Time to recovery from severe pneumonia and its predictors among pediatric patients admitted in Mizan-Tepi University Teaching Hospital,South West Ethiopia,2022

Objective:Despite trials and programs for the prevention of childhood mortality due to pneumonia,Ethiopia is among the top five countries with the highest number of deaths due to pneumonia.Although the prevalence of pneumonia has increased in the abovementioned trials,little is known about the recovery time from severe pneumonia and its predictors in the study area.Therefore,this study aimed to assess the time to recovery from severe pneumonia and its predictors among pediatric patients admitted to Mizan-Tepi University Teaching Hospital,Ethiopia,in 2022.Methods:A total of 591 children admitted for severe pneumonia were selected using simple random sampling.Data were entered into Epi-data version 4.4.2.1 and expor ted to STATA version 14 for analysis,and the assumptions of Cox propor tional hazard models and goodness of fit were assessed through Shoenfeld residual and Cox-Snell residual,respectively.Bivariate and multivariable Cox regression models were used to identify the predictors of mor tality.Results:This study revealed that 91.54%(95%confidence interval[CI]:89.00–93.53)of participants recovered with an incidence rate of 24.10(95%CI:22.15–26.21)per 100 person-day–observations.The hmedian recovery time of children was 4 days(95%CI:2–6).Children who were not exclusively breastfed(AHR=1.3;95%CI:1.03–1.66),who had a history of inability to suck/feed(AHR=0.81;95%CI:0.65–0.99)were independent predictors of the time to recovery.Conclusions:Children with severe pneumonia who had not exclusively breastfed and who had a history of inability to suck/feed were independent predictors of time to recovery.Therefore,all stakeholders and concerned health care providers should focus more on early diagnosis and management and hasten early recovery based on the identified factors.

Anxiety and perception among nurses toward the outbreak of COVID‑19 in University of Uyo Teaching Hospital, Akwa Ibom State

Purpose:This study sought to examine the anxiety and perception of nurses toward the outbreak of COVID‑19 in University of Uyo Teaching Hospital(UUTH).Two research questions one hypothesis were used.What is the level of anxiety among nurses toward the outbreak of COVID‑19?What is the perception of nurses toward the outbreak of COVID‑19?The hypothesis states that there is no significant relationship between anxiety and perception of nurses toward the outbreak of COVID‑19.Literature was reviewed based on the research variables.Methods:The research instrument used in collecting the data for the analysis was a questionnaire administered to 100 nurses in UUTH,Uyo.Their responses were analyzed using frequencies,percentages,and Chi‑square analysis,and the following results were obtained.Results:The results indicated that 36(36%)of the respondents strongly agreed that most nurses perceive that poor provision of equipment’s in the hospital result into the transmission of COVID‑19 to another person,35(35%)agreed,20(20%)of the respondents strongly agreed,whereas 9(9%)of the respondents disagreed.Majority of the respondents 56(56%)strongly agreed that nurses sometimes perceive that patients sometimes harbor COVID‑19 without showing the symptoms.Conclusion:The above data,therefore,showed that nurses in UUTH,Uyo,had moderate perception toward COVID‑19.

Management of Secondary Leyll Syndrome Due to Anti-Covid Vaccine in a Case, at the Renaissance University Teaching Hospital, Ndjamena (CHAD)

Introduction: Lyell’s syndrome (SL), called Toxic Epidermal Necrolysis is one of the most serious forms of medication accidents. It is an acute, rare pathology, its incidence is estimated at 1 to 2 cases out of one million inhabitants per year and its evolution can be fatal. Materials and Methods: We report the observation of a 60-year-old patient, with no significant pathological history, admitted to our intensive care unit at the Renaissance University Teaching Hospital in N’Djamena for the treatment of Toxic Epidermal Necrolysis. In whom the onset of symptoms dates back to few hours after vaccination against COVID-19 with Ag Johnson and Johnson. Results: An ophthalmology opinion was requested and the patient was put on Fucithalmic. In our case, in addition to the advanced age of the patient (60 years old), her SCORTEN was ≥5. Conclusion: The late management as well as the absence of a specific department for severe burns, which condition the presence of a technical plate was fatal to her despite multidisciplinary care: Resuscitators, Traumato-Orthopedist and ophthalmologist.

