Publications by authors named "Augusta Nkiruka Okpala"

Background: Healthcare workers were at the forefront of the COVID-19 pandemic. The acceptability and uptake of COVID-19 vaccines among healthcare workers was an important strategy in halting the spread of the virus as well as the antecedent implications on global health and the world economy.

Objectives: This study aims to determine the acceptability rate and barriers to COVID-19 vaccination of frontline healthcare workers in Awka, Nigeria.

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Objective: Various patients needing organ or systemic support and close monitoring are routinely managed in the intensive care unit. This includes patients that emanate from various sources, like the trauma unit, emergency department, inpatient wards, and post-anesthesia care unit. Admissions into the intensive care unit due to medical conditions have not been analyzed in our environment to determine the common indications and the outcome.

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Article Synopsis
  • Cervical cerclage is a procedure used to prevent preterm delivery in women with cervical insufficiency and is indicated based on reproductive history or ultrasound findings, though outcomes can vary.* -
  • A study at two hospitals in Nigeria compared the effectiveness of McDonald's cervical cerclage based on historical versus ultrasound indications, involving 103 women over nearly a decade.* -
  • Results showed no significant difference in miscarriage rates between the two groups, but a higher prevalence of preterm births was noted in women with ultrasound-indicated cerclage compared to those with history-indicated.*
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Roberts syndrome is a rare genetic disorder characterized by symmetrical reductive limb malformation and craniofacial abnormalities. It is caused by mutation in the "Establishment of cohesion 1 homolog 2" genes, resulting in the loss of acetyltransferase activities and manifesting as premature centromere separation in metaphase chromosomes. The affected individual grows slowly during pregnancy and after birth with associated mild to severe intellectual impairment.

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Aim: To determine the effect of dexamethasone in reducing post-dural puncture headache (PDPH) after spinal anesthesia for cesarean section (CS).

Methods: A double blind placebo controlled randomized trial of parturients undergoing CS under spinal anesthesia was conducted. Participants ( = 192) were randomly (1:1 ratio) given either 2mls (8 mg) of dexamethasone ( = 96) intravenously or 2mls of normal saline ( = 96) intravenously as placebo after clamping the umbilical cord.

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