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Abstract Background Celiac disease (CD) affects the small intestine and can hinder nutrient absorption. It is found worldwide and common in certain groups of people including individuals with Type 1 Diabetes Mellitus (T1DM). However, the prevalence of CD in the West African region is not documented. This study aimed to investigate the prevalence and pattern of CD autoimmunity in Nigerian children and adolescents diagnosed with T1DM. Methods This was a cross-sectional descriptive study of children and adolescents with T1DM at the Paediatric Endocrinology Clinic of seven selected tertiary health facilities in Nigeria. Information was collected on socio-demographics, clinical characteristics and anthropometrics. The subjects were screened for markers of CD autoimmunity using anti-tissue transglutaminase antibody (tTG) and anti-endomysial antibody (EMA). Endoscopy and duodenal biopsy were recommended for participants with elevated CD-specific antibodies. Results The study recruited a total of 104 children and adolescents with TIDM, out of which six participants (5.8%) had CD autoimmunity. All six participants were females, aged between 3 and 12 years, with a mean age of 9.2 ± 3.7 years. Participants with CD autoimmunity were more likely to have DM diagnosed before the age of 10 years compared to those without CD autoimmunity (83.3% vs. 37.7%, p = 0.149). Except for two participants, all individuals with CD autoimmunity experienced gastrointestinal symptoms such as nausea, vomiting, diarrhoea, and bloating. Conclusion This study highlights the occurrence of CD autoimmunity in Nigerian children and adolescents with TIDM. Healthcare providers should consider screening for celiac disease in children and adolescents with T1DM, particularly in females and when gastrointestinal symptoms are present. Additionally, the findings from this study suggest that there is a high probability of a significant burden of CD, even within the general population in Nigeria. Therefore, it’s important to maintain a high level of suspicion and to actively screen at-risk groups in clinical settings to ensure early diagnosis of CD.

Abstract This study employed low-cost biomass wastes for the synthesis of biodiesel that is cost-effective and environmentally friendly. The major raw material (oil) was obtained by steam distillation (SD) from Croton heliotropiifolius Kunth leaf (CHKL) and was characterized for its aptness for biodiesel production. Dwarft green coconut husk ash (DGCHA) was used as a bio-adsorbent for acid value reduction of Croton heliotropiifolius Kunth leaves oil (CHKLO). A novel, highly potassium-based catalyst was derived from Karpuravalli banana peels (KBP), calcined, and characterized using TGA, ZETA, FTIR, SEM-EDX, XRF-FS, and BET analysis. Biodiesel was synthesized using a microwave-assisted method, characterized, and compared with the recommended standard. The catalytic strength of the calcined Karpuravalli banana peel powder (CKBPP) was tested using a reusability test, and the cost evaluation of production was estimated. Results showed that the CHKL was rich in oil (43% wt./wt.), and the oil is highly acidic (5.23 mg KOH/g oil). At high particle size, the dwarf green coconut husk ash (DGCHA) bagasse reduced the acid value to a minimum (1.4 mg KOH/g oil) at 3 days. The developed novel catalyst from CKBPP indicated high potassium-calcium contents for base transesterification. Process optimization indicated that the predicted response data of 95.285% (wt./wt.) at T1 = 90 min, T2 = 60 oC, T3 = 4.5% (wt.), and T4 = 9 (vol./vol.) was validated in triplicate, and the average data value of 95.10% (wt./wt.) was established. Dataset on the quality of biodiesel showed that the produced biodiesel properties were in line with recommended standards. Economic appraisal data showed that the cost of producing 20 L of CHKLOB (biodiesel) was $4.73 at 1,500 to $1. The study concluded that the production of biodiesel from waste can be cost-effective and environmentally friendly if wastes are harness. Graphical Abstract

Abstract Chromosomal instability (CIN) is a pivotal factor in gliomas, contributing to their complexity, progression, and therapeutic challenges. CIN, characterized by frequent genomic alterations during mitosis, leads to genetic abnormalities and impacts cellular functions. This instability results from various factors, including replication errors and toxic compounds. While CIN’s role is well documented in cancers like ovarian cancer, its implications for gliomas are increasingly recognized. CIN influences glioma progression by affecting key oncological pathways, such as tumor suppressor genes (e.g., TP53), oncogenes (e.g., EGFR), and DNA repair mechanisms. It drives tumor evolution, promotes inflammatory signaling, and affects immune interactions, potentially leading to poor clinical outcomes and treatment resistance. This review examines CIN’s impact on gliomas through a narrative approach, analyzing data from PubMed/Medline, EMBASE, the Cochrane Library, and Scopus. It highlights CIN’s role across glioma subtypes, from adult glioblastomas and astrocytomas to pediatric oligodendrogliomas and astrocytomas. Key findings include CIN’s effect on tumor heterogeneity and its potential as a biomarker for early detection and monitoring. Emerging therapies targeting CIN, such as those modulating tumor mutation burden and DNA damage response pathways, show promise but face challenges. The review underscores the need for integrated therapeutic strategies and improved bioinformatics tools like CINdex to advance understanding and treatment of gliomas. Future research should focus on combining CIN-targeted therapies with immune modulation and personalized medicine to enhance patient outcomes.

