Miracle-dz/UniFAR-FTUs huggingface dataset:
Glue versus Staples versus Sutures in Elective Wound Closures: A 3 years Comparative Study

Introduction: Sutures and staples remain the mainstay of wound closure techniques. In the modern era, the use of tissue glue is increasing in clinical practice. Octyl-2-cyanoacrylate, a more stable and reliable compound than its successors, has several advantages such as rapid application, reduced operating time, and less post-operative pain with antimicrobial properties. Materials and Methods: A 3 year prospective randomized controlled study was conducted on 180 patients comparing tissue glue (octyl-2-cyanoacrylate) with staplers and sutures in primary wound closures following elective groin surgeries in the Department of General Surgery in SRM Medical College and Research Centre from May 2013 to May 2016. 180 patients in good general health undergoing open inguinal hernioplasty were selected for the study. Results: Out of 180 patients, in any group, no irritation to skin or hypersensitivity reaction was observed. No generalized reaction or toxicity was noted either. The patients were randomly included in either of the three groups and analyzed using Chi-square test, Pearson’s correlation test, NPAR, and Kruskal–Wallis test, and the results were formulated. Conclusion: Tissue glue (octyl-2-cyanoacrylate) application is easier, simple to perform and consumes significantly less time than staples and sutures. Octyl-2-cyanoacry late gives the best results in terms of less post-operative pain, wound asepsis, and cosmetic results. The concept of tissue glue is a safe, attractive, and effective alternate over other conventional methods of wound closures following elective surgical situations with a trend to decreased incidence of surgical wound infections.
A Study to Evaluate the Role of Intravenous Immunoglobulin (IVIG) as an Adjuvant in the Management of Neonatal Sepsis in Preterm Babies

Introduction: Newborn children conceived before 32 weeks of incubation are genuinely immune deficient with cord blood centralization of IgG being not as much as half contrasted with those found in infants conceived at full term. Furthermore, exceptionally preterm newborn children have lessened supplement components, polymorphonuclear chemotaxis and are obligated to debilitate their capacity pools. Aims and Objectives: This planned study has been attempted with the accompanying targets, to concentrate on the administration of IVIG in addition with antibiotics to improves the therapeutic consequence of sepsis in preterm neonates. Materials and Methods: Sixty preterm neonates with sepsis were randomly assigned into study and control groups at a tertiary level neonatal intensive care unit, Princess Esra Hospital and Owaisi Hospital & Research Centre, Deccan College of Medical Sciences, Hyderabad, Telangana, India. Study-group was given IVIG in addition to standard treatment. Results: Total 60 patients were enrolled, 30 in study and 30 in control group. There were no gender differences (male 50%, female 50%) of neonates enrolled, which is also evident in the study (males 47.7%, females 52.3%) and control group (males 52.3%, females 47.7%). Conclusion: Low levels of immunity in preterm neonates results in increased morbidity and mortality in severe infection. Use of IVIG along with the antibiotics and other supportive therapy can improve the outcome.
Prevalence and pattern of anemia in the second and third trimester pregnancy in Western Rajasthan

Background: Anemia in pregnancy is related to maternal-fetal morbidity and mortality. In developing countries like India it is important to study prevalence and pattern of anemia in pregnancy especially in the region with higher maternal mortality rate like western Rajasthan. The main objective was to study the prevalence and pattern of anemia in second and third trimester pregnant females in western Rajasthan. Methods: In this cross sectional study females with second and third trimester pregnancy were evaluated for presence of anemia with its morphological type and severity. Results: 17,552 second and third trimester pregnant females were evaluated and prevalence of anemia was found 48.4%. The percentages of mild, moderate and severe anemia were 35.1%, 51.3% and 13.4% respectively. Most common morphological type was microcytic hypochromic anemia (51%) followed by normocytic normochromic anemia (32%), dimorphic anemia (13%) and macrocytic anemia (4%). Conclusions: There is high prevalence of anemia in pregnant females. This warrants the need of proper prophylaxis and early diagnosis of anemia in pregnancy to minimize the maternal-fetal morbidity and mortality.
Novel Horizons in Neuroprotection of the Newborn: Cooling is Just the Beginning

