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Volume 7 issue 2

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Title : Improving Hand Hygiene Compliance among Health Education Students of Ambrose Alli University, Ekpoma, Edo State, Nigeria

Authors : OKAKA Richard Onoigboria, Prof. NWAJEI Samuel Dibia, Dr. (Mrs) Sarah Okoedion

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Abstract :

This study assessed improving hand hygiene compliance among health education students of Ambrose Alli University, Ekpoma, Edo State, Nigeria. Three research questions and one hypothesis guided the study. This study is a descriptive survey design. 200 education students of which all was Health Education in Ambrose Alli University, Ekpoma, Edo State was sampled out of the entire 4,987 population Faculty of Education students through a simple random technique. A questionnaire titled: Improving Hand Hygiene Compliance (IHHC) was used. Data collected were analyzed. The findings revealed that there was high level of compliance to hand hygiene among students; Health Education students had positive attitude and knowledge on hand hygiene compliance and there was no significant difference on the attitude and knowledge of male and female Health Education students hand hygiene compliance. Based on the findings of the study, the following recommendations were made; improved hand hygiene practice needs a multifaceted approach involving both individual and facility factors. This should include improved training programs and ongoing staff development. Most importantly, patients should be empowered to monitor those employed in their care. Poor or insufficient access to hand hygiene facilities also need to be addressed.


Title : Determinants of the Median Nerve Cross Sectional Area in Rheumatoid Arthritis Patients

Authors : Suad Hannawi , Haifa Hannawi, Issa Al Salmi

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BACKGROUND: Rheumatoid arthritis (RA) is a widely recognized cause of carpal tunnel syndrome (CTS). Others stated that CTS is overestimated in RA. CTS is associated with increase in the thickness of the median nerve. This study aims to establish the determinants of the median nerve cross sectional area (MNCSA) in RA patients with no CTS.

METHODS: Ultrasound measurements were performed in 120 RA patients (240 hands)without symptoms or diagnosis/previous diagnosis of CTS. Eachmedian nerve was measured three times, and the mean value was used for analyses.

RESULTS: MNCSA was 9.79±2.6 mm2 (range 1.5-22.25). MNCSA was positively associated with the age of participants (p=0.03, CI:0.00-0.08), body mass index (BMI) (p=0.04, CI:0.00-0.21), uric acid level (p=0.033, CI:0.00-0.01), and urine microalbumin (p=0.04, CI:0.00-0.01). RA clinical characteristics and inflammatory markers showed no significant relation to the MNCSA.

CONCLUSION:MNCSA in RA is affected by age, BMI, serum uric acid and microalbumin level.


Title : Evaluation of Service Quality of a Saudi Cardiac Center: Patients are the Best Judges!

Authors : Dr. Majeda Farajat, Dr. Abdulrahman Mesned

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Healthcare sector has lately witnessed growing interest in service quality, which concerns consumers’ perceptions and opinions about the services provided as well as in patient's satisfaction which is a significant outcome indicator of health-care delivery.

The objectives of this study were to assess service quality from patients’ perspective using SERVQUAL framework in addition to patients’ overall satisfaction with the provided services.

 In May 2018, a cross-sectional study in a tertiary referral Cardiac Center –Kingdom of Saudi Arabia was conducted using a systematic random selection method, a total of two hundred (200) adult patients (outpatients=136; inpatients= 64) were recruited. The 40-item questionnaire includedpatients’ socio-demographic characteristics, seven (7) Service Quality Dimensions (SQDs) and patients’ satisfaction. Data were analyzed using descriptive statistics, Mann-Whitney tests, Spearman’s rank correlations and Chi-square tests.

The results showed high perceptions of all SQDs, where all median (4.00 to 4.25) and mean scores (4.17 to 4.40) were relatively high. The median and mean scores of patients’ satisfaction were also relatively high, 4.00 and 4.41 respectively. Moreover, Patient’s Satisfaction Rate was 93.5%. No significant differences between outpatients and inpatients in all SQDs or satisfaction levels were found. Additionally, there were significant positive correlations (p≤ .01) between patients’ satisfaction and all SQDs. With the exception of place of residence (p-value=.045), There were no significant differences in the level of satisfaction by patients' socio-demographic characteristics.

Our study has shown pleasing levels of patients’ perception of SQDs and satisfaction.Yet, continuous efforts to maintain these levels are required and a special attention should be given to patients coming from outside Qassim region.

Methodological limitations to our findings include the possibilityof “ceiling effect” related to the high satisfaction levels; the non-Gaussian distribution of the data, which limited the use of parametric tests.