Student-Teacher Communication in University Teaching

Considering that communication is an extremely important element in modem university education, it is of utmost importance to know how successful student-teacher communication can be achieved. In an attempt to explain it, this paper gives a definition of educational communication focusing on key aspects of student-teacher relationship and development of skills necessary for complete and independent communication. Student-teacher relationship is mostly determined by the first contact, as explained in Heider＇s attribution theory, because assigning attributes to other people and trying to understand their behavior is essential part of human nature. Through the example of pedagogical workshops, the paper demonstrates the importance of the interactive learning at university level, which leads towards establishing effective communication between teachers and students.Considering that communication is an extremely important element in modem university education, it is of utmost importance to know how successful student-teacher communication can be achieved. In an attempt to explain it, this paper gives a definition of educational communication focusing on key aspects of student-teacher relationship and development of skills necessary for complete and independent communication. Student-teacher relationship is mostly determined by the first contact, as explained in Heider＇s attribution theory, because assigning attributes to other people and trying to understand their behavior is essential part of human nature. Through the example of pedagogical workshops, the paper demonstrates the importance of the interactive learning at university level, which leads towards estabhshmg effective communication between teachers and students.

The Study on University Literature Teaching based on Multimedia Technology

currently, the multimedia language teaching has gradually entered the university, the old and the young program, and gradually plays a great charm, and gradually influence and change the traditional language teaching. Multimedia is a new technology lived in a simple or synthesized form shown by the text, the graphics, the images, the animation as well as audio, video and other information, which processed through the computer＇s software and hardware. I apply this new technology in teaching that＇ s the multimedia teaching.

Critical Thinking in the Teaching of University English

Critical thinking is a fundamental skill for today’s college students,since it aids in the acquisition of knowledge,correct judgements,and self-adjustment.However,traditional English teaching in China only focuses on the development of students’language skills and the inculcation of language knowledge,rather than the cultivation of students’critical thinking skills.This study addresses the aforementioned problem and discusses the definition and significance of critical thinking.Subsequently,it analyzes the causes of L2 students’ineffective critical thinking and proposes several procedures for the training of students in English reading,listening,speaking,and writing.

Research on the Application of Second Language Acquisition Theory in College English Speech Teaching

The teaching of English speeches in universities aims to enhance oral communication ability,improve English communication skills,and expand English knowledge,occupying a core position in English teaching in universities.This article takes the theory of second language acquisition as the background,analyzes the important role and value of this theory in English speech teaching in universities,and explores how to apply the theory of second language acquisition in English speech teaching in universities.It aims to strengthen the cultivation of English skilled talents and provide a brief reference for improving English speech teaching in universities.

Renal Failure of Lithiasis Origin: Frequency and Management in the Nephrology and Haemodialysis Department of the Point G University Hospital in Mali

Background: The term urinary lithiasis (UL) from the Greek “lithos” refers to the disease characterised by the result of abnormal precipitation of normal constituents of the urine within the urinary tract. The aim of this work was to determine the frequency of obstructive renal failure (ORF) of lithiasis origin and to describe the therapeutic indications. Methods: This was a retrospective prospective study in patients hospitalised in the nephrology department of Point G University Hospital for ORF of lithiasis origin over a 26-month period from 1 January 2018 to 1 February 2020 inclusive. Results: Among 1898 hospitalized patients, 32 met the inclusion criteria, i.e. a frequency of 1.7%. The male sex was 68.75% with a sex ratio of 2.2. The mean age was 48.38 ± 13.423 years with extremes of 20 and 65 years. Dysuria and urinary bilharzia were the main uro-nephrological antecedents, accounting for 25% of the cases each. Pain syndrome was the main functional sign, accounting for 100%. Ultrasound of the urinary tract (n = 28) showed stones in 92.85%. These stones were bilateral in 22.22% of cases. The dilatation was pyelocalic in 14 cases (51.8%). The uroscanner showed a pyelic location of the stones in both kidneys;42.1% on the right and 33.3% on the left. Hydronephrosis was the most common dilatation: 37.8% on the right and 29.7% on the left. Renal lithiasis was complicated by acute kidney injury (ARI) in 17 cases (53.1%) versus 15 cases (46.9%) of chronic kidney disease (CKD). Urethral catheter was the means of drainage in 24 (75%) followed by nephrostomy in 8 cases (25%). Nephrolithotomy accounted for 9.4% of cases. The case fatality rate was 28.12% (9 cases). Deaths occurred in the context of uraemic coma 6 cases and cardiorespiratory arrest 3 cases. Conclusions: The management of urinary lithiasis complicated by renal failure calls for the correction of hydrolytic disorders, drainage of the excretory tract and treatment of the stone, of which percutaneous nephrolithotomy seems to be the modality of choice.