This research investigates the intersection of hygienic practices and biodiversity conservation attitudes among Herbal Medicine Dealers (HMDs) in Liberia using appropriate standard method with 62 respondents, 20 Herbal Medicine Practitioners and 42 Herbal Product Venders. Data obtained reveals disparities in container sanitation and hand washing practices among herbal mixture practitioners. 40.3% rinse containers with water, 69% wash them after every use, and 35.4% use previously washed knives. 70% buy previously used containers, and 62.9% ensure they are washed before use. A significant portion (30.6%) do not wash their hands, and 46.7% do not use any hand hygiene methods. Most respondents do not wear face masks, indicating a lack of awareness about health risks. 43.5% believe harvesting plants does not negatively affect biodiversity. The research underscores the need for tailored interventions to promote hygienic practices and biodiversity conservation within the herbal medicine sector. Policy recommendations include enhancing education and training programs, improving access to resources, and developing supportive regulatory frameworks. By addressing these challenges, Liberia can harness the potential of herbal medicine while safeguarding public health and preserving environmental integrity.

In the past 2 years, remarkable advances have been made in shortening tuberculosis (TB) treatment. In particular, four clinical trials (Study 31/A5349, Nix-TB, ZeNix and TB-PRACTECAL) have provided evidence of the efficacy of regimens based on new and repurposed drugs: the 4-month regimen for drug-susceptible TB, and the 6-month bedaquiline-pretomanid-linezolid regimen with or without moxifloxacin for multidrug-resistant/rifampicin-resistant TB. Even if the evidence at the basis of these new regimens is compelling, several questions remain open, particularly concerning linezolid dose finding, the upsurging threat of bedaquiline-resistant Mycobacterium tuberculosis and the feasibility of applying these results to the paediatric population. Several ongoing trials may fill the remaining gaps and produce further reliable evidence to address the outstanding questions in TB treatment shortening.

Abstract Cooking bananas is a major beneficial food in developing countries that is involved in improving human well-being and health. However, owing to its high moisture content, it quickly deteriorates. Understanding the dehydration mechanism of raw banana slices is important for subsequent processing, preservation, transportation, and product quality. Thus, this study investigates the influence of slice thickness (5, 10, and 15 mm) at varying temperatures (45, 55, and 65 °C) in a convective oven dryer on thin-layer drying kinetics and extrapolates their effect on the drying kinetics of cooking banana slices. As the temperature and slice thickness increased, the drying time also increased. Midilli’s model was found to be the best for explaining the experimental data. The effective moisture diffusivity ranged from 1.393 × 10 −8 to 8.889 10 −8 m2/s. The dependence of moisture diffusivity on temperature was described by an Arrhenius-type equation, and the activation energies were found to be 23.599, 24.804, and 24.223 kJ/mol for thicknesses of 5, 10, and 15 mm, respectively.

Accurately predicting a fetus’s gestational age (GA) is crucial in prenatal care. This study aimed to develop an artificial intelligence (AI) model to predict GA using biometric measurements from fetal brain magnetic resonance imaging (MRI). We assessed the significance of using different reference standards for interpreting GA predictions. Measurements of biparietal diameter (BPD), fronto-occipital diameter (FOD), and head circumference (HC) were obtained from 52 normal fetal MRI cases from Rush University. Both manual and AI-based methods were utilized, and comparisons were made using three reference standards (Garel, Freq, and Bio). The AI model showed a strong correlation with manual measurements, particularly for HC, which exhibited the highest correlation with actual values. Differences between GA predictions and picture archiving and communication system (PACS) records varied by reference, ranging from 0.47 to 2.17 weeks for BPD, 0.46 to 2.26 weeks for FOD, and 0.75 to 1.74 weeks for HC. Pearson correlation coefficients between PACS records and GA predictions exceeded 0.97 across all references. In conclusion, the AI model demonstrated high accuracy in predicting GA from fetal brain MRI measurements. This approach offers improved accuracy and convenience over manual methods, highlighting the potential of AI in enhancing prenatal care through precise GA estimation.

