140 results match your criteria: "State Specialist Hospital[Affiliation]"

Accessibility and TB patient satisfaction in Nigeria.

Int J Tuberc Lung Dis

December 2024

School of Population Health, University of New South Wales, Sydney, NSW, Australia.

BACKGROUNDNigeria ranks first in Africa and sixth among countries with a high Tuberculosis burden globally. The increasing incidence of drug resistance following poor treatment adherence among drug-susceptible TB (DS-TB) patients necessitates reviewing TB services in Nigeria. This study explored accessibility and patient-reported experiences in newly established TB treatment facilities.

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Background Parkinson's disease (PD) is a chronic neurodegenerative disorder that significantly impacts patients' quality of life (QoL). Depression is a common comorbidity in patients with PD, potentially exacerbating QoL deterioration. This study aimed to assess the influence of depression on QoL in patients with PD at Ladoke Akintola University of Technology (LAUTECH), Ogbomoso, Nigeria.

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Background The coronavirus disease 2019 (COVID-19) pandemic has posed significant challenges worldwide, particularly in developing countries with limited healthcare resources. Among the various demographics, adolescents represent a crucial group in understanding and curbing the spread of the virus. Aim This research aims to assess the level of knowledge and practice of COVID-19 prevention measures among adolescents in a developing country.

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Background: Hypertension is the number one risk factor for cardiovascular death worldwide and its prevalence has been on the increase in LMICs including Nigeria. There is an increasing awareness and recognition of the contributions of the community health workers (CHWs) in the healthcare system. This study assessed their current role in the management of hypertension and patient satisfaction with the care received.

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Toxic impacts of arsenic bioaccumulation on urinary arsenic metabolites and semen quality: A systematic and meta-analysis.

Ecotoxicol Environ Saf

August 2024

Department of Physiology, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria; Reproductive Biology and Toxicology Research Laboratory, Oasis of Grace Hospital, Osogbo, Osun State, Nigeria; Department of Physiology, Babcock University, Ilishan Remo, Ogun State, Nigeria.

This study aims to investigate the effect of arsenic exposure on urinary levels of arsenic metabolites, semen parameters, and testosterone concentrations. A systematic comprehensive literature search was conducted up till 31st January 2024 using Embase, MEDLINE/Pubmed, and Scopus. This study adopted the Population Exposure Comparator Outcome and Study Design (PECOS) framework.

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Article Synopsis
  • Secondary peritonitis is a significant cause of sepsis globally, particularly in resource-limited areas like Uganda, prompting a study to assess bacterial infections and susceptibility among surgical patients.
  • Conducted at Hoima Regional Referral Hospital, the study involved 126 patients, identifying that 45.2% had secondary peritonitis, with Escherichia coli and Klebsiella spp being the most common bacteria isolated.
  • Results indicated that certain antibiotics, like Imipenem and Amikacin, were effective against these infections, and males or those presenting late after symptom onset were more likely to have secondary peritonitis, emphasizing the need for early medical attention.
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Article Synopsis
  • Nigeria's neurosurgery field struggles with a dire lack of neurosurgeons, high migration rates of medical professionals, and limited access to care due to urban-centric centers and financial barriers.
  • Key issues include inadequate manpower, poor emergency services, lack of imaging and surgical equipment, and ineffective policies, resulting in poor management of neurotrauma cases and limited subspecialization opportunities in training.
  • To improve the situation, it's essential to enhance infrastructure, expand training capacity especially in rural areas, implement unified residency matching, address gender disparities, and promote international collaboration for research and funding.*
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Background: Post-abortion care (PAC) is a crucial component of emergency obstetric care, and many of the primary health care centres (PHC) in the internally displaced person (IDP) camps and host communities in Maiduguri lack it. Improved access to high-quality PACs is essential for meeting the reproductive health needs of the IDPs and reducing the maternal morbidity and mortality that can result from miscarriages. OBJECTIVE: To determine the trend in managing miscarriages in the IDP camps and host communities in Maiduguri and the impact of the volunteer obstetrician scheme (VOS) on PAC.

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Women in Nigerian Neurosurgery: A Cross-Sectional Survey.

World Neurosurg

May 2024

Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA. Electronic address:

Background: Although women have made remarkable strides in several medical specialties in Sub-Saharan Africa, their presence and contribution to the development of neurosurgery remain limited. We sought to study the gender differences within Nigerian neurosurgery, identify challenges resulting from these differences, and recommend how African female neurosurgeons can maximize their effects in neurosurgery.

Methods: A structured online survey captured data on neurosurgical infrastructural capacity, workforce, and training from neurosurgical consultants and residents in neurosurgical centers in Nigeria.

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Background: Like many low- and-middle-income countries in Africa, documented assessment of the neurosurgical workforce, equipment, infrastructure, and scope of service delivery in Nigeria is lacking. This study aimed to assess the capacity for the delivery of neurosurgical services in Nigeria.

Methods: An 83-question survey was disseminated to neurosurgeons and residents in Nigeria.

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Objective: There has been a modest but progressive increase in the neurosurgical workforce, training, and service delivery in Nigeria in the last 2 decades. However, these resources are unevenly distributed. This study aimed to quantitatively assess the availability and distribution of neurosurgical resources in Nigeria while projecting the needed workforce capacity up to 2050.

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Gardner's syndrome with the complete manifestation of colonic and extracolonic features is uncommon. Therefore, every clinician should view extracolonic features with a high index of suspicion. This may be key to early diagnosis, definitive management in these patients and importantly, helps prevent malignant transformation of existing colonic polyps.

