Miracle-dz/UniFAR-FTUs huggingface dataset:
Double blinded clinical comparative trial of intrathecal dexmedetomidine and fentanyl as an adjuvant to isobaric levobupivacaine

Aim: To compare a combination of isobaric Levobupivacaine with fentanyl and dexmedetomidine. Material and methods: This was a prospective, randomized, and double blinded clinical comparative study conducted in the Department of Anaesthesiology Metro Hospital and Cancer Research Center, Jabalpur, Madhya Pradesh, India. The study population consisted of 180 adult patients who were classified as American Society of Anesthesiologists (ASA) physical status I or II, undergoing elective lower limb orthopaedic surgery under spinal anesthesia. The study participants were randomly divided into three groups. Group A: 0.5% Levobupivacaine Isobaric 2.5ml+ 0.5ml normal saline (total volume is upto 3.0 ml). Group F: 0.5% Levobupivacaine Isobaric 2.5ml + 25mug fentanyl (test solution will diluted with normal saline to total volume of 3.0ml). Group D: 0.5% Levobupivacaine isobaric 2.5ml +5 mcg dexmedetomidine (test solution will diluted with normal saline to total volume of 3.0 ml. Result: The mean time for onset of sensory block was 10.74 ±4.11 min in the saline group and 8.56±2.89 min in the dexmedetomidine group and 2.18±1.32 min in the fentanyl group. The mean time taken to achieve maximum sensory block in group A was 15.78±4.93 min, in group D was 13.36±3.62 min and in group F it was 5.42±1.87 min so maximum sensory block was achieved earlier in group. Peak level of sensory block attained in the fentanyl group was T4 and the peak level of sensory block in dexmedetomidine group was T6 and in the saline group peak level was T8. So the highest sensory block was attained in the fentanyl group. Conclusion: Dexmedetomidine group has longer onset of and duration of sensory block and effective postoperative analgesia and fewer side effects as compared to fentanyl group.
A Measurement of Clinical Profile, Complication and Outcome of the Studied Patients with Typhoid Fever

Original Research Article Introduction: Typhoid fever is a common pyretic illness and one of the major health complications in Bangladesh. Hence, the present study was conducted to determine the, clinical profile, complication and outcome of the studied patients suffering from typhoid fever in some of the tertiary care hospitals in Dhaka. Material & Methods: This was a cross sectional study conducted in the Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College Hospital (SSMCH), Dhaka, Bangladesh for a period of one year from July 2015 to June 2016. A total number of 100 children with Typhoid fever were studied and analyze based on clinical profile, complications and outcome. During the study period febrile patients admitted in above mentioned hospital with the diagnosis of suspected typhoid fever was screened. Suspicion was made on the basis of clinical features like continued fever, toxic look, diarrhea/constipation, splenomegaly, hepatomegaly, diffuse tenderness and caeca gurgling. Clinically suspected cases undergone laboratory investigation that includes CBC, Widal test and blood culture and other tests as per individual case merits. Results: Out of 100 diagnosed typhoid fever children, 60 (60%) were male and 40 (40%) were female. Fever was present in all patients. Other most common appearance is loss of appetite, vomiting, diarrhea, headache and constipation. Coated tongue was the predominant examination finding followed by hepatomegaly, splenomegaly and abdominal tenderness. Sensitivity to ceftriaxone was 100% in our study while resistance to nalidixic acid was 90%. Conclusion: Clinical profile of typhoid fever in children admitted in tertiary care hospitals matches to what had been seen in the past and recorded in different local and regional publications. Typhoid fever is endemic in our country and affect all ages beyond infancy as found in this study.
Enhancing emotional engagement through relational contracts, management receptiveness, and employee commitment as a stimulus for job satisfaction and job performance in the public sector

