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

Article Synopsis
  • - The COVID-19 pandemic highlighted the deficiencies in intensive care medicine in low-resource settings (LRS), prompting a need for expert recommendations on establishing medical critical care.
  • - An international conference in December 2023, organized by the National Association of Intensivists from Bosnia and Herzegovina, involved 48 clinicians from 20 countries who used a modified Delphi methodology to reach consensus on key statements regarding organizational structure, staffing, and education for critical care units in LRS.
  • - The conference concluded with 13 out of 16 statements achieving consensus, emphasizing the importance of specialized training, multispecialty units, healthcare authority recognition, and the role of technology in improving critical care in LRS.
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Machine learning and artificial intelligence (AI/ML) models in healthcare may exacerbate health biases. Regulatory oversight is critical in evaluating the safety and effectiveness of AI/ML devices in clinical settings. We conducted a scoping review on the 692 FDA-approved AI/ML-enabled medical devices approved from 1995-2023 to examine transparency, safety reporting, and sociodemographic representation.

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Article Synopsis
  • The study aimed to improve global surveillance of child and adolescent movement behaviors (like physical activity and screen time) by gathering expert opinions through a Delphi method involving 62 participants.
  • Experts ranked important items in categories like funding, capacity building, and methods, with a consensus on key priorities such as increased public funding and standard protocols for measures.
  • The findings highlighted common priorities across different income countries and initiatives, but there was no agreement on the use of private funding for surveillance.
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Structural birth defects affect 3-4% of all live births and, depending on the type, tend to manifest in a sex-biased manner. Orofacial clefts (OFCs) are the most common craniofacial structural birth defects and are often divided into cleft lip with or without cleft palate (CL/P) and cleft palate only (CP). Previous studies have found sex-specific risks for CL/P, but these risks have yet to be evaluated in CP.

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Review of the Literature on the Current State of Periosteum-Mediated Craniofacial Bone Regeneration.

Craniomaxillofac Trauma Reconstr

September 2024

Lead Research - Molecular Oncology Program, Medical Research Centre, Lagos State University College of Medicine (LASUCOM), Lagos, Nigeria.

Study Design: This is an article review on the current state of periosteum-mediated bone regeneration (PMBR). It is a known mandibular reconstruction option in children, and though poorly understood and unpredictable, the concerns of developmental changes to donor and recipient tissues shared by other treatment options are nonexistent. The definitive role of periosteum during bone regeneration remains largely unknown.

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Article Synopsis
  • * Out of the 72 bacterial isolates found, the most common was Escherichia coli (50%), followed by Pseudomonas aeruginosa and Klebsiella spp., indicating a significant presence of potentially harmful bacteria.
  • * The research concluded that there is a high prevalence of pro-inflammatory bacteria in the urinary tracts of men with prostate cancer, supporting previous associations between infection and the disease.
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  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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  • The study investigates the effectiveness and safety of intravenous iron (ferric carboxymaltose) compared to oral iron (ferrous sulfate) in treating anemia and iron deficiency in pregnant women in Nigeria.
  • Conducted as a randomized controlled trial, the research focused on pregnant women with low hemoglobin levels from various health facilities in Nigeria, while adhering to specific exclusion criteria.
  • The trial aimed to evaluate primary outcomes including maternal anemia at 36 weeks of gestation and the incidence of preterm births, noting that a significant number of screened participants were found ineligible for the study.
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The poor health indices in Nigeria are widely reported to be fueled by an acute shortage of skilled medical personnel. Opinions are converging that Proprietary and Patent Medicine Vendors (PPMVs) can bridge this human resource for health gaps. This study therefore aimed to assess the acceptability, appropriateness, and feasibility of providing expanded basic health services among the skilled health workers operating PPMVs in underserved communities in Northern Nigeria states.

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Nasal Carriage, Antimicrobial Susceptibility Profile, and Enterotoxin Genes of Isolated from Children with Asthma.

Indian J Microbiol

September 2024

Department of Biological Sciences, College of Science and Technology, Covenant University, Canaan Land, KM 10 Idiroko Rd, Ota, 112104 Ogun State Nigeria.

Unlabelled: Asthma is a chronic respiratory disease that affects children worldwide. Increasing evidence suggests that contributes to the pathology of asthma. The aim of this study was to evaluate the nasal carriage, antimicrobial susceptibility profile, and presence of enterotoxin genes from isolated from children with asthma.

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Electronic medical records (EMRs) have great potential to improve healthcare processes and outcomes. They are increasingly available in Nigeria, as in many developing countries. The impact of their introduction has not been well studied.

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The impact of pollution on the Ologe Lagoon was assessed by comparing physicochemical properties, hydrocarbon concentrations and microbial community structures of the sediments obtained from distinct sites of the lagoon. The locations were the human activity site (OLHAS), industrial-contaminated sites (OLICS) and relatively undisturbed site (OLPS). The physicochemical properties, heavy metal concentrations and hydrocarbon profiles were determined using standard methods.