Discussion on Network Classroom Teaching of the Meteorology and Climatology in Common Colleges and Universities

Most of the content of the course Meteorology and Climatology in common colleges and universities is what students are interested in,and most students have been exposed to or understood many contents.When studying this part of the content,students often show varying degrees of interest.Of course,each student s own situation is different.In classroom teaching,teachers should comprehensively consider various factors.Especially in the network classroom teaching situation,teachers should combine the learning content to use multi platform teaching in the teaching,students performance to flexibly carry out interaction between teachers and students,and students own situation to pay attention to individualized cultivation.

Research on the integration of the mathematical culture into the mathematical teaching in universities

In the university education, the mathematical teaching is an important and indispensable part. And now the integration of the mathematical culture in the university teaching is the effective method to improve the timeliness of the teaching and the enthusiasm of the students, and it also can effectively alleviate the problem of the disconnection in the university mathematical teaching, with the successful implementation of the transition. The university mathematics has very high demands in the teaching contents, the teaching ideas and the teaching methods, so the reasonable integration of the mathematical culture into the university mathematics is very important. The mathematical culture in the teaching of college mathematics is discussed and analyzed in this paper.

A Study on Cross-Cultural Communication and the Cultivation of Cross-Cultural Competence in German Language Teaching in Universities

In the concept of German,cross-cultural competence is regarded as an important skill,which can help learners to better understand the differences between two cultures and establish mutual cognition.This competence can effectively reduce unnecessary misunderstandings and improve communication efficiency.In college German classes,teachers should realize that cross-cultural communication skills are crucial to the development of students’communicative competence.Therefore,they should strive to improve their teaching methods and make the courses more interesting to help students to communicate better.

Ways to Cultivate Students'Innovative Thinking in the Teaching of Oil Painting in Colleges

With the rapid development of information technology,oil painting,as an important part of art culture,plays an important role in foreign exchanges and the promotion of multicultural development.College education bears the responsibility of providing a steady stream of high-quality talents for the development of social culture and art in addition to bringing new vitality for the dissemination and development of art and cultural theories.Giving full play to the role of oil painting teaching in colleges to cultivate oil painting talents has become one of the top priorities.Therefore,colleges and universities should continue to promote the development and reform of oil painting teaching as well as better improve the overall quality and oil painting skills among college students.In the new era,innovative thinking is an indispensable core quality in students'learning and life.In contemporary oil painting teaching in colleges and universities,it is very important to cultivate students'innovative thinking ability.This article begins by discussing the development of oil painting in China and the characteristics of students 125 innovative thinking,analyzes the importance of cultivating students'innovative thinking,as well as explores effective ways to cultivate their innovative thinking in regard to oil painting.

Research on the Practice of Teaching Reform in Colleges and Universities Based on Innovation and Entrepreneurship Education

In today’s rapidly changing society,higher education is facing an urgent need to cultivate talents with innovative spirit and entrepreneurial ability.As the requirement of adapting to the development of the era,innovation and entrepreneurship education has gradually become one of the important directions of teaching reform in colleges and universities.This article aims to explore its role and significance in improving the quality of education,cultivating students’comprehensive quality,and promoting social and economic development through in-depth research on the teaching reform practice in colleges and universities based on innovation and entrepreneurship education.The research will focus on the practical cases of innovation and entrepreneurship education in different universities,combining qualitative and quantitative research methods,from multiple dimensions such as curriculum design,teaching mode,and practice platform construction,to comprehensively analyze the scope and methods of innovation and entrepreneurship education in the teaching reform of universities,in order to provide useful guidelines for the reform of higher education.