Research background: In the private sector and on social media, corporate emotional interaction has lately become a hot topic. In the background of the public sector, however, it has scarcely been discussed and very little is known about its determinants and implications. Purpose of the article: This research investigates the role of organizational emotional engagement through relational contracts, senior management receptivity, and upward communication of employees in the public sector in stimulating work satisfaction and job efficiency. Equilibrium. Quarterly Journal of Economics and Economic Policy, 16(1), 203–224 204 Methods: This research was based on data collected between April 1, 2020, and May 31, 2020, from 335 state employees from various governmental organizations in Ho Chi Minh City (HCMC), Vietnam. To evaluate the hypothesized model, partial least squares-structural equation modeling was used. Findings & value added: Our results illustrate that relational contracts have a powerful effect on emotional engagement. Positive relationships were confirmed between employee engagement and the voice of employees and between employee engagement and job performance. Moreover, the findings also support the role of senior management receptiveness in stimulating organizational emotional engagement. This study addresses questions about absence of academic studies on organizational emotional engagement in the public sector. The results highlight the important role of emotional engagement in stimulating job satisfaction and job performance through relational contracts, senior management receptiveness, and upward employee communication.
The effectiveness of WhatsApp-based nutrition education towards compliance with iron-folic acid supplement intake among adolescent girls in Indonesia

Background: Iron deficiency anemia in adolescent girls in Indonesia is still high, reaching 22.7%. Anemia in adolescent girls impacts concentration in study, so that productivity of adolescents is decreasing. The government already runs a program of micronutrient supplementation program to tackle anemia in adolescent girls. However, this program was deemed ineffective because adherence to consumption of micronutrient supplement was still low. Aims: The aimof the study was to analyze the complianceof ironfolic acid supplement in girls with nutritional education through WhatsApp. Settings and Design: This research was an experimental quasi study. The total sample was 60 SHS students divided into two groups, namely treatment group and control group. Methods and Material: Sampling used a random sampling method. Nutrition education was given through WhatsApp within 3 discussions in 1 month. Data collection was carried out twice, before and after education, and the data collected were knowledge and compliance with consumption of iron-folic acid supplement. Subjects were declared comply withthe supplement consumptionif they consumed 75% of the tablets given. Results: The results showed that there was a significant difference in knowledge between the treatment group and the control group with a value of p = 0.002, and there was a significant difference (p<0.001) in the compliance in taking iron-folic acid between the treatment group and the control group.Conclusion: Nutrition education through WhatsApp can improve knowledge and influence adolescent girls to comply with the consumption of iron-folic acid supplement.
Customer Relationship Management and Customer Loyalty: An Empirical Study of Selected Deposit Money Banks in Lagos State, Nigeria

Globally customer loyalty has been of great concern to banks, entrepreneurs and business organisations. The banking industry plays an important role in the economic development of a nation. In recent years, the banking industry has faced competitive pressure worldwide as the world financial structure has changed rapidly due to the deregulation of financial services and increasing use of information technology resources. However, there seems to be a few studies on customer relationship and customer loyalty. Customer relationship management adoption in Nigeria appears to be very low because of implementation cost. This study examined the effect of on customer relationship management on customer loyalty focusing on selected deposit money banks in Lagos State, Nigeria. The study employed cross sectional survey research design and a population of 6,975,037 deposit money bank customers in Lagos State, Nigeria. The sample size of 1,019 was determined using Krejcie and Morgan table. Simple random sampling technique was adopted to select the respondents. Structured questionnaire was adapted and validated for the data collection. The Cronbach’s alpha reliability coefficients of the constructs ranged from 0.809 to 0.868 and the study achieved 97.84% response rate. The hypothesis formulated was analysed using regression analysis. Findings revealed that customer relationship management had significant effect on customer loyalty (Adj. R = 0.550; F (5,990) = 244.128, p<0.05). The study concluded that customer relationship management affect customer loyalty of deposit money banks. The study recommended that banks should strategically focus on the use of customer relationship management to align their products/services with the needs of both existing and potential customers to achieve customer loyalty.
Effect of wettability on oil recovery and breakthrough time for immiscible gas flooding