An important complaint of mothers is the stool form of their infants. In the evaluation of stool forms, healthcare workers usually depend on mothers’ reports which are subjective and influenced by interpretation bias by health care personnel. There is therefore the need for an objective method of describing stool forms. In the present study, we evaluated the utility of the 7-point Bristol Stool Form Scale (BSFS) when used by mothers of healthy Nigerian infants. Materials and Methods: The mothers of 122 healthy infants delivered at term, with infants less than six months of age attending the Infant Welfare Clinics of two health facilities in Ibadan, South West, Nigeria for routine immunisation were enrolled. Mothers were requested to identify their child’s most recent stool form using the 7-point BSFS. Results: The mean ± SD age of the 122 study infants was 80 ±41.6 days (range 4-180 days). Eighty- eight (72.1%) infants were exclusively breastfed and 34 (27.9%) were on mixed feeding. Almost all (120; 98.4%) mothers felt that the BSFS adequately described their infants’ stools. The most commonly reported stool types were Type 6 (56.7%) and Type 7 (33.3%). There was no association between reported stool consistency and infant feeding type, level of maternal education and number of previous babies nursed. Conclusion: This study indicated that BSFS may be a reliable tool for mothers to describe stool consistency in healthy Nigerian infants.

Abstract: Ulcerative colitis (UC) is a relapsing, idiopathic chronic inflammatory disorder of colon characterised by ulcerations of the colon with bleeding, mucosal crypt abscesses and inflammatory pseudo polyps associated with abdominal pain with tenesmus and significant weight loss. Ulcerative colitis has rarely been reported in sub-Saharan African children. In this report we present 2 cases of ulcerative colitis in Nigerian children confirmed by barium enema, colonoscopy and histology. A review of the current literature on ulcerative colitis is also discussed.

Background Separation of a parent from the family as a result of incarceration has both short-term and long-term effects on the family, even after release from prison. This study is a report of factors and challenges of the family left to adapt to the changed circumstances of separation from parent(s) who are incarcerated. Methods: This was a cross sectional study carried out on 89 care -givers of children whose parents are incarcerated at the Agodi prison, Ibadan who gave informed and written consent to interview their families. Results: Most caregivers had little or no formal education (69.7%) and 67.4% are into petty trading or subsistence farming. A majority of the caregivers reported the need of schooling (85.4%), provision of food (84.3%) and medical care (71.9%) as major challenges, only 25% received any form of support to meet these needs. Twenty-nine (32.6%) respondents reported receiving financial support to provide for the child’s feeding. Some care-givers 21 (23.6%), obtained loans to cope with the financial needs of the children while only 3 (3.4%) received support from family or other non- governmental organisations. Conclusion: The caregivers of children of prison inmates face significant challenges in meeting the needs of feeding, health and schooling. Support structures and policies to address these gaps are required

In an attempt to model and optimize the biodiesel production from the binary oil blends, a BTO40 obtained from the mixture of Dennettia tripetala (DTO) and Luffas cylindrical (LCO) oilseeds was employed in a double-stage microwave-assisted batch process (DSMABP). The DTO40 was esterified with iron (III) sulfate (Fe2(SO4)3) and then transesterified with catalyst selectivity between calcined fermented sweet corn stock (CFCS) and calcined non-fermented sweet corn stock (CNFCS). Catalyst characterization was carried out using analyzers, while process modeling and optimization were carried out using statistical tools. The produced biodiesel qualities were evaluated, and the catalyst potential was tested by a catalyst reusability test. Results show that a BTO40 was suitable for maximum biodiesel yield of 98.92% (wt./wt.) with HHV of 43.84 MJ/kg, CN of 79.73, flash point of 120 °C, cloud point of -3 °C, pour point of -6 °C, cold filter plugging point of +2 °C, oxidative stability of 4.6 h, and carbon residue of 0.02% nm. The statistical modeling and optimization by RSMI-Optimal predicted a mean value of biodiesel to be 99.28% (wt./wt.), the ANNGA predicted a mean biodiesel yield of 99.78% (wt./wt.), and γGCFW predicted 99.82% (wt./wt.), respectively, at different variable conditions. These values were validated in triplicate, and the average means were obtained as 98.57% (wt./wt.), 99.69% (wt./wt.), and 99.71% (wt./wt.), respectively. Catalyst usability tests show DFSCS has high alkali potential as a base catalyst. The produced biodiesel properties are in total agreement with the recommended biodiesel standard. The study concluded that BTO40 treated with a 0.1 M Fe2(SO4)3 solution in a base-catalyzed calcined fermented sweet corn stock for biodiesel synthesis can be used as an alternative fuel.

Background: An appraisal of the profile of ophthalmic surgeries performed at Ladoke Akintola University of Technology Teaching Hospital (LAUTECHTH), Ogbomosho, Nigeria over a seven-year period with a view to harnessing their potentials for maximising ophthalmic experiences of medical students. Methods: A retrospective review of ophthalmic surgery records over a seven-year period (2013–2019) at LAUTECHTH. Results: There were 386 eye surgeries, mean ophthalmic surgeries: 4–5/month or 55/year. Most (329, 85.2 %) surgeries were performed on individuals aged at least 45 (range 10–95) years with slight male dominance (1.1:1). The most common indication for surgery was cataract (307, 79.6 %). Most surgeries were elective (362, 93.8 %) and performed under local anaesthesia (367, 95.1 %). Despite the highest number of surgeries being performed in the months of April and September; and lowest during the months of May and October; there was fair distribution across and over the years. Small incision cataract surgery with or without intraocular lens implant (307, 79.6 %) was the most common surgery followed by pterygium excision with adjuvant therapy (37, 9.6 %). Conclusion: The study showed a broad spectrum of eye surgeries, including cataract and pterygium, performed at the teaching hospital, encompassing common conditions that lead to visual impairment or blindness. This exposure provides valuable training opportunities for undergraduate medical students to become physicians especially those aspiring to become ophthalmologists. However, there is a need to increase the overall volume of eye surgeries to enhance the learning experience and potentially influence career choices.