Teaching of Human Rights Law in Chinese Universities

Teaching and research on human rights law are not purely academic, in that after graduation law students are expected to be .judges, prosetutors, lawyers and government officials who, in one way or another, will be obliged to respect human rights.

The Use of Glycated Albumin in the Diagnosis of Gestational Diabetes Mellitus

Gestational diabetes mellitus is the most common endocrine disorder in pregnancy and a cause of maternal and fetal morbidities and mortalities. The oral glucose tolerance test is the gold standard for diagnosing gestational diabetes mellitus. Nevertheless, the oral glucose tolerance test is time-consuming and requires patient preparation. On the contrary, Glycated albumin does not require patient preparation or administration of any substance. Most studies on glycated albumin in pregnancy were among the non-African population, and black Americans have higher glycated albumin levels than Caucasians. This study determined the use of glycated albumin in diagnosing gestational diabetes mellitus among pregnant women. The study was a prospective study of 160 pregnant women between 24 and 28 weeks of gestation at the University of Port Harcourt Teaching Hospital. The diagnosis of gestational diabetes mellitus was based on the World Health Organization 2013 criteria. The diagnostic value of glycated albumin was determined using the area under the receiver operator characteristic curve. The prevalence of gestational diabetes mellitus was 9.4% and the mean glycated albumin was 16.91% (±2.77). The area under the receiver operator characteristic curve for glycated albumin was 0.845 (95% CI 0.733 - 0.956;p = 0.0001). The optimal cut-off value of glycated albumin in the diagnosis of gestational diabetes mellitus was 18.9%. Glycated albumin was useful in the diagnosis of gestational diabetes mellitus at 24 to 28 weeks of gestation.

Timetabling optimization of classrooms and self-study rooms in university teaching buildings based on the building controls virtual test bed platform considering energy efficiency

The energy consumption of a teaching building can be effectively reduced by timetable optimization.However,in most studies that explore methods to reduce building energy consumption by course timetable optimization,self-study activities are not considered.In this study,an MATLAB-EnergyPlus joint simulation model was constructed based on the Building Controls Virtual Test Bed platform to reduce building energy consumption by optimizing the course schedule and opening strategy of self-study rooms in a holistic way.The following results were obtained by taking a university in Xi’an as an example:(1)The energy saving percentages obtained by timetabling optimization during the heating season examination week,heating season non-examination week,cooling season examination week,and cooling season non-examination week are 35%,29.4%,13.4%,and 13.4%,respectively.(2)Regarding the temporal arrangement,most courses are scheduled in the morning during the cooling season and afternoon during the heating season.Regarding the spatial arrangement,most courses are arranged in the central section of the middle floors of the building.(3)During the heating season,the additional building energy consumption incurred by the opening of self-study rooms decreases when duty heating temperature increases.

Research on Colleges＇ Proper Understanding and Application of Multimedia Technology

Teachers in the colleges and universities bear the responsibility to cultivate high-level expertises with innovative awareness and practical ability. The application of multimedia technology in teaching plays a very important role in the knowledge teaching and capacity building. Teachers should not only thoroughly understand the advantages of multimedia in teaching, but also aware its drawbacks. Only in that case, multimedia technology can be applied correctly to improve their teaching skills and to better serve students and society.

