for making a healing solution.</p