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  • Deploying unqualified personnel in health records practice: Role substitution or quackery? Implications for health services delivery in Nigeria.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles Deploying unqualified personnel in health records practice: Role substitution or quackery? Implications for health services delivery in Nigeria. Health Inf Manag. 2018 Sep 20;:1833358318800459 Authors: Adeleke IT, Suleiman-Abdul QB, Aliyu A, Ishaq IA, Adio RA Abstract Healthcare professionals are obliged to work collaboratively regardless of their professional differences in order to provide the highest possible standard of care to patients. However, this type of collaboration can also lead to role substitution and, in effect, engagement of unqualified personnel in all health professions, including the health information management profession. This is a particular problem in developing nations such as Nigeria, where this trend has the potential to undermine the delivery of health services, the quality and the confidentiality of health information and trust between patients and healthcare professionals. To clarify and protect the professional identity of qualified health information management professionals in Nigeria and to prevent other experts who also work in health facilities (e.g. IT specialists, librarians) from claiming membership of the profession, the nomenclature for the health information management profession has been changed to health records and information management profession. PMID: 30235948 [PubMed - as supplied by ...

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  • Notes from the Field: Responding to an Outbreak of Monkeypox Using the One Health Approach - Nigeria, 2017-2018.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles Notes from the Field: Responding to an Outbreak of Monkeypox Using the One Health Approach - Nigeria, 2017-2018. MMWR Morb Mortal Wkly Rep. 2018 Sep 21;67(37):1040-1041 Authors: Eteng WE, Mandra A, Doty J, Yinka-Ogunleye A, Aruna S, Reynolds MG, McCollum AM, Davidson W, Wilkins K, Saleh M, Ipadeola O, Manneh L, Anebonam U, Abdulkareem Z, Okoli N, Agenyi J, Dan-Nwafor C, Mahmodu I, Ihekweazu C PMID: 30235181 [PubMed - in ...

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  • Risk factors for perinatal transmission of HIV among women attending prevention of mother-to-child transmission clinics in Northwest Nigeria.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles Risk factors for perinatal transmission of HIV among women attending prevention of mother-to-child transmission clinics in Northwest Nigeria. AIDS Care. 2018 Sep 20;:1-7 Authors: Sowale OY, Olakunde BO, Obi C, Itiola AJ, Erhunmwunse Y, Melvin SC Abstract Despite the effectiveness of antiretroviral therapy (ART) in the prevention of mother-to-child transmission of HIV (PMTCT), some HIV-infected women in PMTCT care are at risk of transmitting HIV to their babies. Using a 1:1 unmatched case-control study design, we assessed the risk factors for perinatal transmission among women who received ART for PMTCT in Sokoto State, Nigeria. Data were abstracted from medical records of cases (94 HIV-infected babies) and controls (94 HIV-uninfected babies) and their mothers who accessed PMTCT services in three purposefully selected secondary health facilities. We conducted univariate and multivariate logistic regressions to determine if sociodemographic characteristics, time of enrolment, type of maternal ART, receipt of infant antiretroviral (ARV) prophylaxis, place of delivery, or feeding practice were associated with HIV infection among HIV-exposed babies. Sixteen percent of the mothers of babies in the case group had early enrolment while 90% of those in the control group enrolled early. Infant prophylaxis was received in 54% of cases and 95% of controls. In both groups, 99% of the mothers practiced mixed feeding. In the univariate analysis, factors that were significantly associated with HIV infection were religion (islam), rural residence, late⁠ enrolment, and non-receipt of infant ARV prophylaxis. In the multivariate analysis, rural residence (Adjusted odds ratio (aOR) = 8.01, 95% CI = 1.79-35.78), late enrolment (aOR = 41.72, 95% CI = 15.16-114.79), and non-receipt of infant ARV prophylaxis (aOR = 4.1, 95% CI = 1.18-14.33) remained statistically significant. Findings from this ...