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Background: Tuberculosis (TB), caused by (MTB), is one of the top infectious killer diseases in the world. The emergence of drug-resistant MTB strains has thrown challenges in controlling TB worldwide. This study investigated the prevalence of drug-resistant tuberculosis in the states of Nigeria and the risk factors that can increase the incidence of tuberculosis.

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Article Synopsis
  • A study was conducted in Uganda comparing the costs and efficiency of open hemorrhoidectomy (OH) procedures using local anesthesia (LA) versus saddle block (SB) for patients with severe hemorrhoids (3rd or 4th degree).
  • The trial involved 58 patients and found that surgery using LA resulted in a significantly shorter operating time (15.5 minutes) and was less expensive ($57.42) compared to SB (33.7 minutes and $63.38).
  • The researchers concluded that using LA is more cost-effective and can help increase patient turnover in low-income countries, suggesting that policymakers should prioritize this method to meet global surgery goals by 2030.
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Objective: Despite 6 decades of existence, neurosurgery is still in the developing stages in Nigeria. In this era of collaborative health system capacity-building in low- and middle-income countries, this article reviews past efforts and future prospects for collaborative neurosurgical development in Nigeria.

Methods: A bibliometric review of the Nigerian neurosurgical literature and data from a structured survey of Nigerian neurosurgeons and residents provided details of current local and international collaborations for neurosurgical research, service delivery, training, and capacity building.

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Objective: Despite the well-known neurosurgical workforce deficit in Sub-Saharan Africa, there remains a low number of neurosurgical training programs in Nigeria. This study sought to reassess the current status of specialist neurosurgical training in the country.

Methods: An electronic survey was distributed to all consultant neurosurgeons and neurosurgery residents in Nigeria.

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Background: Organophosphate (OP) pesticides have been associated with a decline in semen quality, although there are still considerable arguments about the magnitude of the association.

Objective: This study provides a systematic review and meta-analysis of the impacts of OP pesticides on semen quality and male reproductive hormones.

Methods: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols.

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Background: The study aimed to explore the sociodemographic factors associated with the acceptance of index case testing (ICT) among newly diagnosed people living with HIV (PLHIV) in Southern Borno, Nigeria.

Methods: The study involved four healthcare facilities providing antiretroviral therapy (ART) services in Southern Borno, Nigeria. Secondary data from the index case testing register were collected between April 2022 and April 2023.

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Background: Postpartum depression (PPD) is a leading cause of disability globally with estimated prevalence of approximately 20% in low-income and middle-income countries. This study aims to determine the prevalence and factors associated with PPD following mistreatment during facility-based childbirth.

Method: This secondary analysis used data from the community survey of postpartum women in Ghana, Guinea, Myanmar and Nigeria for the WHO study, 'How women are treated during facility-based childbirth'.

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Time-to-survival from COVID-19 disease and its associated factors in Osun State, Nigeria.

Infect Disord Drug Targets

June 2023

Department of Public Health, Faculty of Basic Medical Sciences, Ede, Osun State, Nigeria

Introduction This study focused on estimating the probability of survival and the specific time to survival from COVID-19 among patients who had COVID-19 in Osun state, Nigeria. Also, we examined some factors associated with the time to survival among COVID-19 patients in Osun state, Nigeria. Methods The retrospective data of 2596 records of COVID-19 patients in Osun state were analysed in this study.

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The prolonged multi-drug treatment regimen for tuberculosis (TB) can lead to non-adherence and unsuccessful treatment outcomes. To determine the effect of cognitive and behavioral interventions on TB treatment outcomes. The quasi-experimental study conducted in six TB treatment centers involved reinforced medication education and adherence counseling (MEAC), designed from a structured validated psychometric scale.

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Article Synopsis
  • The study aimed to evaluate brain tumor programs in Asia and Africa, proposing both short- and long-term strategies for improvement.
  • A survey involving 27 questions assessed various components of these programs, scoring them on surgery, oncology, neuropathology, research, training, and finances, categorizing countries into six levels.
  • Results showed that most countries had level III programs, with surgery, neuropathology, and oncology being the strongest areas, but highlighted a significant need for enhancement in neuro-oncology resources, especially in nations lacking neurosurgeons.
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Introduction And Importance: Chronic traumatic posterior dislocation of the hip is one of the uncommon conditions that surgeons in developing countries have to treat due to continued unvetted patronage of traditional bone setters by patients. It usually treatment challenges due to limitation in option available because resource constraints.

Case Presentation: We present the case of 42-year-old male patient who presented to our hospital one and half years after sustaining road traffic accident.

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Background: Hesitancy to COVID-19 vaccine may worsen the burden of COVID-19 among people living with HIV (PLHIV), who are at a higher risk of COVID-19-related hospitalization and death, compared to HIV non-infected individuals. Therefore, we evaluate the predictors and reasons for COVID-19 vaccine hesitancy among unvaccinated PLHIV in six antiretroviral therapy (ART) clinics across northern Nigeria.

Methodology: In this cross-sectional study, conducted between October 2021 and February 2022 in six hospitals across two geopolitical regions of Nigeria, we utilized interviewer-administered questionnaires to assess COVID-19 vaccine hesitancy among a convenience sample of 790 eligible adult PLHIV.

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Background: The National Youth Service Corps (NYSC) is a compulsory one-year programme for graduates of tertiary schools including doctors. This study was conducted to find out the benefits and challenges of the programme among corps medical doctors as well as their treatment in their places of primary assignment (PPAs). The study would influence policymaking so as to improve the experiences of corps medical doctors and help NYSC to achieve its objectives.

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