This study examined access to, and use of remote patient monitoring (RPM), medical applications, and wearables in a racially diverse, lower-income population. Data were obtained via a cross-sectional survey of adults from low-income communities in Houston, Los Angeles, and New York between April and August 2023. The survey examined access to, and use of RPM, medical applications, and wearables, among respondents. Binary responses to the following questions were examined using logistic regression models: In the past 12 months, have you (i) used RPM, (ii) used a medical app, and (iii) used an electronic wearable device to monitor or track health or activity? A total of 305 surveys were returned, of which 212 were complete (69.5% completion rate). Demographically, 22% self-identified as Hispanic, 41% as non-Hispanic Black individuals, and 33% as non-Hispanic White individuals. Overall, 69% of respondents reported a pre-tax annual household income of less than $35 000 and 96 % indicated they own a smart phone. However, only 3 of 10 reported using RPM, 15% reported using a medical app, and 14% reported using wearables. Race was strongly associated with RPM usage, with Black respondents significantly less likely to have used RPM, compared to their white counterparts (OR: 0.31, P = .002). Education (bachelor’s degree or more OR: 4.79, P = .03) and higher income ($35 001 + OR: 4.68, P = .008) were strongly associated with medical app usage. In the wearables model, the same trend was observed with education (bachelor’s degree or more OR: 4.45, P = .04), and higher income ($35 001 + OR: 5.49, P = .01). Compared to earlier studies that have reported utilization rates of between 50% and 60%, our finding of much lower utilization in economically disadvantaged populations that are at greater risks for sub-optimal health outcomes gives cause for greater concern. Considering the ongoing proliferation of digital health technological modalities, this further highlights the need to explore and address equity-based barriers to these health tools.

The Water-Energy-Food (WEF) nexus is a paradigm that emphasises the interconnectedness and collaborative effects of water, energy, and food systems. This study presents a bibliometric analysis of South Africa's WEF nexus research landscape between 2011 and 2024 using the Scopus database. The article highlights the interconnectedness of sustainable development, resource management, sustainability challenges, and resilience strategies in the WEF Nexus in South Africa. The study also identifies critical research gaps in addressing socio-economic dimensions, policy and governance aspects, technological innovation, and human resource development within the WEF Nexus framework. The article reveals the transformative potential of blockchain technology in revolutionising resource management in South Africa. By leveraging blockchain's decentralised and transparent nature, the country can enhance efficiency, transparency, and sustainability in resource allocation and distribution.

Background: Mental health disorders may have a negative influence on health outcomes in patients with HIV; however, these conditions are under-diagnosed among adolescents living with HIV. This study aimed to assess the prevalence of mental health distress and associated factors among adolescents living with HIV attending Antiretroviral Therapy clinics in Nigeria. Methods: This was a cross-sectional study of 212 HIV-infected adolescents attending routine HIV clinic visits across five high patient-density clinics in southwestern Nigeria. Mental health distress was assessed using the General Health Questionnaire-12 (GHQ-12) and data was analyzed using IBM-SPSS Statistics for Windows version 22.0 (IBM Corp., Armonk, NY, USA). Results: The prevalence of mental health distress among participants was 34.9 %. On bivariate analysis, respondents who consumed alcohol sometimes had significantly higher mental health scores than those who never took alcohol (t-test 2.738; P = 0.007). There were no significant differences in the mean mental health scores of respondents with regards to social factors (smoking, experience of rape, disability status, mode of payment for health services, and number of living companions) and clinical factors (duration of diagnosis and treatment of HIV, the type of HAART regimen, and whether there had been a change in regimen). On multivariate analysis no social or clinical factor was found to be independently associated with mental health distress. Conclusions: The prevalence of mental health distress among adolescents living with HIV in southwestern Nigeria is high. Respondents who consumed alcohol had significantly higher mental health scores than those who never took alcohol. Future studies should explore psychosocial stressors that could be determinants of mental health distress among adolescents living with HIV in Nigeria.