Title : The Improvement of Personalized Recommendation System Based on Sparse Data of Financial Products

Authors : Xu Yong, Pi Ying-xin, Xu Jian-bin

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In the era of big data, innovative marketing of internet finance confronts with new challenges. How to provide users with precise customized financial service, has become a problem of further expansion of internet financial market. Based on this background, the research integrates the ideology of concept hierarchy into the traditional personalized recommendation algorithm, and proposes an improved trick, which is punishing user similarity computation of popular items. And the research integrates the ideology of community mining into recommendation algorithm, making EO algorithm as the basis of community division algorithm, which combines improved index of user similarity and the Q of community discovery to build a new model of community discovery and divide the structure of social network. Optimizing the procedure of recommendation system solves the problems of data sparsity, cold start and system scalability. In the end, selecting the data from the Mint, which is a financial institution in America, demonstrates the improved effect that the two innovative schemes proposed in this research contribute to the accuracy of the recommendation system and the precision of community discovery.


Title : Evaluation of Soil Erosion Effects on Soil Productivity Using Productivity Index Model in Makurdi, Benue State, Nigeria

Authors : AJON A.T., AGBER P.I., ALI A.

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A field experiment was conducted at the Teaching and Research Farm of the College of Agronomy, University of Agriculture, Makurdi (Latitude 7o46’ – 7o50’N and Longitude 8o36’ – 8o40’E) during the 2015 and 2016 cropping seasons. Soil erosion plots (runoff plots) were set up under a slope gradient of 2.5 % to evaluate the effects of soil erosion on soil productivity using modified productivity index (PIm) model under rainfed condition. Soil management practices namely, bare fallow (control), 4 and 8 t/ha mulched maize, maize + cowpea and unmulched maize were replicated three times. The data collected on runoff, soil loss, soil properties and grain yield of maize were analyzed using analysis of variance test based on randomized complete block design (RCBD). Correlation analysis was performed to test the relationship between PIm and erosion parameters, and grain yield of maize. The effects of erosion on soil productivity using the modified productivity index (PIm) model indicated PIm value of 0.20 under 8 t/ha mulched maize management compared to PIm values of 0.10 obtained at the start of the experiment, and 0.03 and 0.04 for bare fallow plots in 2015 and 2016 respectively.  These values are low which implies that runoff and soil loss had high effects on soil productivity of the study site. There was no significant correlation between PIm and runoff, and soil loss. The relationship between PIm and grain yield of maize showed significant positive correlation (r = 0.902) in the second cropping season. Differences in soil characteristics as a result of runoff and soil loss affected soil productivity and eventually grain yield of maize.


Title : Inflammatory Cytokinesinduce EMT in Mesenteric Mesothelial Cells, and Transdifferentiate Them into Macrophages

Authors : Anna L. Kiss

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Monocytes and macrophages are professional phagocytic cells and are the major differentiated mediators of immune responses. These cells are widely distributed in many tissues and organs. Under normal (steady state) conditions, large number of these phagocytic cells (called resident macrophages) reside in the peritoneal cavity and in the “milky spots” of the mesentery. As a result of inflammatory stimulus (i.e. intraperitoneal Freund’s adjuvant injection) these resident peritoneal macrophages become activated, and their number and endocytic activity is significantly increase. The origin and plasticity of these chronic, heterogeneous inflammatory macrophages are not entirely known. Tissue-resident macrophages as well as infiltrating monocyte-derived macrophages play a distinct role in the progression of inflammation, but the large number of these inflammatory macrophages suggests that cells originating from other, non-hematopoietic sources can also contribute to this subset of macrophages. Our morphological and biochemical results provided evidence that under the effect of inflammatory cytokines mesenteric mesothelial cells undergo epithelial-mesenchymal transition (EMT) and transdifferentiate into macrophages, thus these transformed mesenteric mesothelial cells can contribute to the large increase of peritoneal macrophages during inflammation. In this paper, we summarize our morphological and biochemical data supporting this transition and we describe how cavolae and caveolar endocytosis can regulate both epithelial-mesenchymal transition (EMT) and mesenchymal-epithelial transition (MET).


Title : Effects of Ultrasound Therapy on Balance and Gait in Stroke Patients with Gastrocnemius Muscle Spasticity

Authors : Yun-Ho Choi, Young-Han Park, Sang-Hyuck Park

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The purpose of this study is to investigate the effect of ultrasound therapy on calf muscle spasticity of stroke patients. Ten patients who were diagnosed with stroke by a specialist in rehabilitation medicine were divided into two groups by random assignment method. The control group received a 10-minute ultrasound placebo effect after general physiotherapy. In the experimental group, ultrasound therapy was given for 10 minutes after general physical therapy. In this study, muscle tone was assessed using MAS(modified ashworth scale), balance was assessed using TUG(time up & go), and gait was assessed using a 10m walk test. There was a significant difference between the experimental group and the muscle tone, balance, and gait. However, there was no significant difference in the control group. There was a significant difference between the groups in balance and gait, but not in muscle tone. Ultrasound therapy should be adapted to reduce spasticity and improve function in stroke patients.