ABSTRACT The effect of wettability on oil recovery at higher water saturation is still not fully understood, especially in the case of mixed wettability. This study was conducted to examine the effects of wettability on oil recovery and breakthrough time through experiments for two wettability conditions (water-wet and mixed-wet) and three water saturations (20%, 40%, and 60%). Clashach sandstone core with a porosity of 12.8% and a permeability of 75 md was utilized as the porous media. Immiscible gas flooding was performed by injecting nitrogen gas into the core at room temperature and pressure. The results showed 54.3% and 48.8% of the initial oil in place (IOIP) as the ultimate oil recovery at 40% water saturation from mixed-wet core and water-wet core respectively. In contrast, the water-wet core displayed better results (32.6% of the IOIP) in terms of breakthrough time compared to the results of water-wet core (10.6% of the IOIP) at the same water saturation. In conclusion, oil recovery was found highly dependent on water saturation while breakthrough time was mainly affected by the wettability of the cores.
Specific richness, size classes and growth parameters of the main fish species in the upper Mouhoun River basin in Burkina Faso

In Burkina Faso, fisheries management based on compliance with the fishing gears being authorized by the legislations is inadequate. In this context, it is necessary to find other tools to assess the catch sizes of the species and the quality of the living environment of the fish. For this purpose, a sampling was carried out in three fishing sites in order to study the richness, the size class, the weight-length relationship of captured species and the condition factor of the dominant species during the rainy and dry seasons. The results showed that the three fishing sites were found to be species abundant ones with 43 species divided into 31 genera belonging to 18 families. The dominant species were: Oreochromis niloticus, Sarotherodon galilaeus, Heterotis niloticus, Auchenoglanis occidentalis and Synodontis schall. In Bama, the catch sizes of O. niloticus ranged from 7.5 to 25 cm while in Balla it varied from 12.5 to 32.5 cm. The size of S. galilaeus ranged from 7.5 to 22.5 cm, 12.5 to 30 cm and 15 to 25 cm in Bama, Balla and Samendeni, respectively. Values of the constant b of the weight-length relationship revealed that 50% of the species had negative allometric growth, 20% had isometric growth and 30% had positive allometric growth. This showed that some species are exploited below the size of their first maturity in some sites, which might compromise their long-term survival.
Estimates and Determinants of Psychological Problems of Pregnant Women during COVID-19 Epidemic in South Africa

The COVID-19 epidemic has impacted significantly on the general population including pregnant women. The psychological impact of COVID-19 among vulnerable population like pregnant women is yet to be estimated. Therefore, the objective of this study was to estimate the prevalence and factors associated with anxiety, depression, and overall psychological problems. A questionnaire-based cross-sectional study was conducted among black pregnant women attending a Primary Health Care facility in South Africa. Logistic regression analysis was performed to determine the significant factors for psychological problems. A total of 346 pregnant women participated in this study. The rates of anxiety, depression and overall psychological problems were 35.7%, 38.2% and 34.3% respectively. Gestational age between 14-26 weeks were 60% (OR=.397, p 39 years, women who were between 20-29 years were 28 times (OR=27.8, p<0.01) and women aged between 30-39 years were nine times more likely to have overall psychological problems. Respondents with parity one was 83% (OR=0.17, p<0.05) less likely to have psychological problems when compared with other parity groups and women having adequate funding were 65% less likely (OR=0.35, p<0.05) to have overall psychological problems than those did not have adequate funding. Higher rates of anxiety, depression and overall psychological problems are found among black pregnant women. It is therefore imperative that appropriate and timely mental health care supports are provided to reduce adverse health outcomes.
Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Background: Ectopic pregnancy remains a public health threat for women in reproductive age, and a major cause of maternal mortalities in the first trimester of pregnancy. Past studies in Ghana on the burden of Ectopic Pregnancy (EP) have focused on major referral health facilities with little consideration of primary health facilities. This study was set out to determine the prevalence of Ectopic Pregnancy, demographic characteristics involved and the various types of Ectopic Pregnancy seen in primary health settings in Kumasi, Ghana.Methods: A retrospective descriptive cross-sectional study was conducted at the Suntreso Government and Tafo Government Hospitals in the Kumasi metropolitan area from 2007 to 2017. A review of 28,600 obstetric cases recorded in registers of the two facilities was done using electronic data extraction form. The data were exported into STATA/IC 14.0 for statistical analysis.Results: A prevalence of 0.76% EP was recorded over the study period of 10 years. 61.75% of the women diagnosed with EP were between the ages of 21-30 years with a mean age and standard deviation of 27.61 and 5.91 respectively. Tubal (fallopian tubes) EP was seen in 76.96% of the women diagnosed with EP. 10.18% and 7.19% of the tubal EP occurred in the cornual and fimbriae respectively. Ruptured EP was seen in 58.99% of the cases.Conclusions: The study reported EP in about one in a hundred cases. The commonest EP that emerged from this study was tubal (fallopian tube) EP. Among the tubal EP, cornual and fimbria were the commonest EP that occurred in the fallopian tube. Although cases of tubo-ovarian and ovarian EP are rare, a significant percentage were observed in this study. Early reporting and diagnosis of EP should be of great importance to prevent ruptured EP and any associated complications.
Colorectal carcinoma: Surgical management, risk and prognostic factors: A retrospective study