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  • Determinants of wasting among schoolchildren in a Southwestern state of Nigeria: Implications to strengthen the nutritional component of primary health-care model.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles Determinants of wasting among schoolchildren in a Southwestern state of Nigeria: Implications to strengthen the nutritional component of primary health-care model. J Family Med Prim Care. 2018 Jul-Aug;7(4):671-677 Authors: Obembe TA, Adenuga WU, Asuzu MC Abstract Background: Wasting is linked to about one-third of mortality among school-age children. More studies have centered on stunting among under-five children, with few documented studies exploring comparability and determinants of wasting among school pupils in southwestern Nigeria. This study aimed to investigate the comparability and determinants of wasting among schoolchildren in rural and urban communities of Obafemi-Owode local government area, Ogun State, Nigeria. Methods: A cross-sectional study utilizing a quantitative approach was carried out among children both in rural and urban primary schools. Data were collected through interviewer-administered questionnaires. EPI-INFO version 6.03 was used, children were classified as wasted if weight-for-height Z-scores were <2 standard deviations below the National Center for Health Statistics/World Health Organization median. Associations were tested using t-tests and Chi-square test, while predictors were examined with logistic regression at 95% level of significance. Results: Male gender was predominant (54.6%). Significantly more pupils from rural areas lived with grandparents and other guardians (60.3%) compared to their urban counterparts (39.7% P = 0.005). Pupils from rural schools were four times more likely to be wasted compared to those located in urban regions (odds ratio [OR]: 4.2; 95 confidence interval [CI] = 2.24-7.69). Male pupils were twice likely to be wasted compared to the female pupils (OR: 2.08; 95 CI = 1.22-3.55). Conclusion: Conclusively, the study revealed that the prevalence of wasting was higher among children from rural schools than in ...

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  • A longitudinal study of the prevalence and characteristics of breast disorders detected by clinical breast examination during pregnancy and six months postpartum in Ibadan, Southwestern Nigeria.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles A longitudinal study of the prevalence and characteristics of breast disorders detected by clinical breast examination during pregnancy and six months postpartum in Ibadan, Southwestern Nigeria. BMC Womens Health. 2018 Sep 19;18(1):152 Authors: Odedina SO, Ajayi IO, Adeniji-Sofoluwe A, Morhason-Bello IO, Huo D, Olopade OI, Ojengbede OA Abstract BACKGROUND: Breast disorders cause great anxiety for women especially when they occur in pregnancy because breast cancer is the most common cause of cancer related deaths in women. Majority of the disorders are Benign Breast Diseases (BBD) with various degrees of associated breast cancer risks. With increasing breast cancer awareness in Nigeria, we sought to determine the prevalence and characteristics of breast disorders among a cohort of pregnant women. METHODS: A longitudinal study of 1248 pregnant women recruited in their first trimester- till 26 weeks gestational age consecutively from selected antenatal clinics (ANCs), in Ibadan, Southwest Nigeria. A pretested interviewer- administered questionnaire was used to collect information at recruitment. Clinical Breast Examination (CBE) using MammaCare® technique was performed at recruitment and follow up visits at third trimester, six weeks postpartum and six months postpartum. Women with breast disorders were referred for Breast Ultrasound Scan (BUS) and those with Breast Imaging Reporting and Data System (BIRADS) ≥4 had ultrasound guided biopsy. Statistical analysis was performed using Stata version 14. RESULTS: Mean age of participants was 29.7 ± 5.2 years and mean gestational age at recruitment was 20.4 ± 4.4 weeks. Seventy-two participants (5.8%) had a past history of BBD and 345 (27.6%) were primigravidae. Overall, breast disorder was detected among 223 (17.9%) participants and 149 (11.9%) had it detected at baseline. Findings from the CBE showed that 208 (69.6%) of ...

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  • Undergraduate dental education in Nigeria: perceptions of dental students and recent dental graduates.