Hypoxic ischemic encephalopathy (HIE) is a major cause of neonatal mortality and morbidity. Of those affected neonates, 1520% of them will die in the postnatal period, and an additional 25% will sustain childhood disabilities. However, recent studies have shown that treatment with moderate hypothermia for HIE increases survival without neurologic deficit at the age of 18 months, providing us a proof that neuroprotection of the newborn is possible. Despite the beneficial effects of hypothermia, approximately half the infants who receive hypothermia still have abnormal outcomes. Evidence from the recent animal experiments and pilot studies in babies suggest that other agents combined with hypothermia may enhance overall neuroprotection. This review discusses such neuroprotective agents.
Prevalence and Demographic Correlates of Seropositive HIV and HBsAg Cases among Women Booking for Antenatal Care at the Rivers State University Teaching Hospital, Nigeria

Background: Infection with hepatitis B (HBV) and human immunodeficiency virus (HIV) are global public health problems. These infections during pregnancy increase the risk of maternal morbidity and mortality, and also pose a risk to the fetus due to mother to child transmission. Objective: To determine the prevalence of seropositive HIV and HBsAg cases amongst pregnant women at the Rivers State University Teaching Hospital (RSUTH). Methodology: A retrospective review of hospital and laboratory records of all pregnant women booked at RSUTH in two years, from May 2017 to April 2019, was carried out. Data on patients’ age, parity and educational level and reactivity of HIV and HBsAg test at booking were retrieved Original Research Article Awoyesuku et al.; IJTDH, 40(1): 1-9, 2019; Article no.IJTDH. 53330 2 using structured proforma and analyzed using Epi Info Version 7. Test for significance using Chisquare was set at a significant level of P<0.05. Results: 3560 patients had HIV and HBsAg screening out of which 148 (4.2%) and 9 (0.3%) respectively were positive. The comorbidity rate in this study was 0.06%. The mean age was 31.5±4.7 years and the mean gestational age at booking was 22.1±6.8 weeks. There was no significant relationship between their age (χ2 = 2.690, p-value=0.442) and parity (χ2 = 3.759, pvalue = 0.145) with HIV seropositivity, but these were significant for HBsAg (χ2 = 13.691, p-value = 0.003) (χ2 = 13.121, p-value=0.001). Educational status was significant for HIV (χ2 = 16.188, pvalue=0.000) but not for HBsAg (χ2 = 0.229, p-value=0.892). Conclusion: The seroprevalence rate of HIV and HBsAg in this study were low. HIV seroprevalence was significantly affected by lower education, while HBsAg seroprevalence was significantly affected by younger maternal age and nulliparity. Continued screening of pregnant women for these infections remains valuable and further community-based studies to identify risk factors are recommended.
Int. J. Biosci

The spirit (Sodabi) produced with fermented palm wine has very important socio-cultural place in Benin and is used of numerous traditional ceremonies. The production of spirit requires many operations among which fermentation is fundamental. The quality of sodabi depends on success of this stage. This study aims to define optimal time of traditional fermentation of palm wine to be distilled in spirit and to improve its physico-chemical characteristics with Saccharomyces cerevisiae external supply. Investigation of spirits producer’s has allowed identifying the different durations observed in a real environment. Experiments have been conducted to evaluate the influence of variation of fermentation time and the Saccharomyces cerevisiae supply on characteristics of wine. Results showed that the duration of traditional fermentation choice’s is random and based entirely on judgment of each other. It varies from three to ten days. In addition, experiments showed that fermentation length exceeding three (03) days involved a decrease of pH and ethanol content, an increase of the relative density and the volatile acidity of wines. Otherwise, contribution of 2 gram per wine liter of yeast significantly increases the alcohol content. The present study shows that, for sodabi production, the optimal length of wine fermentation is three days. * Corresponding Author: Fidèle Paul Tchobo  fideletchobo@gmail.com International Journal of Biosciences | IJB | ISSN: 2220-6655 (Print), 2222-5234 (Online) http://www.innspub. net Vol. 10, No. 5, p. 43-50, 2017
Performance Evaluation of Omo Microfinance Institute in Southern Ethiopia

