As the COVID 19 pandemic evolves, concerns about fungal co-infections and superinfections are increasing, mainly towards invasive pulmonary aspergillosis (IPA), which increases significantly the risk of mortality in these patients, thus requiring early detection and diagnosis for better treatment efficiency. We’re describing the case of a young, non-immunocompromised patient with SARS COV 2 infection, who developed an IPA due to Aspergillus flavus.

Endoscopic per-oral myotomy (POEM) is innovative an endoscopic technique for treatement of achalasia. This new technique has recently introduced in Morocco. It was performed on 7 patients at our institution. We collected patients data, the duration of the procedure, the location of the myotomy and patients follow-up. Results: Per-oral endoscopic myotomy was successfully performed in all patients, with adverse events observed in only one patient. Two months after POEM, significant reductions in symptom scores (Eckhardt Score 7.5vs 3) and this persisted at 3 years after POEM. Gastroesophageal reflux was observed in 16.8% of patients at 1 month and 21.3% at 3 years of follow-up. Per-oral endoscopic myotomy was successfully performed in all cases. Complications were rare (1.4%) and there was no mortality. Significant improvements in Eckhardt score were observed at 2 months, 1 year after POEM. Conclusions: Based on our series, POEM is a safe and effective treatment for achalasia, there are relatively few contraindications, and the procedure can be used as first- or second-line treatment.

All health workers who care for women and children during the postnatal period and beyond are key players in protecting, promoting, and supporting breastfeeding. However, most health workers do not have the necessary knowledge and skills to effectively play their roles. This study aims to assess the knowledge about breastfeeding among health workers. This was a cross-sectional study among 220 health workers at the University of Port Harcourt Teaching Hospital. A 32-point questionnaire based on the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF) manual on the Baby-Friendly Hospital Initiative Training Course for Maternity Staff was used to assess the knowledge of the health workers. Scores of >50% were classified as good knowledge and <50% as poor knowledge. The overall good knowledge about breastfeeding was 51.8%. The majority (80.0%), had good knowledge about the benefits of breastfeeding and 169 (76.8%) of health workers had good knowledge about exclusive breastfeeding and the timing of breastfeeding. Good knowledge about the importance of colostrum was 27.7%, 91 (41.4%) health workers had good knowledge of birth practices that affect breastfeeding, and only 72 (32%) health workers had good knowledge about the problems of breastfeeding. In conclusion, the overall knowledge about breastfeeding among health workers in this study was not satisfactory. To breach this gap, hospitals should ensure that their staff has sufficient knowledge, competence and skill to support breastfeeding.

The study examines empirically exchange rate determinants in African sub-Sahara countries specifically Anglophone West African countries like The Gambia, Ghana, Liberia, Nigeria, and Sierra Leone between 1981 and 2019. In order to achieve this objective, both descriptive statistics and the Panel Least Square (PLS) estimation methods were employed to analyze the data. The result of the analysis reveals that INFL has a negative relationship with EXCR but it does impact significantly on it at 5 percent level; INTR has negative and an insignificant impact on EXCR at 5 percent level; CABL has negative relationship with EXCR and it also impacts significantly on it at 5 percent level; TMTR has negative relationship with EXCR and it also impact significantly on it at 5 percent level. The study therefore concludes that inflation rate (INFL), interest rate (INTR), current account balance (CABL) and terms of trade (TMTR) depreciates exchange rate (EXCR) in African sub-Sahara countries specifically Anglophone West African countries. Based on the findings of the research work, the following are recommended: The government should encourage export diversification especially the non-oil sector exports. This can be achieved through value addition to both the agriculture and manufacturing sub-sectors output. There should be stable exchange rate management policy that avoids over-valuation or excessive depreciation of their currencies and ensures international competitiveness of tradable goods, relative price stability as well as avoiding inconsistent fiscal policies.

This paper illustrates the hypothetical study conducted when using quarry dust (QD) and sludge in producing 225mm x 225mm x 450mm hollow sandcrete blocks. QD and wastewater treatment sludge (WWTS) were used to replace river sand at 10%, 20% and 30%. Proportions of 50%QD:50%WWTS and 75%QD:25%WWTS were considered for a standard cement to sand combination of 1:6. Water-cement ratio (w/c) was increased as the percentage replacement increased. Specimens were produced and cured via sprinkling for 28 days. They were subjected to compression and water absorption tests. Mix A2 having 75%QD:25%WWTS at 0.55 w/c and 10% sand replacement had the highest compressive strength and water absorption values of 3.69N/mm2 and 6.22% accordingly. These results exceeded the NIS 87:2000 recommendation of 3.45N/mm2 for 225mm load bearing blocks and 12.61% by ASTM C140 respectively. Therefore, QD and WWTS in right proportions can substitute river sand in producing load bearing sandcrete hollow blocks.