Nauclea pobeguinii is a plant in the Rubiaceae family endemic to the swamp forest region of the world. Its extract is widely used in traditional medicine for the treatment of a wide variety of ailments such as malarial, Jaundice, gonorrhea, fever, and stomach discomfort. While other parts of the plant have been examined for the bioactive principles responsible for the medicinal properties, limited information is available in the literature as regards the leaves, hence this study. N. pobeguinii leaves were collected, air-dried, and pulverized. The pulverized sample was extracted with solvents (n-hexane, ethyl acetate, and ethanol) of varying polarity to obtain the crude extracts. Repeated column and thin layer chromatographic separation of the crude extracts afforded three compounds, which were characterized by their IR, 1H, 13C-NMR, and 2D-NMR spectral data. A comparison of the data with literature confirmed the compounds to be 2-hydroxylstigmastane acetate (1), Ergosta-5,6-epoxy-22-en-3-yl-acetate (2), and β-sitosterol (3). Compounds 1 and 2 are novel to N. pobeguinii.

Abstract Background COVID-19 pandemic widely disrupted health services provision, especially during the lockdown period, with females disproportionately affected. Very little is known about alternative healthcare sources used by women when access to conventional health services became challenging. This study examined the experiences of women and adolescent girls regarding access to sexual and reproductive health (SRH) services during the COVID-19 lockdown in Nigeria and their choices of alternative healthcare sources. Methods The study sites were two northern states, two southern states, and the Federal Capital Territory. Qualitative data were obtained through 10 focus group discussion sessions held with married adolescents, unmarried adolescents, and older women of reproductive age. The data were transcribed verbatim and analysed using a thematic approach and with the aid of Atlas ti software. Results Women reported that access to family planning services was the most affected SRH services during the COVID-19 lockdown. Several barriers to accessing SRH services during COVID-19 lockdown were reported, including restriction of vehicular movement, harassment by law enforcement officers, fear of contracting COVID-19 from health facilities, and fear of undergoing compulsory COVID-19 tests when seeking care in health facilities. In the face of constrained access to SRH services in public sector facilities during the COVID-19 lockdown, women sought care from several alternative sources, mostly locally available and informal services, including medicine vendors, traditional birth attendants, and neighbours with some health experience. Women also widely engaged in self-medication, using both orthodox drugs and non-orthodox preparations like herbs. The lockdown negatively impacted on women’s SRH, with increased incidence of sexual- and gender-based violence, unplanned pregnancy resulting from lack of access to contraceptives, and early marriage involving adolescents with unplanned pregnancies. Conclusion COVID-19 negatively impacted access to SRH services and forced women to utilise mostly informal service outlets and home remedies as alternatives to conventional health services. There is a need to ensure the continuity of essential SRH services during future lockdowns occasioned by disease outbreaks. Also, community systems strengthening that ensures effective community-based health services, empowered community resource persons, and health-literate populations are imperative for overcoming barriers to healthcare access during future lockdowns.

Abstract Background The COVID-19 pandemic had a profound impact on healthcare and ophthalmology services globally. Numerous studies amongst various medical and surgical specialties showed a reduction in patient attendance and surgical procedures performed. Prior published ophthalmic literature focused on specific types of procedures and were usually single centre. The current study attempts to quantify the impact on a larger scale, namely that of sub-Saharan Africa, and to include all ophthalmic subspecialties. Methods This is a retrospective analysis of the surgical records from 17 ophthalmology centres in seven countries located in East, Central, West and Southern Africa. The date of declaration of the first lockdown was used as the beginning of the pandemic and the pivot point to compare theatre records one year prior to the pandemic and the first year of the pandemic. We examined the total number of surgical procedures over the two year period and categorized them according to ophthalmic subspecialty and type of procedure performed. We then compared the pre-pandemic and pandemic surgical numbers over the two year period. Results There were 26,357 ophthalmic surgical procedures performed with a significant decrease in the first year of the pandemic (n = 8942) compared to the year prior to the pandemic (n = 17,415). The number of surgical procedures performed was lower in the first year of the pandemic compared to the year prior to the pandemic by 49% [Incidence rate ratio (IRR) 0.51, 95% CI 0.41–0.64), 27% (0.73, 0.55–0.99), 46% (0.54, 0.30–0.99), 40% (0.60, 0.39–0.92) and 59% (0.41, 0.29–0.57) in sub-Saharan Africa (4 regions combined), West, Central, East and Southern Africa, respectively]. The number of surgical procedures in the different sub-specialty categories in sub-Saharan Africa (4 regions combined) was significantly lower in the first year of the pandemic compared to the year prior to the pandemic, except for glaucoma (IRR 0.72, 95% CI 0.52–1.01), oncology (0.71, 0.48–1.05), trauma (0.90, 0.63–1.28) and vitreoretinal (0.67, 0.42–1.08) categories. Conclusion This study provides insight into the impact of the COVID-19 pandemic in multiple regions and countries on the African continent. The identification of which surgical subspecialty was most affected by the COVID-19 pandemic in each region allows for better planning and resource allocation to address these backlogs.

