1,362 results match your criteria: "3 Lagos State University College of Medicine & Teaching Hospital[Affiliation]"

Biomarkers.

Alzheimers Dement

December 2024

John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.

Background: The burden of Alzheimer's disease and related dementias is growing fast in Africa. The Recruitment and Retention for Alzheimer's Disease Diversity Genetic Cohorts in the Alzheimer's Disease Sequencing Project (READD-ADSP) has commenced recruitment of 5000 African participants (AD and cognitively unimpaired individuals) to generate genomic and biomarker data to better characterize AD genetic architecture in Africa. Participating countries, part of the African Dementia Consortium (AfDC) include Nigeria, Ghana, Benin, Cameroon, Uganda, Kenya, Ethiopia, Tanzania, and Mozambique.

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Dementia Care Research and Psychosocial Factors.

Alzheimers Dement

December 2024

Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.

Background: Majority of people living worldwide live in low- and middle- income countries, including sub-Saharan Africa (SSA). Most cognitive assessment batteries for Alzheimer's Disease(AD), are developed in high income countries (HICs), where most international dementia collaborations and data originate. The African Dementia Consortium (AfDC) is a new scientific collaboration network currently participating in the Recruitment and Retention for Alzheimer's Disease Diversity Genetic Cohorts in the Alzheimer's Disease Sequencing Project (READD-ADSP).

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Background: Youth living with HIV (YLH) are disproportionately impacted by HIV with poor outcomes along the entire HIV care continuum. In a 2020-2022 pilot study, iCARE Nigeria, successfully tested a combination intervention incorporating mobile health technology and peer navigation to: 1) improve testing and linkage to HIV care for young men, especially young men who have sex with men (YMSM) and 2) improve medication adherence and treatment outcomes for YLH. The intervention was scaled up to 5 sites in 3 Nigerian cities.

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Objectives: Transfusion-transmitted infections are a serious complication of blood transfusion. Devising a means of detecting at-risk blood donors may be beneficial in low- and middle-income countries such as Nigeria. We sought to determine the impact of ABO blood group on the prevalence of transfusion transmitted infections.

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Background And Objectives: The optimal iron hypothesis (OIH) posits that risk for infection is lowest at a mild level of iron deficiency. The extent to which this protection results from arms race dynamics in the evolution of iron acquisition and sequestration mechanisms is unclear. We evaluated the OIH with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), an emerging infectious agent.

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Background/objective: Rheumatic diseases (RMDs) are among the leading health burdens and causes of disability globally. Interestingly, they are on the rise due to the increasingly ageing population. Inflammatory RMDs are not left behind in the rise, especially in Africa, where they were thought to be rare as there has been increasing reportage of these diseases in recent years.

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Introduction: Bacterial Vaginosis (BV) has consistently been associated with adverse obstetric and gynaecological outcomes. It is a common vaginal condition. This study determined the prevalence and factors associated with BV among pregnant women.

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Background: Over the years, the numbers of centres performing assisted reproductive technology (ART) have increased in urban regions of Africa. We reviewed a 10-year record of ART in a public hospital in a bid to determine the pregnancy rate and identify factors associated with achieving clinical pregnancy.

Materials And Methods: This was a retrospective, analytical, cross-sectional study of 604 women who had undergone fertilisation (IVF) or IVF/intra-cytoplasmic sperm injection, over a 10-year period, at the [Institute of Fertility Medicine, Lagos State University Teaching Hospital].

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Therapeutic potential of 2S-hesperidin against the hepatotoxic effects of dichlorvos in rats.

Food Chem Toxicol

December 2024

Clinical Biochemistry and Mechanistic Toxicology Research Cluster, Department of Biochemistry, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria.

Dichlorvos (DDVP) is an organophosphate insecticide that enhances food production and repels disease vectors. However, it provokes cytotoxicity. 2S-hesperidin (2S-HES) is a potent antioxidant, anti-inflammatory, and anti-lipidemic flavanone.

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Background: The postpartum period is associated with an increased risk of maternal mental disorders. The combined effect of having the mother's infant admitted to a tertiary hospital in a low-resource setting and the need to exclusively breastfeed the infant may exaggerate this risk. This study aimed to determine the breastfeeding support provided to mothers whose infants were hospitalised in Nigerian tertiary hospital nurseries and the prevalence of common mental health disorders among this population.

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Introduction: Histidine-rich protein 2 (HRP2) antigen kits are widely used for malaria diagnosis in tropical regions due to their heat stability. The Plasmodium Lactate Dehydrogenase (pLDH) used in BIOCREDIT® malaria test kit is claimed to be heat-stable. This study aimed to evaluate the heat stability and field performance of three BIOCREDIT® kits.

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Article Synopsis
  • Viral suppression is crucial for ending the HIV epidemic, yet youth living with HIV in Nigeria experience lower rates of viral suppression compared to adults; a study aimed to identify risk factors contributing to this issue.
  • Out of 541 participants, 40% were found to be non-suppressed; significant risk factors included substance use, missed medication doses, and self-reported barriers to taking medication, while being on a first-line regimen and having supportive social networks reduced these risks.
  • The findings highlight the importance of addressing psychosocial behaviors and medication adherence in youth with HIV to improve viral suppression rates and ultimately achieve ART goals.
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Article Synopsis
  • Intensive care units (ICUs) are crucial for managing critically ill patients, but there is limited information on their operation in rural areas, particularly in Nigeria.
  • A study at Irrua Specialist Teaching Hospital analyzed five years of ICU admission data, finding that 99% of 581 admissions were included, with a majority being female and aged 20-59; surgical cases made up 57.9% of admissions.
  • The study revealed a high overall mortality rate of 49.2%, emphasizing the need for better critical care resources in rural settings.
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Introduction/objectives: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that frequently involves the lungs, contributing to significant morbidity in hospitalized patients. Critical care survivors with lung involvement in SLE are at particularly high risk for unplanned hospital readmissions, which can reflect the complexity of their disease, which often affects multiple organs and requires immunosuppressive therapy that increases infection risk. Severe pulmonary complications, critical illness sequelae, and challenges in medication adherence or follow-up care further contribute to their vulnerability.