Involvement of the ovary with malignant lymphoma is a well-known late manifestation of disseminated nodal disease. Primary ovarian Burkitt lymphoma is very rare and mainly affects young children. We present a case of a 25-year old woman at 37 weeks pregnant with sporadic Burkitt lymphoma who presented as having ovarian cancer. The patient was managed via elective cesarean section and unilateral oophorectomy. Histopathological examination and immunohistochemical stains were carried out, revealing non-Hodgkin B-cell Burkitt lymphoma. After the diagnosis, the patient was referred to the oncology center for chemotherapy.

Introduction: to compare the clinical, biological, and evolutionary profiles of sepsis with multi-drug resistant and non-multi-drug resistant bacteria in the newborn population. Methods: we performed a prospective, observational, comparative study to monitor all the episodes of blood stream infection, received from the neonatal intensive care, from June to December 2019. Collected data included demographics, symptoms at the time of sepsis, laboratory values, microbiologic results, preliminary and final outcomes. Results: Out of 219 positive blood cultures, 93 episodes were retained. The median age was 6,66 days, 63.4% of newborns were male and 62,4% were premature, 39% of whom had a gestational age of less than 34 weeks. Multidrug-resistant (MDR) bacteria caused 68 sepsis episodes, while non-MDR resistant bacteria caused 25. Bacteremia with MDR organisms, in comparison with non-MDR organisms was associated with poorer preliminary outcomes after empirical antibiotherapy (14% vs 32%; P= 0,001), higher overall mortality rate (20% vs. 51%, P =0.003), and longer antibiotic intake (9.84 vs 7.56 ; P=0,02). The major risk factor found is prematurity (70% vs 40%, P<0,001), No statistical significance was found when other clinical features or laboratory values were compared for infections with MDR vs. non-MDR bacteria. Conclusion: Septicemia with MDR bacteria is more common than non-MDR one in NICU, and it is related to higher morbidity and mortality rates.

This article focuses on the research of the characteristics of foreign energy discourse from the perspective of "One Belt One Road". Combined with the current international economic background, the international energy cooperation language discourse and activities relevant documents reading are carried out through a horizontal and vertical comparative analysis. It is mainly about the language itself to analyze energy discourse development, existing problems and improvement measures. From the case analysis of scientific knowledge competition and discourse construction in the international energy field, it can be seen that adding the scientific and technological discourse perspective to study energy transition is conducive to a deeper understanding of the future energy strategic pattern and direction. It is also advantageous to the huge driving force contained in energy transition to promote China's development and international system change. It requires us to consider the international background work understanding and the language plan itself. We are supposed to analyze the current political hotspots reasonably such as the situation in Russia, Ukraine and related energy development strategies, and conduct in-depth exploration of energy academic discourse studies socially and contemporarily. Besides, it is significant to highlight the times development theme to promote global energy governance.

Cystosarcoma phyllodes of the breast are rare, and it accounts for less than 1% of the malignant tumors of the breast. Its clinical and radiological characteristics are those of benign tumors, and only a fast tumoral growth can evoke diagnosis. The diagnosis is confirmed by anathomopathology and immunohistochemistry. Surgical extended resection is the treatment of choice. Adjuvant radiotherapy may be administered in patients with high-grade tumors, positive surgical margins, or postoperative recurrence. Here we present a case of a woman affected by a sarcoma phyllodes tumor, an uncommon oncologic disease.

Wheat (Triticum aestivum L.) is one of the important crops of human diet around the globe. Purify flour of wheat contains less vitamins and causes constipation and malnourishment. The experiment was designed to study on wheat crop, botanical and agricultural parameters and advances in plant sciences and accomplished in Randomized Complete Block Design. Sowing was done in field with plot size of 216 m2. LAI is very crucial growth index which directly controls the interception of solar radiation and consequently dry matter production and accumulation. The LAD exhibits the tenacity of leaves to remain photo synthetically active during the growth season of a crop. The NAR indicates the dry matter accumulation in plants per unit canopy area. Recorded data was subjected to analysis of variance by using Statistix 8.1 software. It presented mean values of all treatments for crop growth rate. Maximum results for CGR observed under T3 with 14.3 mean values. While minimum observations had been shown by T1 that is 13.4. It showed mean values for all applied treatments and wheat showed maximum value of leaf area index of (3.3367) under treatment (T4) and minimum value of leaf area index that is 3.0233 was shown by plants under treatment (T7). Maximum results for flag leaf area observed under T4 with 114.73 mean values. While minimum observations had been shown by T1 that is 88.03. It is recommended that the farmers should use split dose of potassium fertilizer for better growth and yield of wheat and it may also be helpful in future prospects.

Ectopic pregnancy implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy, whose pathogenesis is still unknown. We report in this work the case of a 37 years old patient who had been operated 10 years ago for a right ectopic pregnancy and who was presented to the emergency department for a ruptured ectopic pregnancy and in the surgical exploration showed a ruptured pregnancy on a salpingectomy stump.