Received on: 19.10. 2018 Revised on: 24.12. 2018 Accepted on: 28.12. 2018 Colorectal carcinoma (CRC), the most common malignant disease in industrialized societies; 875, 000 new cases being reported every year and approximately 500, 000 are dying to the CRC, and it is the commonest gastrointestinal tract cancer worldwide. The current study as aimed to address the patterns of clinical preSsentations, age, and gender distribution, methods of investigations and surgical management of colorectal cancer patients as well as identification of certain risk factors for the development of colorectal cancer and predictors of recurrence. This study was involving 45 patients with the new diagnosis of colorectal cancer admitted and treated at Al-Diwaniyah Teaching Hospital, Al-Qadisiyah province, Iraq in the period between January 2016 and January 2018. The most common postoperative morbidity was wound complications (5/45, 11%). Prognostic factors of recurrence included Clinical presentation: emergency cases had a risk of recurrence that it's twice the elective cases, Stage: patients with Duke's stage 3 C1 had a risk of recurrence that is 3 times more than those with stage < C1. Grade: patients with poorly differentiated tumours had a risk of recurrence that is six times more than those with well and moderately tumours. Adjuvant chemoradiation: patients who did not receive and or complete adjuvant chemoradiation were 30 times riskier for recurrence than those who received and completed their courses. There is an increase in the incidence of colorectal carcinoma in young age patients with about equal gender distribution, as well as bleeding per rectum and change in the bowel habit are the common presenting features with the rectum being the most common site.
Symbiosis of AMF with growth modulation and antioxidant capacity of Caucasian Hackberry (Celtis Caucasica L.) seedlings under drought stress

Beside climate changes, drought stress has become a serious limitated factor for plant production and seedling growth. Arbuscular mycorrhizal fungi (AMF) symbiosis has proposed to improve the growth and water efficiency under limited-water condition. For this purpose, Caucasian Hackberry (Celtis Caucasica L.) seedlings inoculate with mycorrhizal fungi Rhizophagus intraradices and Funneliformis mosseae under well-watered and water deficient conditions. The mycorrhizal and non-mycorrhizal seedlings were treated under 75 % FC (as control), 50 and 25 % FC for 90-days. The data were analyzed by using two-way ANOVA (SAS 9.2). In order to determine the significance of means, Duncan’s multiple-range test (DMRT) was performed using SAS 9.2 software at P ≤ 0.05. A principal component analysis (PCA) was conducted to assess the distribution of water and AMF treatments across a biplot figure by Past software. As well as, cluster analysis was performed using d3heatmap, dendextend, and gplots packages in R according to the Ward method to classify traits and applied treatments. The Result showed that the plant growth parameters dry shoot weight, leaf area, seedling height, dry root weight, length of root, number of secondary root, and chlorophyll content were greater in mycorrhizal seedlings in comparison with non-inoculated seedlings under normal irrigation and drought treatments. AMF symbiosis decreased H2O2 and malondialdehyde (MDA) content in leaves, while the activity of antioxidant enzymes catalase and superoxide dismutase raised in the host mycorrhiza-inoculated seedlings. The positive correlation was observed between colonization rate and plant growth as well as antioxidant enzymes activity, remarkably. These results suggest that AMF symbiosis is a potential tool to alleviating the detriment created by drought stress on Caucasian Hackberry young seedling by elevating plant growth, reducing membrane lipid peroxidation, raising cell wall stability and increasing the activity of antioxidant enzymes.
Iron acquisition from host molecules by campylobacter jejuni