Microfinance has been evolved as an economic development approach intended to benefit low income people. Therefore, the objective of this study was to assess the performance of Omo microfinance institute using the core performance indicators and to forward the possible recommendation to strengthen the performance of institute. This study pointed out that there was increment in the number of clients participated in the service delivery across years. The study also found out a negative impact on outreach to the poor and the participation of women clients was small. The results on financial sustainability measured by return on asset (0.02) and return on equity (0.06) showed there was difficulty in the institute profitably to sustain the business and in order to met it objectives in the long run. Under collection performance view, the study found out that a large percentage of PAR (11.78) and ALR (62.28%) which was beyond the threshold of 10 and 5 percent respectively. Therefore, the study concludes that the institute should focus on financial sustainability in order to reduce their subsidy dependence, ensure survival and growth in the future. To the policy makers, the study recommends that poverty alleviation programs need to be accompanied by a targeting strategy and a program structure appropriate to the needs of the poor.
The Clinical and Histopathological Significance of Performing Surgical Cavity Random Biopsy in Breast Conserving Surgery on Disease Course and Local Recurrence

Objective: Surgical treatment of breast cancer has changed dramatically in recent years. The National Institutes of Health Consensus Panel confirmed that breast-conservation surgery (BCS) is as effective as mastectomy in overall patients’ survival. Our aim was to assess the clinical and pathological value of performing surgical cavity random biopsies (SCRB) in BCS and their impact on the subsequent management. Methods: A retrospective study was conducted on 494 patients who had BCS in our firm between 2001 and 2006. Outcome measures were examined at 3,4,5 years follow up period for each patient. Tumour immunohistochemistry, adjuvant therapy, recurrence rate and demographic data were collected and represented with Pearson’s chi-squared test. Results: The median age was 59 years. Out of 494, 23 patients (4.65%) had positive SCRB whom all had subsequent surgical intervention plus adjuvant therapy. 7 patients had total mastectomy, 13 had re-excision of positive margins and only 3 had axillary node clearance. Recurrence rate was reported in 7 patients only (1.41%) and the overall mean survival time for all patients was 74.585 months (95% C.I 73.839-75.332). Conclusion: Our practice of performing SCRB had changed the management of 23 patients and revealed an excellent recurrence rate of only 1.41% which is below the national figures reported in the literature (7-9%). SCRB is a reliable method of determining margin status, minimising re-excision and reducing overall recurrence rate.
The Relationship between Human Resources Practices and the Intent to Leave the Organization and the Occupation

This study analyzed the relationship between the intent to leave the organization and occupation with commitment to organizational and occupation, job satisfaction, organizational support and justice perceptions, and human resources practices. The study subjects were university and private hospital nurses. The study results showed that human resources management practices affected the intent to leave the organization and the profession through nurses’ perceptions of organizational support and organizational commitment.
Physicochemical Factors Influencing Pectinolytic Enzyme Produced by Bacillus licheniformis under Submerged Fermentation

Agricultural wastes containing pectin can be considered as an alternate substrate for the production of pectinase. In this study different agricultural wastes as well as pure chemicals were used for pectinase production. Bacillus licheniformis isolated from cassava waste dump site was used to produce pectinase by submerged fermentation. The levels of the enzyme production detected in culture media varied with the type of carbon source used. Effects of different nitrogen sources revealed that a combination of yeast extract and casein increased the enzyme yield compared to other nitrogen sources. The maximum enzyme activity was obtained under optimum conditions at an incubation period of 48 h, temperature of 40°C and pH of 9.0 with orange bagasse as carbon source. The pectinase identified in this study could have potential application in industrial processes. [Madu, Joshua Osuigwe, Torimiro, Nkem, Okonji Raphael Emuebie James Isreal E. and Agboola Femi Kayode. Physicochemical Factors Influencing Pectinolytic Enzyme Produced by Bacillus licheniformis under Submerged Fermentation. Nat Sci 2014;12(8):110-116]. (ISSN: 1545-0740). http://www.sciencepub. net/nature. 15
Stressful Work, Citizenship Behaviour and Intention to Leave the Organization in a High Turnover Environment: Examining the Mediating Role of Job Satisfaction