Over the years, the Citrulluslanatus rind has been considered as waste and disposed ignoring the fact that it can be utilized as a value-added product and has many health benefits. The watermelon rind constitutes nearly a third of the watermelon weight. The evaluation of Citrulluslanatus (watermelon) rind as a possible raw material for a pharmaceutical and as a value added product of the fruit rind and this will encourage cultivation, utilization and possible application of water melon rind in the treatment of various diseases. The aim of this research work is to determine the functional group using FTIR and chemical components of aqueous extract of watermelon rind using Gas Chromatography–Mass Spectrophotometry (GC-MS). Dried powder of Citrulluslanatus (water melon) rind extracts was used for FTIR analysis. 10 mg of the dried extract powder was encapsulated in 100 mg of KBr pellet, was prepared to obtain a translucent sample discs. The powdered of Citrulluslanatus was loaded in FTIR analysis (Shimadzu, IR Affinity 1, Japan), having a Scan range from 400 to 4000 cm-1. While The phyto-constitutes of Citrulluslanatus (water melon) aqueous rind extract were determined by Gas Chromatography (Agilent 6890 series) coupled with HP-5MS column mass spectrometer at column temperature of 30°C and was heated to 300°C at 10°C for 5min. The helium was used as carrier gas at a flow of 1.0ml/min. The identification of the constituents of water melon rind aqueous extract was performed by matching their mass spectra and retention indices with those obtained from authentic samples and/or NSIT/Wiley spectra libraries, using different types of search (PBM/NIST/AMDIS) and available literature data. The FTIR analysis Citrilluslanatus aqueous rind extract shows different absorption band which indicated the characteristic peak of different functional groups such as OH, C=O C-O, H-N, C-H etc which are associated with phenols, ketones, flavonoids, aldehydes, amides, alkenes etc. while the Gas Chromatography-Mass spectrometry analysis of aqueous extract of watermelon rind reveals the presence of different fatty-acid, methyl ester and volatile organic compounds this includes Hexadecanoic acid,2-hydroxy-1-(hydroxymethyl)ethyl ester, Eicosane,2methyl-, 1-Hexadecanesulfonic acid,3,5-dichloro-2,6-dimethyl-4-pyridyl ester, 9,12-Octadecadienoic acid(Z,Z)-2,3-dihydroxypropyl ester, Estra-1,3,5(10)-trien-17β-ol etc. The finding showed that Citrilluslanatus aqueous rind extract have thirty-one (31) bioactive constituents of pharmacological important identified by GC-MS and FTIR analysis. These compounds from Citrilluslanatus rind can be used in pharmaceutical industry for development of novel lead drugs for management of diseases.

Changes in the renal arteries are common in the general population with ethnic differences. Objective: List the different anatomical varieties of the renal artery in melanoderms living in Benin. Methods: This was a retrospective study from March 1, 2016 to April 31, 2017, which is 14 months. The study population consisted of all injected abdominal CT scans clearly demonstrating the renal artery and its branches. Results: 155 abdominal CT scans were revisited, 308 renal pedicles were virtually dissected showing 339 renal arteries. The average age was 50.33 ± 17 years with extremes of 13 and 83 years. The sex ratio was 0.92. The medium caliber of the aorta at the origin of the first renal artery was 16.7 ± 3mm. It was also noted two (02) cases of single kidney located at the right and 153 pairs. The medium renal length was 97.08 ± 11.08 mm, the width 49.28 ± 8.21 mm and the average thickness 49.53 ± 9.53 mm. The prevalence of changes in the number of renal arteries was 9.4%. In more detail, the number of renal arteries are ranged from one to three. They were unique in 90.1% of cases, double in 8.7% and triple in 0.6% of cases. These variations were not related to any of the dependent variables in this study. Conclusions: Numerical variations of the renal arteries are frequent among melanoderms living in Benin. They have multiple diagnostic and therapeutic interests, hence the need for their knowledge by doctors.

This study investigates the effectiveness of pedagogical courses and practicums in the A+B teacher education model at the University of Education, Vietnam National University, Hanoi. Most of the participants in the study said that they were implemented effectively, helping to equip students with what they need to become high school teacher s. However, the practicums at the University of Education are still in need of innovation when compared to the corresponding programs in many other countries. The implementation time of the A+B teacher education model has only been around a decade, so it is necessary to make continuous adjustments for the betterment of this model. The research results not only help stakeholders in the reform of teacher education at the University of Education, but also serve as reference information for other institutions in the process of innovating teacher education programs and models, particularly when it comes to pedagogical courses as well as practicums.

Hydatid bilio-bronchial fistula (HBBF) is a rare complication but serious because it is responsible for lesions at three levels: abdominal, biliary, and thoracic, with high perioperative mortality. We reported the case of an HBBF, who had surgical resection of the Hydatid Cyst of the Liver that was complicated by HBBF which was managed by an endoscopic sphincterotomy with the placement of a biliary stent with a good evolution and healing of the bilio-bronchial fistula. Through this case and a review of the literature, endoscopic seems to be an effective and safe treatment option for postoperative Hydatid bilio-bronchial fistula.