Hydroxyapatite (HAp) is a popular ceramic biomaterial, which has extensively been employed in numerous biomedical applications. It has drawn the attention of scientists primarily owing to its properties similar to the bones and teeth of human beings. Due to its organic similarity, HAp has exceptional biocompatibility and can activate osteoconduction and osteoinduction occurrence. Hence, HAp has been used in a broad collection of healing applications extending from common dental implant, and bioactive coatings on grafts to purposefully premeditated drug delivery methods, and even for tissue engineering (TE) applications. The production method is essential in controlling the physicochemical properties of HAp, which in turn affects its mechanical and biological properties. The anticipated physiognomies of HAp can be accomplished using a suitable technique of production and sources. This in-depth review discussed the various natural sources of HAp, and synthesis techniques for producing HAp, alongside their advantages and disadvantages, applications, and essentials of HAp for therapeutic applications. From the review, it was found that the sol–gel route is preferred over other routes because of its even molecular mixing, high purity of products, low production temperature, and ability to synthesize nanosized particles of HAp. As a result, it is provisional that upon the cautious blend of key considerations such as sources, synthesis technique, and production parameters for the manufacture of natural HAp (NHAp), mechanical properties can be improved and the product can be employed as a drug delivery system. These are important extents for the prospect of the research.

Previous studies revealed that the used of acid (HCl/H2SO4) have widely used to reduce Jatropha curcus oil (JCO) acid value for an effective biodiesel production. However, the use of acid is difficult to handle, increase the cost of biodiesel production, and can be time consuming. Furthermore, calcined stalk powder have been reportedly used as bio-base catalyst for the synthesis of biodiesel, but no single report ever identified the varieties of the maize stalk used. Therefore, this study introduced a novel pathway to examine the adsorption of high-free fatty acid JCO in sugar cane bagasse as a bio-adsorbent for the production of biodiesel (JCOB). Oil was extracted from the Jatropha curcus seed, and its properties were determined. A new novel catalyst was developed from a new variety of calcined Sartaj maize stalk powder and was characterized by utilizing Fourier transform infra-red (FTIR), X-ray fluorescence (XRF-FS), X-ray diffractometer (XRD), Scanning electron microscope (SEM-EDX), Thermogravimetric analysis (TGA), Zeta potential (ZETA), and Brunauer-emmett-teller (BET) analyzers. A single-step transesterification procedure was used to convert the oil to biodiesel. Response Surface Methodology and Artificial Neural Networks were used for modeling and optimizing the transesterification process. The base-strength of the catalyst was ascertained using a catalyst reusability test, and the characteristics of the biodiesel produced were assessed using conventional (standards) techniques.The results indicate that higher temperatures caused breaks in the oil's double bond during the extraction process, thereby raising the JCO free fatty acid (FFA) value (13.2 %). However, sugar cane bagasse, a bio-adsorbent with the smallest particle size (210 μm), was found to be effective in lowering the FFA of JCO from 13.20 % to 0.38 %. Catalyst analysis indicated K2O (38.30 % wt.), Cl (16.41 % wt.), CaO (13.01 % wt.), SiO2 (10.99 % wt.), P2O5 (4.30 % wt.), and MgO (3.69 % wt.) concentration by weight were the main components detected in the catalyst, according to catalyst characterization and analysis. The highest verified output (optimum validated yield) was at 3.10 % (wt.) catalyst concentration, a reaction time of 74.60 min, a 56.20 °C reaction temperature, and a methanol-oil molar ratio of 7.80 (vol/vol). The optimum validated biodiesel yield of 99.42 % (wt./wt.) was determined. After five rounds of the catalyst reusability test, the yield of biodiesel decreased, hence the reusability test was altered.The research concluded that sugar cane bagasse is a new novel material for an effective bio-adsorbent high-FFA oil of JCO, and that the novel catalyst developed can be utilized as a nano-catalyst in CPIs (chemical processing industries).

The viral illness known as monkeypox causes symptoms such a rash that can appear on the hands, feet, chest, face, and lips or near the genitalia. This study presents a mathematical model for the kinetics of monkeypox transmission with vaccination and immunity loss following recovery. The theories of positivity and boundedness are used to analyze the model’s well-posedness. The next generation matrix is used to determine the model’s basic reproduction number. The model’s equilibrium points are discovered. We demonstrate that the disease-free equilibrium was locally asymptotically stable. The center manifold theory is used to establish the bifurcation analysis. The impact of the parameters related to the fundamental reproduction number R0 is investigated using the normalized forward sensitivity index. In addition, the model is expanded to incorporate time-dependent management of preventing interaction with contaminated rodents, avoiding contact with contaminated people, wearing personal protective equipment, and reducing rodent populations by utilizing an integrated pest management strategy. The model’s qualitative analysis is supported by numerical simulation.

