ABSTRACT
This work aims to provide an alternative source of raising the temperature of water used in soaking cassava to a level that is normal for fermentation process to start and maintain it for the period of four days. Test was carried out to determine the effect of the environmental temperature on cassava fermentation process. Two set of tanks were used to soak the cassava, one was under control (temperature controlled water tank) and the other not controlled for a period of four and six days respectively. The maximum environmental temperature and process temperature for the controlled experiment was found to be 28oc and 34oc respectively while for the uncontrolled experiment, the maximum environmental and process temperature was found to be was found to be 28oc and 32oc respectively. The electrical parameters of the completed water tank was measured and it was found that the output voltage of the zener diode used to clean up the output of the voltage comparator was 5.2V instead of the rated 5.6, while the output of the set point temperature to voltage converter circuit was 8.34 volt instead of the calculated 8.39volts.

ABSTRACT
COVID-19 which is caused by SARS-CoV-2 is among the severe respiratory disease to be witnessed to date. SARS-Cov-2 brought about therapeutic and preventive difficulties all over the globe. The aim of this review is to evaluate the best possible therapeutic options to tackle the Novel Coronavirus related disease. We extracted relevant published studies with keywords such as COVID-19 therapies, Sars-Cov-2 treatment and Noval Coronavirus antiviral therapy from Pubmed and carefully studied them. We focused on Tocilizumab, chloroquine and hydroxychloroquine, Lopinavir/Ritonavir, Remdesivir, Traditional Chinese Medicine and Ivermectin. Coronavirus induce Cytokines Releasing Syndrome (CRS) which in turn causes Cytokines Storm. This is the inflammatory response which causes the releasing of large number of IL-6. This causes increased vascular permeability which in turn result in the infiltration of fluids in the alveolar spaces and causes breathing problems. Tocilizumab can block the inflammatory response induced by SARS-CoV-2 infection and hence prevent the vascular permeability which in turn prevents the pulmonary edema and Disseminated Intravascular Coagulation (DIC) and hence prevent respiratory failure. Remdesivir which is an adenosine nucleotide analogue, has broad-spectrum antiviral activity against RNA Viruses. This means remdesivir can prevent the viral replication and hence lower the viral load and ultimately reduce the duration of illness and hospitalization. Ivermectin which is FDA approved broad spectrum antiparasitic agent, works by preventing the entrance of viral protein in the host cell nucleus. Ivermectin binds to the viral protein transporters Importin (IMP) α and β1. This action prevents the binding of the viral protein to the Importin (IMP) which results in the lower infection rate and decreased viral load. Lower rate of infection and decreased viral load will reduce duration of illness and prevent transmission of SARS-CoV-2. So, the concomitant .......

ABSTRACT
Objective: To determine frequency and prognosis of stroke in patients with hyperglycemia in the acute phase at the Neurology department of Yalgado Ouedraogo Teaching University Hospital. Patient and Methodology: We conducted a 6 years cross-sectional study on acute stroke patients admitted in the neurology department of Yalgado Ouedraogo Teaching Hospital from 1st January 2011 to 30 June 2017. This study included only patients with hyperglycemia at admission (≥ 6.1 mmol/l). Results: The overall frequency of admission hyperglycemia was 7.27% with respectively 8 % in AIS and 6.1% in ICH. The overall mean age of patients with was 58.83 years. The majority of patients was male gender (52.6%). According to diabetes status, 70.8% of patients were known diabetics (39.4%), 31.4% new diabetics and 29.2% had stress hyperglycemia. The frequency of known diabetics was higher in AIS (p=0.000003) while stress hyperglycemia was most frequent in ICH (p= 0.0001). The majority of patients (74.5 %) had severe neurological deficit with NIHSS ˃15. Severe hyperglycemia (≥ 11.0 mmol/l) was present in 62.7% of patients. The majority of patients was treated with insulin (52.6 %) who was given alone mostly in AIS (p˂0.05). Patients who did not received any treatment were in the group of ICH (p˂0.05). The overall mean length of stay was 13.35 days. At discharge, 60.6% of patients were euglycemics. The overall mortality was 22.6% with higher mortality in ICH (p˂0.05). At discharge, the majority of survivors (69.3%) had worse functional outcome (mRS˃2). The factors influencing the mortality of AIS were known diabetes, severe hyperglycemia and no hypoglycemic agents (p˂0.05). In ICH, the mortality risk factors were previous diabetes, glucose level (7-7.7 mmol/l) and t combined hypoglycemic agents. Conclusion: Admission hyperglycemia in stroke is rare in our context. Stress hyperglycemia is most common in ICH. Insulin treatment was mostly used. Mortality rate of higher both in AIS and ICH.

ABSTRACT
Case Report: Two female patients aged 8 and 9 years old with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The clinical examination observed mixed dentition with antero-posterior malocclusion and anterior open-bite. A hypocalcified form of AI was diagnose. A multidisciplinary management plan was performed and divided into preventive, restorative, and prosthetic and interceptive stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to reduce the dental sensitivity. In the second stage, in the posterior teeth, stainless steel crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Finally, the follow-up was programmed to control restoration’s integrity, oral hygiene. Conclusion: Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

