Evolving trends and challenges in sustainable architectural design; a practice perspective.

Architects play a crucial role in shaping sustainable built environments that balance utility and aesthetics without compromising ecological integrity. Hence embracing sustainability remains an urgent imperative as construction activities expand to meet Nigeria's development needs. This research examines how architects in Enugu Metropolis, Nigeria are assimilating principles of sustainability within their design practices against a transforming professional backdrop.

Assessing the Relationship Between Sleep Duration and the Prevalence of Chronic Kidney Disease Among Veterans in the United States: A 2022 Behavior Risk Factor Surveillance System (BRFSS) Cross-Sectional Study.

Introduction: Chronic kidney disease (CKD) is more prevalent among veterans in the United States than in the general population. Similarly, veterans also exhibit higher rates of abnormal sleep duration compared to the general population. The aim of this study was to investigate the association between self-reported length of sleep and the prevalence of CKD among veterans in the United States using responses from the 2022 Behavioral Risk Factor Surveillance System (BRFSS).

Awareness of the effects of small-scale cassava mill effluent on the environment in Ika North East Local Government Area, Delta State, Nigeria.

The threat of environmental pollution in Nigeria, particularly in the Niger Delta region, cannot be solely ascribed to oil spillages; rather, it also encompasses the discharge of cassava mill effluent (CME), frequently disposed off in an unregulated manner. Existing studies on CME have focused on its potential environmental consequences on soil characteristics, microbial populations, and heavy metal levels. There is limited study on the awareness of the impact of CME on the environment.

Factors That Determine Multiple Primary Cancers in the Adult Population in the United States.

Cancer is a major public health problem worldwide and a leading cause of death in the United States. Multiple primary cancers mean that an individual has more than one cancer in the same or a different organ but does not include instances of metastasis of initial primary cancer. Several factors such as genetics, for example, gene mutations, may predict multiple primary cancers.

Racial Disparities In In-Hospital Mortality of Children and Adolescents Under 20 Years With Type 1 Diabetes Mellitus.

Background: In the United States, racial disparities in health outcomes continue to be a major problem with far-reaching effects on equity in healthcare and public health. Children and teenagers with type 1 diabetes are a disadvantaged demographic that has particular difficulties in managing their condition and getting access to healthcare. Despite improvements in the treatment of diabetes, little study has examined how much racial disparities in in-hospital mortality affect this particular demographic.

Nativity Status Predicts Tobacco Use: A Comparative Analysis of US-Born and Foreign-Born Adults From the Health Information National Trends Survey (HINTS).

Introduction Tobacco smoking remains one of the leading causes of morbidity and mortality globally and in the United States (USA). We hypothesize that US-born naturals have higher odds of tobacco smoking compared to their foreign-born counterparts, and our study aims to assess the relationship between nativity status and odds of tobacco smoking using a nationally representative sample. Methods We utilized the Health Information National Trends Survey (HINTS) 5 Cycle 1 (2017) and Cycle 2 (2018) for this study.

The Course of SARS-COV2 Infection Was Not Severe in a Crohn's Patient Who Administered Maintenance Anti-TNF Therapy Overlapping the Early Pre-Symptomatic Period of Infection.

The Inflammatory Bowel Disease (IBD) population, which may require treatment with immunosuppressive medications, may be uniquely vulnerable to COVID-19 infection. In fact, there is some evidence these medications may inhibit the cytokine storm that is theorized to cause a rapid decline seen in COVID-19. In addition, the digestive symptoms of COVID-19 can be difficult to distinguish from the activation of IBD.

Role of local town planning authorities in building collapse in Nigeria: evidence from Enugu metropolis.

The current spate of building collapse in Nigeria has continued to attract research efforts to unravel the causes and possible remedies. Although cases of building collapse in Nigeria has been associated with several factors, those factors associated with building plan approval process have not adequately investigated, especially in a rapidly expanding colonial city of Enugu. The study investigated the role of local town planning authorities in the increasing cases of collapsed buildings in Nigeria using Enugu as a case study.

Free, open, quantitative and adaptable digital soil map data and database for Nigeria.

Nigeria's digital soil map (DSM) and database is the most comprehensive and detailed source of quantitative information on the country's soil distribution. Digital cartography and geographic information system (GIS) operations were methods used in producing the DSM and database. We obtained analogue soil data in 8 hard copy maps (each at a displayable scale of 1: 650,000) from the Federal Department of Agricultural Land Resources (FDALR), which archived the result of Nigeria's reconnaissance soil survey.

Three-Dimensional Anorectal Manometry Enhances Diagnostic Gain by Detecting Sphincter Defects and Puborectalis Pressure.

Background: Constipation and fecal incontinence (FI) are common and are often evaluated with anorectal manometry. Three-dimensional high-resolution anorectal manometry (HRAM) is a promising technology; however, implementation has been limited by lack of metrics and unclear clinical utility.

Aim: To investigate the diagnostic utility of 3D HRAM compared to 2D HRAM.

Safety of Propofol Used as a Rescue Agent During Colonoscopy.

Goal: The goal of this study was to evaluate the safety of propofol when used by gastroenterologists in patients who have an inadequate response to standard sedation (narcotics and benzodiazepines).

Background: Many patients fail to achieve adequate sedation from narcotics and benzodiazepines during colonoscopy. The administration of propofol for colonoscopy is increasing, although its use by gastroenterologists is controversial.