    Posted 2018-09-22 15:39:34 by: The HealthFolk Team

    Related Articles Undergraduate dental education in Nigeria: perceptions of dental students and recent dental graduates. Odontostomatol Trop. 2016 06;39(154):15-23 Authors: Isiekwe GI, Umeizudike KA, Abah AA, Fadeju AD Abstract Background: Students’ perception of their education is a subject that has received very little attention by those providing dental school education. This is more so in the Nigerian environment, where limited research has been carried out in dental education, particularly with respect to the students’ perspectives on the quality of training received. Objective: Thus, the aim of this study was to determine the perceptions of dental students and recent dental graduates in Nigeria on their level of satisfaction with the quality of academic and clinical training received in their respective dental schools and the challenges faced in receiving this training. Methods: This was a cross-sectional descriptive study carried out amongst 271 dental students and recent dental graduates from eight dental schools in the country. Ethical approval for the study was obtained from the Institutional Review Board of the Lagos University Teaching Hospital (LUTH). Data collection was via self-administered questionnaires. Statistical analysis was carried out using SPSS 17. Results: The final study sample was made up of 239 students, with a mean age of 24.57 (2.21) years. The two dental specialties in which the least level of satisfaction was recorded with regard to the quality of academic training received were Conservative Dentistry and Orthodontics, while for clinical training they were Conservative Dentistry and Oral Biology/Pathology. The three most common factors which were adversely affecting the quality of clinical training received were, poor electricity supply, insufficient dental chairs and quality of training received. Conclusion: Dental students and recent graduates ...

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  • Evaluation of health status and its predictor among university staff in Nigeria.

    Posted 2018-09-22 15:39:33 by: The HealthFolk Team

    Related Articles Evaluation of health status and its predictor among university staff in Nigeria. BMC Cardiovasc Disord. 2018 Sep 20;18(1):183 Authors: Joseph-Shehu EM, Ncama BP Abstract BACKGROUND: Hypertension, diabetes mellitus and obesity share some characteristics in relation to diagnosis, management, and prevention. Overweight, obesity and waist-hip ratio (WHR) are associated with increased risk for development of diabetes and hypertension. Surveillance and regular screening exercises are essential in control and prevention of overweight, obesity, diabetes and hypertension. There is limited literature that reported on these health status parameters among university staff in low- and middle-income countries such as Nigeria. It is currently unclear whether Nigerian have a high or low proportion of metabolic risk factors. Therefore, the study aims to examine health status parameters and their predictors among university staff in Nigeria. METHODS: The study used a cross-sectional descriptive design. Data were collected from 280 university staff in Nigeria. A self-administered questionnaire with sections for sociodemographic data and physical assessment was used to gather information from the participants. Data were analysed using the Statistical Package for Social Science (IBM-SPSS version 25). Univariable and multivariable logistic regression was conducted to explore the association between predictors and health status parameters of the participants. RESULT: The response rate was 87.5%. University staff had mean systolic blood pressure of 132.04 mmHg ± 19.20 mmHg, diastolic blood pressure of 78.11 mmHg ± 10.81 mmHg, body mass index of 27.74 ± 5.22, waist-hip ratio of 0.88 ± 0.68 and random blood sugar of 98.65 ± 21.30 mg/dL. Predictors of high blood pressure were age (adjusted odds ratio [aOR] = 1.10, CI 95%: [1.05-1.14]) and gender (aOR = 0.5, CI 95%: ...

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  • [Correspondence] Network meta-analysis of antidepressants

    Posted 2018-09-22 00:00:00 by: The HealthFolk Team

    In their network meta-analysis of 21 antidepressant drugs for the acute treatment of major depressive disorder in adults (April 7, p 1357), Andrea Cipriani and colleagues1 show that there is a statistically significant difference between drug and placebo, much in agreement with the results of previous systematic reviews.2,3 The crucial question is whether this difference has any clinical ...

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  • [Health Policy] NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4

    Posted 2018-09-22 00:00:00 by: The HealthFolk Team

    The third UN High-Level Meeting on Non-Communicable Diseases (NCDs) on Sept 27, 2018, will review national and global progress towards the prevention and control of NCDs, and provide an opportunity to renew, reinforce, and enhance commitments to reduce their burden. NCD Countdown 2030 is an independent collaboration to inform policies that aim to reduce the worldwide burden of NCDs, and to ensure accountability towards this aim. In 2016, an estimated 40·5 million (71%) of the 56·9 million worldwide deaths were from ...

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  • [Correspondence] Network meta-analysis of antidepressants

    Posted 2018-09-22 00:00:00 by: The HealthFolk Team

    Cipriani and colleagues1 used re-sponse rate (a reduction of ≥50% of the total score) and dropout rate as their primary outcomes. The use of ranking scales for response rates is a misleading way to analyse data,2 which can inflate small differences between groups.3 The effect on the ranking scales was only a standardised mean difference of 0·30 (95% credible interval 0·26–0·34), which is far less than what is clinically relevant4 and is similar to the estimates reported in previous ...

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