ABSTRACT
The oral health of pregnant mothers is one of the important factors affecting their health and their fetus health. Due to the poor oral hygiene of pregnant women and the requirement of appropriate solutions for this issue, gathering sufficient information on the oral health of the target population is essential. Therefore, this study was conducted to evaluate the oral health status of pregnant mothers referring to the educational centers Al-Zahra and Tabriz Dental School. Method and material: This descriptive cross-sectional study was performed on 60 pregnant mothers during the first half of 2019. They had referred to Al-Zahra Medical Training Center and Tabriz Dental School. For each case, a checklist includes demographic information and oral examination. Oral examinations include a Simplified Oral Health Index (OHI-S), Gingival Index (GI), and Plaque Index (PI). Finally, linear and logistic regression models were used to evaluate the relationship between studied variables. Results: 60 pregnant mothers were studied, 25% of them did not visit a dentist and 10% did not brush their teeth. OHI-S (0-3.33) was 1.08, PI (0-3) was 1, and GI was 0.90 ± 1.98. Also, 80% of the studied population was diagnosed with gingivitis. A significant relationship was observed between PI and the location of residency of pregnant mothers. 88.3% of pregnant mothers brushed their teeth, 26.7% of them used salt water, 18.3% used floss, and 5% of them used mouthwash. There was a significant relationship between education and oral hygiene routine. Also, pregnant mothers who used saltwater had a better GI. Conclusion: The result of our study indicated poor oral and dental hygiene of pregnant mothers and this is more evident among mothers who had lower socioeconomic status and lower level of education.

ABSTRACT
Background: Kupang Regency and Kupang City are two areas with a high number of infant mortality cases (including AKN) and contribute quite significantly to the number of infant and neonatal deaths at provincial and national levels and make both regions one of the regions with the number of infant and neonatal deaths is higher than other regions in Indonesia. Method: This research is a non-experimental study with a cross sectional approach. The research sample was 73 midwives in all puskesmas in Kupa City and Kupang Regency which were determined by total sampling. Result: The results showed that (a) the knowledge factor did not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experienced respiratory distress in the delivery room of the Kupang area health center. (b) The training factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (c) The length of service factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (d) The work status factor does not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (e) The factor of tenure is the factor that has the most dominant relationship with the skills of the midwife.

ABSTRACT
Public universities in Kenya have experienced recurrent employees’ unrest which could be as a result of ineffective internal communication between the university and its employees. During crisis, effective internal communication is vital as it is the only way the organization and employees can dialogue and stop the crisis. Despite vast research on organizational internal communication, literature on employees’ perception on internal communication during unrest in Kenyan public universities during unrest is deficient. Data was collected by means of questionnaires and FGDs among 374 employees and 114 union officials respectively. The findings revealed that the employees felt that during unrest there are no sufficient internal communication channels, and opportunities within the organization to give suggestions. Moreover, the study ascertained that the organizations do not support two-way communication between employees and management during unrest. The other finding was that during unrest the information employees got from their organization was unreliable and untimely. Therefore, the employees are largely dissatisfied with the internal communication between them and the organizations they work for during unrest.

ABSTRACT
Objective: using plain bupivacaine with dexamethasone in spinal anesthesia is a new technique in total hip replacement operation. It provide good sensory and motor block with less complication. Dexamethasone is a potent corticosteroid drug was mixed with bupivacaine. This study was done to compare the incidence of side effects of spinal anesthesia, the duration of both sensory and motor block following administration of heavy bupivacaine alone with administration of plain bupivacaine mixed with dexamethasone. Materials and Methods: 100 patients whose ages between 40 &90 years and weight between 70 &110 KG and American society of anesthesia (ASA) 2/3/4 who underwent total hip replacement under spinal anesthesia were randomly allocated into 2 groups by sealed envelope method, each group with 50 patients. First group received 15 mg heavy spinal bupivacaine alone while the second group received 15 mg heavy bupivacaine mixed with dexamethasone. Results: The duration of both sensory and motor block was longer in dexamethasone group in comparison to control group (p<0.001). The incidence of hypotension, breadycardia and shivering was less in dexamethasone group. Conclusion: Dexamethasone when mixed with plain bupivacaine prolong the duration of sensory and motor block and reduce the incidence of hypotension, Breadycardia and shivering.

ABSTRACT
These days, women are very much keen to be empowered socially, economically, educationally and politically that can help them take decision regarding mobility, economic independency, political participation public speaking and awareness to exercise rights. Therefore, the present study is planned to check the levels of subjective well-being among the housewives and working women of Khagaria district of North Bihar. For the present study total sample consisted of 120 women comprising housewives (n=60) and working women (n=60) from different organizations where women were engaged in performing their task and housewives selected from different houses where women are dependent on their husbands. Total subjects’ age were ranged between 28 to 60 years. Data gathered through questionnaires using Psychological/ Subjective Well-being scale. Having analyzed the data, results indicated that housewives have higher degree of subjective well-being in comparison to working women, hence the significant difference has been found in all the dimensions of subjective well - being but it is interesting to mention here that both the group of women needs to have social and emotional support from their respective social and family institutions as reported by them. Finally results have been discussed in detail in the light of present changing scenario of human life.

ABSTRACT
Objective: Establish diagnostic reference levels for interventional radiology procedures common to Cardiology Institute and a private polyclinic and compare them with international standards. Methods: Study carried out in two interventional radiology units in Abidjan, Cardiology Institute and a private polyclinic. Coronarography, coronary angioplasty and uterine fibroid embolization were commun procedures to both centers selected. Thirty patients per procedure were selected. Epidemiological data and dosimetric values (PDS, scan timing, cumulative doses) were noted. Results: Pds was 29, 86 Gy.cm2, scan timing 7 min 82s, cumulative doses 457, 5 mGy for coronarography. Pds was 47, 77 Gy.cm2; scan timing 27 min 28s; cumulative doses 862 mGy for coronary angioplasty. Pds was 298, 45 Gy.cm2; scan timing 38 min 09s; cumulative doses 1162 mGy for uterine fibroid embolization. Conclusion: Differences were observed between the two sites due to differences in equipment. NRD were sometimes lower or higher than international values.