This study investigates the extent to which job satisfaction mediates the relationship between job stress work outcomes, such as intention to leave the employer and citizenship behaviour (OCB). Job satisfaction is examined as a mediator between stress and intention to leave, and OCB. The procedure advocated by Baron and Kenny (1986) was selected for the mediation test. The result pattern across both samples was very similar. While no relationship was found between stressful work and OCB, stressful work increased the desire to leave the employer. Job satisfaction had a positive negative effect on OCB and a strong negative effect on intention to leave. Job satisfaction fully mediated the relationship between stressful work and intention to leave the employer. Our data suggest that an employee who experiences job satisfaction can support stressful work induced by his or her professional environment.
Therapeutic of Controlled Exposure to Selected Allergens - A Non-drug Measure

This is a collaborative work between all authors. Author NFC conceived, designed the study, performed the statistical analysis, wrote the protocol, wrote the first draft of the manuscript and managed literature searches. Author OM read the first draft and made some inputs in the discussion. Author OMC led the clinical team in the field work. All authors read and approved the final manuscript. ABSTRACT Allergies exemplify the cases in which normally unnecessary immune responses give rise to diseases. The research was aimed to explain some of the background on biochemical adaptation, in non drug treatment of allergic reactions through well-thought-out exposure on allergens. Allergic reactions viz: Insect sting allergy, allergic rhinitis, food allergy, drug allergy and allergic asthma were delved into and result presented in percentage reliability. The results of the six-year showed insect sting allergy, allergic asthma, and allergic rhinitis were 60, 33 and 39% respectively, while drug and food allergy were 30 and 38% respectively. The allergies follow similar pattern in all, involving inflammation, immunoglobulin E, histamine among others. The results depicted that controlled repetitive exposures caused desensitization and tolerance to the respective allergens. This method might have reduced the production of allergic participatory cells hence a new form of vaccination. This study described the outcome of the association between allergen exposure, sensitization and allergic diseases. This work is considered paramount when allergy symptoms are moderate to severe, occurs throughout the year, do not respond adequately to medications, and are triggered by an allergen not easily avoided.
The Effect of Influenza Vaccination on Workers’ Absenteeism in Hospital Personnel in Iran

Influenza like illness (ILI) is the most common cause of absenteeism in the workplace. This study was designed to assess the effect of anti-influenza vaccination on reducing illness and absenteeism among health care workers (HCWs) of two academic hospitals of Mashhad University of Medical Sciences in Iran from September 2015 through June 2016. In this follow up study 166 health care workers in two academic hospitals were observed for 9 months. Influenza vaccine was administered to 83 HCWs on a voluntary basis in September 2015. Respiratory symptoms and absenteeism due to influenza like illness in vaccinated group were evaluated and compared with unvaccinated group every 3 months. A questionnaire was also administered for collecting the socio-demographic and occupational data such as age, sex, job and etc. in the studied groups. The mean of age in the vaccinated and unvaccinated groups was 36.69±8.43 and 37.12±8.3 respectively (P=0.73). There was no significant difference between two studied groups regarding sex, marital status, hospital, shift of work (fixed or rotational), educational degree, smoking and history of atopy. The individuals who were absent from work due to influenza during the first and second trimester were 13 (15.7%) and 7(8.4%) in the case group and 31(37.3%) and 24(28.9%) in the control group respectively (P=0.003, P=0.001). During 9 months of study 23(27.7%) individuals in case group and 51(61.4%) in control group were absent from work. (P=0.001). In this study the vaccinated group showed lower flu-like symptoms and sickness absenteeism compared with unvaccinated group. Therefore we can conclude influenza vaccination is very effective in reducing sickness absenteeism in hospital personnel and annual influenza vaccination is recommended for this job groups.
Phytochemical Screening and Antimicrobial Activity of Ficus religiosa