Epidemiologic Features of the First Flare of Ne-phrotic Syndrome in Children in Bamako Pedi-atric Hospitals

Introduction: The most frequent glomerular pathology in children, nephrotic syndrome (NS) is a cosmopolitan affection. It is an immunological disease and certain environmental factors, in particular viral infections and allergens, influence its occurrence. The climatic and environmental differences coupled with the frequency of infectious pathologies signing the African particularity and the absence of data in Mali on this affection, motivated us to carry out this work. Objective: To study the epidemiological aspects of nephrotic syndrome in hospitalized children aged 0 - 15 years. Patients and Methods: This was a descriptive prospective study from January 1 to December 31, 2021 in the Pediatrics Department of the University Teaching Hospital (UTH) Gabriel Touré, anational pediatric reference service in Mali. Diagnostic confirmation was provided by biology. Results: In one year, 120 children were hospitalized for nephrotic syndrome with a sex ratio of 2.75. Male exclusivity was observed at the ages of one year, eight years and 14 years and a reversal at 13 years (sex-ratio = 0.33). The median age was 6 years for an average age of 6.4 years ± 2.4 years with extremes ranging from one year to 14 years. The first attack of nephrotic syndrome occurred outside the classic age (>10 years) in 16.67%. Nephrotic syndrome is observed throughout the year with two peaks in summer (July to September) and winter (December to February). Many ethnic groups were affected by this condition with a high frequency among ethnic groups where endogamy is common. All patients were melanoderms. No cases of NS were recorded in Caucasian children from Northern Mali. The patients came from Bamako in 47.5% of cases. Two brothers from the same siblings had had their first attack of nephrotic syndrome the same year, ten months apart. Conclusion: Nephrotic syndrome in pediatric hospitals of Bamako occurs at a median age of six years all along the year with a summer and winter peaks. It is more observed in ethnic groups where the practice of endogamy is common and concerns melanoderm children.

Towards an Antimicrobial Stewardship Program in a Young Tertiary Hospital in Southern Nigeria: A Point Prevalence Survey of Antimicrobial Usage

Background: Antimicrobial resistance (AMR) is one of the top 10 global public health threats facing humanity and this burden is borne largely by low and middle-income countries. As part of efforts to combat AMR, the World Health Organization has identified Antimicrobial Stewardship as one of the strategic objectives of its global action plan on antimicrobial resistance. This survey aimed to observe antimicrobial prescribing and usage patterns in the Rivers State University Teaching Hospital with the purpose of identifying gaps to inform the specific antimicrobial stewardship interventions necessary to address our specific needs. Methodology: A point prevalence survey was conducted using the protocol and web-based automated data management system designed by the Global Point Prevalence Survey of Antimicrobial Consumption and Resistance, University of Antwerp, Belgium, in November 2021. Results: A total of 69 adult medical and surgical patients were surveyed;27 males and 18 females. Antimicrobial prevalence was 65.2%. Third generation cephalosporins (24.4%;33.3%), fluoroquinolones (17.8%;22.2%) and imidazole derivatives (20%;36.1%) were most prescribed on the medical and surgical wards. Antimicrobial guidelines were completely unavailable, most antimicrobials (93.8%) were prescribed empirically and 64.4% of these remained empirical after 72 hours of commencement. Conclusion: Antimicrobial stewardship interventions are necessary to minimize sub-optimal antimicrobial prescribing practices in our facility. Most critical are education on appropriate use of antimicrobials, support for development of antimicrobial guidelines, diagnostic stewardship, and the drive for improved use of the laboratory to guide antimicrobial prescriptions. The antimicrobial stewardship committee and team must drive this, having the requisite support from the management and prescribers, with the primary outcomes being reduced antimicrobial prevalence and improved antimicrobial prescription patterns.

Situation and Development of Innovative Research Universities Engineering Science and Technology Talents

Teaching and research universities cultivate innovative talents that should have the following characteristics： a strong curiosity and thirst for knowledge, strong ability of self-learning and exploration. They should primarily get engaged in applied basic research, focus on knowledge development and operational needs of the basic technology for logic systems, and acquire subject knowledge and expertise, technological innovation. They should have a good moral training, be able to work or live together with others; have good health and good human qualities, be able to take hard work. For the purposes of teaching and Research University, it is to foster innovative talents, we must adhere to the fundamental status of undergraduate teaching, and gradually promote the study of teaching; we must adhere to the path of industry-university cooperation; students in general education system must be established.