Background:. With the rising influence of social media on healthcare perceptions, this study investigates TikTok’s role in educating the public about autologous breast reconstruction, specifically focusing on deep inferior epigastric perforator flaps. Methods:. We conducted a systematic analysis of 152 TikTok videos related to deep inferior epigastric perforator flap procedures, evaluating the accuracy of the content, viewer engagement metrics, and the influence of content creator characteristics on viewer interactions. Results:. Our analysis identified a wide variance in the quality of information, with many videos lacking in-depth educational content, thereby posing a risk of misinformation. Despite the presence of high-quality educational videos, there was a discrepancy between the educational value provided and viewer engagement levels. Thematic analysis highlighted common concerns among patients, providing insights for healthcare professionals to better tailor their social media content. Conclusions:. The study underscores the significant impact of platforms like TikTok on patient education and emphasizes the need for healthcare professionals to guide the narrative on social media and ensure the dissemination of accurate and helpful information, ultimately aiding patients in making informed decisions about their healthcare.

Introduction The COVID-19 pandemic necessitated a major expansion in telemedicine use. The continued use of telemedicine post-pandemic has the potential to enhance healthcare use for people at risk for sub-optimal healthcare access and utilization, such as patients with previous preventable hospitalization. This study analyzed the association between pre-pandemic preventable hospitalizations (PPHs) and telemedicine use during the pandemic. Methods This retrospective cohort study uses Medicaid administrative claims data (01/2018–06/2022) for patients of a large Federally Qualified Health Center in Arizona that implemented telemedicine in March 2020. Bivariate and multivariable generalized estimating equations were used to analyze the relationship between the outcome and predictor variables. We also analyze racial/ethnic and primary language disparities in telemedicine use among those with PPH and report the average predicted probability. Results There was a statistically significant relationship between telemedicine use and PPH even after adjusting for comorbidity severity (OR:1.85; CI: 1.74, 1.96). Analyses restricted to those who had PPHs showed an seven-percentage point difference in the predicted probability of telemedicine use between non-Hispanic White individuals and Asian/Pacific Islanders, the group with the lowest probability of telemedicine use among our study sample. Conclusion Telemedicine is a unique tool that can be leveraged by interventions that aim to optimize healthcare use among those with a history of preventable hospitalizations. However, the lack of targeted interventions to identify and address barriers to telemedicine use among minoritized groups could limit the impact of such interventions and widen disparities.

Background:. Chylous leakage is a rare surgical complication most frequently encountered following operations involving the neck and thorax. Even more rare are axillary chyle leaks secondary to breast cancer involving the axillary lymph nodes. Anatomic variability in the termination of the thoracic duct may play a role in the susceptibility some individuals may have to this type of leakage. There is no consensus on the definitive management of these complications, especially in the context of breast reconstruction. Methods:. Here, we report our experience in the management of chylous leakage in three patients who underwent left axillary lymph node dissection and immediate breast reconstruction with the use of tissue expanders and acellular dermal matrix. Descriptions of each case are followed by a review of the relevant literature. We also present an original treatment algorithm. Results:. Two of three patients with suspected chylous leakage secondary to intraoperative injury to the axillary region underwent definitive diagnosis by clinical examination and drain fluid triglyceride analysis, followed by conservative management with a low-fat diet. The third patient was diagnosed clinically with no fluid analysis. All leakages resolved through conservative means, with no need to return to the operating room for surgical exploration and repair. Conclusions:. Based on our experience, we believe that patients with suspected chylous leakage secondary to axillary lymph node dissection in the context of breast reconstruction can be safely and effectively managed by conservative management in the acute postoperative period. If these measures are insufficient, surgical management may be necessary.

This study is focused on the evaluation of the geophagic characteristics of the sedimentary clay deposits at Share and Tshonga areas, northern Bida Basin, Nigeria. The methods used include particle size distribution, cation exchange capacity (CEC), acidity and alkalinity (pH), X-ray diffractometry, and bulk inorganic geochemical analysis (X-ray fluorescence and inductively coupled plasma mass spectrophotometer). The investigated clays are classified as dominantly clayey–silt with minor clayey–sand type, which conforms with the textural standard of geophagic clays obtained from different parts of the world. The whitish coloration of the clays with an occasional red stain also compares well with geophagic clays from Kenya and parts of South Africa and is therefore considered suitable for consumption. The observed low CEC (1.71–5.06 cmol(+)/kg) and acidic pH (4.54–6.87) values of the clay samples would make them effective against nausea and excessive salivation during pregnancy. The mineralogical compositions of these clay samples show the dominance of kaolinite with minor non-clay minerals, which makes it suitable not only for food detoxification but also as an alleviation of gastrointestinal disorders such as diarrhea. Chemical analysis shows a low percentage per weight of certain elements that are of nutritional value, though not in the present state but better as excipients in the pharmaceutical industry. It was observed, however, that consumption of more of the studied clay may lead to adverse health due to the presence of some heavy metals (Co, Cu, Ni, Cd, Ag, and Pb) with concentrations in excess of the permissible limit.