A lacZ-based reporter gene system was used to identify the promoter of the Campylobacter jejuni iron-responsive gene regulator Fur. In other Gram-negative bacteria, the fur promoter is usually located directly upstream of the fur gene and is often autoregulated in response to iron. In this study we demonstrate that expression of the C. jejuni fur gene is controlled from two promoters located in front of the first and second open reading frames upstream offur. Neither of these promoters was iron-regulated, and the presence of both promoters in front of fur gives higher expression of the lacZ reporter than with either promoter alone. Expression from two distal promoters might be a mechanism for regulating the level of the C. jejuni Fur protein in response to unknown stimuli. © 2000 Published by Elsevier Science B.V. on behalf of the Federation of European Microbiological Societies.
Effect of pilates training on self esteem in sedentary middle aged women

The purpose of the present study was to find the effect of Pilates training on self esteem. For this purpose sixty sedentary middle aged women were randomly selected from Thalassery, Kannur District, Kerala. They were physically not active and their age ranged between 40 and 50 years. They were divided into two equal groups named experimental group and control group consisting of thirty each. Experimental group underwent Pilates Training and the subjects in control group were not engaged in any training programme. The training period for this study was six days in a week for twelve weeks. Prior to and after the training period the subjects were tested for self esteem by a questionnaire developed by Rosenberg. It was concluded that Pilates training improved self esteem of sedentary middle aged women. The data collected from the subjects was statistically analyzed with ‘t’ ratio to find out the significant difference among experimental and control group on self esteem. The analysis reveals that the Pilates training programme significantly improved the self esteem of sedentary middle aged women.
Attitudes and Knowledge about Zoonotic Diseases among Livestock Farmers in Rural Tamale, Ghana

Cattle farming remains one of the lucrative agricultural ventures among rural settlers in the Northern parts of Ghana and is kept for both commercial and subsistence purposes. However, the emergences of cattle-associated infections remain a threat to cattle production and the human population. This study aimed at assessing the knowledge, attitudes, and practices towards zoonotic diseases among cattle farmers in the Tamale Metropolis. The study was a descriptive cross-sectional study, involving a mixed method. The quantitative approach involved the use of a semi-structured questionnaire and the qualitative approach involved the use of focused group discussions using a focus group guide. A total of 100 cattle farmers were selected using a purposive sampling method, from March to July 2020. A chi-square test analysis was performed to identify the factors that are associated with the knowledge, attitudes, and practices towards cattle-related zoonotic diseases. A 95% confidence level and statistical significance of p<0.05 were used. The qualitative data were analyzed using thematic content analysis. Males were the most represented (98%). The overall knowledge, attitude, and practices towards cattle-related zoonotic diseases good scores were 52%, 67%, and 16%, respectively. Age (p=0.022), ethnicity (p=0.039), and educational background (p=0.042) of the study participants showed a significant association with the knowledge, attitudes, and practices towards cattle-related zoonotic diseases. In conclusion, their practices towards zoonotic diseases were largely poor. The study, therefore, recommends that the Ministry of Agriculture, the Tamale Metropolis, and other stakeholders ought to organize periodic training for cattle farmers on zoonotic diseases.