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Article Synopsis
  • A study in Nigeria examined primary healthcare workers' knowledge and perception of mpox, noting limited research on the topic despite rising cases from 2017 to 2022.
  • The survey assessed knowledge across various areas, revealing that while 78.3% were aware of mpox, understanding of its transmission was notably low, especially in Lagos compared to other regions.
  • Most healthcare workers recognized that mpox could affect anyone, but nearly half felt that they couldn't protect themselves from it, highlighting gaps in knowledge and perceived vulnerability.
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Article Synopsis
  • The text discusses the importance of forecasting future health issues in the USA for effective planning and public awareness regarding disease and injury burdens.
  • It describes the methodology for predicting life expectancy, cause-specific mortality, and disability-adjusted life-years (DALYs) from 2022 to 2050 using the Global Burden of Diseases framework.
  • The forecasting includes various scenarios to assess the potential impacts of health risks and improvements across the country, focusing on demographic trends and health-related risk factors.
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Background: The Nigeria National Health Insurance Authority (NHIA) is the official Social Health Insurance Agency of the Federal Government established to provide quality healthcare services to Nigerians at affordable cost, sufficient to address catastrophic health expenditures. One key indicator of quality healthcare services is patient satisfaction. This National Survey aimed to assess enrollees' satisfaction with healthcare services under this organization.

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Introduction: Human Papillomavirus is responsible for about 5% of the global cancer burden. In Nigeria, cervical cancer is the second most common cancer among women. The Federal Government of Nigeria and partners recently introduced Human Papillomavirus (HPV) vaccination into routine immunization beginning with 15 States and the Federal Capital Territory.

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Background: Colorectal carcinoma (CRC) is the most common gastrointestinal malignancy in Nigeria with a dismal 5-year survival rate. Interactions between the CD8+ T-lymphocytes and the immune checkpoints such as cytotoxic T-lymphocyte antigen-4 (CTLA-4) and programmed death-ligand 1 (PD-L1) expressions are important. Novel antibodies have been developed against these immune checkpoints and have been found to improve clinical outcome in many solid organ malignancies.

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Health risk assessment of phthalate esters and polychlorinated biphenyls from marine plastic pollution in coastal areas of Lagos, Nigeria.

Environ Sci Pollut Res Int

December 2024

Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, P. O. Box 20593 UI HO, Ibadan, Nigeria.

Article Synopsis
  • Marine plastic pollution is a global public health issue that releases harmful toxic substances leading to serious health effects, but there is limited research on it in Nigeria.
  • This study focused on three coastal areas in Lagos, collecting water and sediment samples to measure levels of phthalate esters (PEs) and polychlorinated biphenyls (PCBs) using advanced laboratory techniques.
  • Results showed that many of the PEs and PCBs exceeded WHO safety standards, particularly at Eleko and Idado, highlighting the urgent need for further research on the potential health risks for local communities, especially vulnerable populations like children.
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Objectives: To assess diagnostic mycology capacity and available fungal diagnostic services of microbiology laboratories in eight tertiary hospitals in Nigeria and one in Ghana.

Methods: On-site audits were performed in the microbiology laboratories of nine tertiary hospitals using a structured observation checklist.

Results: A total of nine tertiary hospitals' laboratories in Nigeria and Ghana were assessed between June 2022 and December 2023.

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G6PD deficiency (G6PDd) is the most common X-linked genetic disease worldwide and the most common cause of severe neonatal hyperbilirubinemia (NH) in Nigeria. Screening for G6PDd has been recommended for over thirty years but is still not routinely done in Nigeria. We sought to investigate a low-cost rapid diagnostic test to determine G6PDd in Nigerian neonates.

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Context: Micronutrient deficiencies are common and frequently co-occurring among people living with HIV (PLHIV) globally, with consequences for their health and clinical outcomes. Previous reviews of the influence of micronutrient supplementation on HIV outcomes were conducted in the pre-highly active antiretroviral therapy (pre-HAART) era or included both HAART-naive and HAART-experienced individuals; thus, the evidence in the context of HAART is inconclusive.

Objective: A systematic review and meta-analysis was conducted to evaluate the effect of micronutrient supplementation on important clinical outcomes among PLHIV on HAART.

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Background: Iron deficiency anaemia in pregnancy is a significant contributor to maternal and perinatal morbidity and mortality globally. Despite international and national guidelines for its screening and treatment, knowledge and prescription practices of healthcare providers vary.

Aim: To determine maternal healthcare workers' screening and treatment practices for iron deficiency in anaemic pregnancy women in two states in Nigeria.

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Article Synopsis
  • The study focuses on developing guidelines for the safe use of fluoroscopy in gastrointestinal endoscopy, balancing its benefits with concerns about radiation exposure to patients and healthcare workers.
  • A modified Delphi method was used, involving three rounds of surveys with 46 experts, resulting in 43 proposed statements, of which 31 achieved consensus and were prioritized across various categories such as Patient Safety and Staff Safety.
  • The final consensus statements highlight the importance of education and safety measures, with a significant majority rated as high priority, aiming to enhance safety culture in healthcare settings while utilizing fluoroscopy.
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