It has been realized throughout the years that an ideal combination of high toughness, hardness and strength is required in many engineering applications that need load-bearing capabilities. Ceramics and related materials have significant constraints for structural and particular non-structural applications due to their low toughness and limited strength while having substantially superior hardness than typical metallic materials. For example, hydroxyapatite (HAp) has gained attention for applications in orthopaedic implants, dental materials, drug delivery, etc. Researchers have continued to strive to produce HAp materials with reliable properties within the acceptable Weibull modulus (m) for load bearing. The Weibull analysis (WA) is a statistical analysis adopted widely in reliability applications to detect failure periods. Researchers have confirmed it to be an effective technique to get results on the reliability of materials at a moderately low rate with assured reliability of the material or component. This review summarizes the WA and the steps in the Weibull method for its reliability analysis to predict the failure rate of ceramics like HAp and other related materials. Also, the applications of WA for these materials were reviewed. From the review, it was discovered that Weibull distribution is proven to confer to the feeblest-link concept. For brittle materials, it was revealed that the Weibull Modulus ranges from 2 to 40, and environment, production processes, and comparative factors are well-thought-out contributing factors for reliability. In addition, the confidence interval can be up to 95 %. The frequently used technique for reliability valuation is to syndicate the Weibull statistics. Also, a very narrow distribution is desirable to offer the expected likelihood. Furthermore, when paired with trials, Monte Carlo simulations prove to be a very helpful tool for forecasting the dependability of different estimate techniques and their optimization. Finally, if the equivalent m is anticipated to be high, it signifies that the material has a high degree of homogeneity of properties and high reliability. WA can find application in predicting the dependability and lifetime of materials, making it widely utilized in engineering and other disciplines. It is especially useful for analysing data in which the likelihood of failure per unit of time varies over time.

Due to the disposal challenges posed by the availability of agro wastes, nano-catalysts have been reported used the synthesis from the wastes for the biodiesel. Therefore, this study employed the catalyst derived from the acidified corn stock for the synthesis of biodiesel from agricultural waste oilseeds of Carica papaya. The oil was extracted from the seed via a continuous process, the quality of the oil was determined, and the biodiesel was synthesized using nanocatalysts developed from the corn stock. Catalyst characterization was carried out using electric potential charge (ZETA), thermogravimetric analysis (TGA), fourier transform infrared spectroscopy (FTIR), scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS), x-ray fluorescence (XRF-FS), and brunauer-emmett-teller (BET) analysis. Process optimization was carried out by considering three variables in both the cases of oil extraction and biodiesel production via RSM-BBD and ANN-GA. The produced biodiesel was quantified by property determination, and the catalyst reusability test was carried out to ascertain the strength of the developed catalyst.Results reflected that the seed was rich in oil (44.14 % (wt./wt.)), and the oil was acidic (acid value = 3.680 mg KOH/g Oil). The produced acidified catalyst from corn pods showed the presence of heteroatoms, including mica-phylosilicates in the corn pod, but carbon produced a higher concentration (71.45 %wt.). The validated optimum biodiesel yield of 99.06 % (wt./wt.) at a cat. amount of 3.96 (g), reaction time of 72.42 min, and EOH/OMR of 1:5.99 were recorded. The qualities of biodiesel were in conformity with the biodiesel recommended standard. The catalyst reusability test showed the developed catalyst to possess a stable adsorption capacity, charge imbalance, and non-expanding behavior during transesterification.This study concluded that RSM-BBD with cubic polynomial techniques shows superiority over ANN-GA in conversion of Carica papaya seed oil to biodiesel in a catalytically acidified environment with corn pods, and the produced biodiesel could serve as an alternative environmentally friendly fuel.

Though insects have been part of African diets since ancient times due to their nutritional benefits, consumption of insects remains unpopular among some literate Nigerians. This study examined the knowledge and determinants of the use of insects as food among undergraduates in three south-western Nigerian universities, using 600 structured questionnaires. About 53% of the respondents have never eaten insects, while most respondents identified grasshopper (82.3%) and cockroaches (88.7%) as animal feed but not human diet. About 70% and 67% associated eating of cricket and termites, respectively to both human and animals. Factors that encouraged entomophagy include the awareness of insects as good sources of protein, the influence of family members who eat insects and the awareness of the medicinal values of insects. The major constraints to entomophagy were ignorance of the nutritive values of insects which accounted for 34.0% of the respondents and personal hatred for insect species (28.7%), stigmatization against those who eat insects (27.0%) and poor hygiene of those who process insects into food (23.0%). Age and value addition processing methods positively influenced insect consumption. Lack of money to buy other animal protein and meat type will cause the respondents to embrace entomophagy. Creating awareness on the benefits of edible insects will increase the practice of entomophagy and encourage more people to engage in insect farming.