The leaves of Ficus religiosa was studied for invitro phytochemical screening and antimicrobial activity. The aqueous and methanolic solvent extract was used to screen the secondary metabolites and test the antimicrobial effect of extract on E.coli. The phytochemical analysis showed the presence of alkaloids, saponins phenols flavanoids protein tanins and terpenoids. The extracts were subjected for antimicrobial activity against E.coli using agar well diffusion method. Aqueous and methanolic extract showed a zone of inhibition of 10 mm and 12 mm respectively.
Job Satisfaction on Employee Performance; Counterproductive Work Behavior and Organizational Citizenship Behavior as Mediations

Employee performance is one of the most researched topics in the field of human resources, many factors affect an employee's performance. As a negative behavior Counterproductive Work Behavior (CWB) which is often shown by employees when working, especially in government organizations. This behavior greatly affects the performance of employees in an organization. In addition to the negative behavior, positive behavior that has the opposite effect in improving employee performance is Organizational Citizenship Behavior (OCB). These two things are of concern to researchers to be studied in this study within a theoretical framework of research. Both CWB and OCB are largely determined by the job satisfaction felt by employees. This study aims to examine the effect of job satisfaction on OCB and CWB and the impact on employee performance, and wants to prove that OCB and CWB are able to mediate the relationship between job satisfaction and employee performance. Respondents from this study were 126 civil servants from 30 government offices with a simple random sample technique. The collected data were analyzed using the Structural Equation Modeling (SEM) approach with the Partial Least Square (PLS) approach. The results showed that OCB and CWB were proven to be mediators. For direct influence is explained in this text.
LE LUPUS SYSTÉMIQUE À LOMÉ, TOGO

· Une etude retrospective a ete menee entre 1991 et 2003 afin de documenter le profil semiologique et evolutif du lupus erythemateux systemique a Lome. Nous avons recense dans quatre services a Lome 16 cas de lupus systemique, tous chez des femmes dont l'âge moyen etait de 31,93 ans. Les manifestations cliniques les plus frequentes etaient: les lesions de lupus discoide (87,5%), le rash malaire (56,25 %), l'alopecie (43,7 %), les polyarthralgies (87,5 %) et des serites (37,5 %). Les anomalies biologiques observees etaient: une anemie hemolytique (68,7 %), une leucopenie (31,25 %) et une proteinurie (37,5 %). Les anticorps antinucleaires et les DNA natifs etaient presents respectivement dans 92,3 % et 76,9 %. La duree moyenne de suivi etait de 33,56 mois. Les infections (68,7 %) ont constitue les principales complications. Nous avons enregistre 5 cas de deces (31,25 %) dont les causes etaient essentiellement iatrogenes.
Cystatin-C as a Biomarker in Predicting Early Renal Impairment in Normo-Albuminuric Patients with Type 2 Diabetes Mellitus

This study was done to evaluate clinical usefulness of cystatin C levels of serum in predicting renal impairment in normoalbuminuric patients with type 2 diabetes and to evaluate the association between albuminuria and serum cystatin C. Type 2 diabetic patients (n = 239) with Normoalbuminuria (n = 110), Microalbuminuria (n = 81) and Macroalbuminuria (n = 48) were enrolled. Creatinine, urinary albumin levels, serum cystatin C and estimated glomerular filtration rate (eGFR by MDRD [Modification of Diet in Renal Disease] were determined. The cystatin C levels of serum increased with increasing degree of albuminuria, reaching higher levels in macroalbuminuric patients (P < 0.001). The correlation between serum cystatin C and albumincreatine ratio were analyzed. The serum cystatin levels were directly correlated with albuminuria(r =0.387, p< 0.0001). The serum cystatin C levels were negatively correlate with eGFR (r = 0.364, p<0.0001). In multiple regression analysis, serum cystatin C was affected by age, sex, albumin-creatinine ratio (ACR) and eGFR. In multivariate logistic analysis, cystatin C levels of serum was identified as independent factors associated with eGFR < 60 mL/min/1.73 m2 estimated by MDRD equation in patients with normoalbuminuria. The cystatin C levels of serum could be useful markers for renal dysfunction in type 2 diabetic patients with normoalbuminuria.