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Article Synopsis
  • The study examines the rising use of emergency departments (EDs) for psychiatric emergencies in the U.S., highlighting data from the Nationwide Emergency Department Sample (NEDS).
  • In 2021, there were about 7.98 million ED visits for psychiatric issues, primarily involving substance abuse, severe bipolar disorder, and anxiety or panic attacks, with roughly equal representation of men and women but notable age and health disparities.
  • Men were more frequently admitted for substance abuse and had higher comorbidities, while women showed higher rates of severe depression and anxiety; these findings underline important gender differences in psychiatric emergency presentations.
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Impact of Truenat on TB diagnosis in Nigeria.

Public Health Action

September 2024

Department of Community Medicine, College of Health Sciences, Ebonyi State University Abakaliki, Nigeria.

Objective: To evaluate the impact of Truenat assays on the diagnosis of TB at peripheral facilities in Nigeria.

Methods: This was a retrospective cross-sectional study across 34 out of 38 Truenat-implementing facilities in Nigeria. These facilities offer DOTS services.

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To explore the association between COVID-19-related cancer treatment cancellations and the psychological health of cancer patients in Nigeria. We analyzed data collected from 15 outpatient cancer clinics, comprising 1,097 patients between April to July 2020. Study outcome was ten psychological impacts, including feeling down, stressed, and unable to access treatment due to COVID-19 (used as continuous and categorical variable (0-3,4-7,8+ events).

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Article Synopsis
  • Nigeria has the highest global rate of peripartum cardiomyopathy, leading to a clinical trial that compared usual care with AI-guided screening for left ventricular systolic dysfunction (LVSD) in pregnant and postpartum women.
  • The study involved 1,232 women, using digital stethoscopes and 12-lead electrocardiograms to identify LVSD, which was confirmed by echocardiography.
  • Results showed that AI screening enhanced the detection rates of LVSD (4.1% vs. 2.0% for stethoscope AI; 3.4% vs. 2.0% for electrocardiogram AI), with no serious adverse events reported during the trial.
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Article Synopsis
  • Hypertension poses a significant health risk to bank employees, with a study revealing a prevalence rate of 33.3% among 250 surveyed participants, who predominantly have higher education and reside in urban areas.
  • Key risk factors identified include higher body mass index (BMI), previous hypertension diagnosis, family history of hypertension, smoking habits, and adding salt to food at the table.
  • The findings highlight the urgent need for health promotion and lifestyle modifications in the banking sector to combat hypertension effectively.
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Background And Objectives: Prevalence of prediabetes and undiagnosed diabetes are different in rural and urban dwellings, with varying driving factors. This study aimed to determine the differences in risk factors of prediabetes and undiagnosed diabetes among Yoruba speaking adult dwellers in selected rural and urban communities in Nigeria using haemoglobin A1c.

Methods: A cross-sectional study was conducted in five selected states in Southwestern Nigeria.

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Background And Aims: INTERASPIRE is an international study of coronary heart disease (CHD) patients, designed to measure if guideline standards for secondary prevention and cardiac rehabilitation are being achieved in a timely manner.

Methods: Between 2020 and 2023, adults hospitalized in the preceding 6-24 months with incident or recurrent CHD were sampled in 14 countries from all 6 World Health Organization regions and invited for a standardized interview and examination. Direct age and sex standardization was used for country-level prevalence estimation.

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Article Synopsis
  • - The study analyzed trends and racial disparities in hospitalizations for diverticular disease (DD) from 2017 to 2020, using data from over 1.2 million hospitalizations to assess outcomes like mortality and resource use by race and ethnicity.
  • - Findings revealed that White patients accounted for 75.3% of DD hospitalizations, were generally younger, and that overall hospitalizations increased until 2020, when a significant decrease of 11.8% occurred.
  • - Notably, mortality rates and in-hospital complications varied by race, with significant differences in outcomes observed, highlighting ongoing disparities in healthcare for different ethnic groups.
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Hypertrophic cardiomyopathy (HCM) is a genetic cardiac disorder characterized by left ventricular hypertrophy (LVH), which can lead to left ventricular outflow tract (LVOT) obstruction. Traditional treatments often provide limited symptom relief and may not adequately reduce the LVOT gradient. Myosin inhibitors, such as Aficamten , offer a new therapeutic approach by modulating myocardial contractility and improving symptoms.

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Article Synopsis
  • * Data from 2,772 ART-naïve adults were analyzed, revealing a CKD prevalence of 10.0% to 17.6%; the study found that older age and factors such as anemia, lower BMI, and low CD4 counts were significantly associated with CKD.
  • * Three methods for estimating CKD (BSA-CG, MDRD, and CKD-EPI) were compared, with
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Introduction: The burden of multimorbidity is recognised increasingly in low- and middle-income countries (LMICs), creating a strong emphasis on the need for effective evidence-based interventions. Core outcome sets (COS) appropriate for the study of multimorbidity in LMICs do not presently exist. These are required to standardise reporting and contribute to a consistent and cohesive evidence-base to inform policy and practice.

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Objectives: Persons with disabilities (PWD) often experience risks associated with HIV/AIDS including unmet needs and overlooked stigmatization. This could be attributed to certain misconceptions such as PWDs are asexual, and cannot enjoy sexual pleasure, among others. Therefore, this paper sought to investigate the extent of disability inclusion in recent National Strategic Plans (NSPs) for HIV/AIDS in West African countries.

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