scholarly journals Informed Consent For Anaesthesia: Are Our Patients Well Informed?

2019 ◽  
Vol 2 (1) ◽  
pp. 40-44
Author(s):  
H Y Embu ◽  
M G Yilkudi ◽  
S I Nuhu
Keyword(s):  
Informed Consent ◽  
Teaching Hospital ◽  
Postoperative Pain Management ◽  
University Teaching ◽  
Female Ratio ◽  
Male Female Ratio ◽  
The Right ◽  
The University ◽  
Junior Residents ◽  
Type Of Anaesthesia

Patients have the right to be properly informed about procedures to be undertaken on them so that they could make informed decisions. This study was done at the Jos University Teaching Hospital and the University of Abuja Teaching Hospital. Questionnaires on informed consent were administered postoperatively on patients who had undergone elective surgeries under various forms of anaesthesia. The questionnaires sought to find out how much information patients were given about their anaesthesia and how satisfied they were with the information given. 148 patients were interviewed. The mean age was 34.8±13.8 years and the male: female ratio was 1:1.8. Ninety-eight (66.22%) of the procedures were done under general anaesthesia and 50(33.78%) under regional anaesthesia. 104 (70.27%) were told about the type of anaesthesia to be used. Thirty-eight (25.68%) were not told of the possible side effects. Eighty-six (58.1%) understood the information given. 131(88.51%) believed it was necessary to be given information about the anaesthesia. Postoperative pain management was discussed with 10 (6.76%) of respondents. 104 (70.27%) expressed satisfaction with the information given. Information about anaesthesia was given by residents in anaesthesia in 62.16% of cases, by consultant anaesthetists in 8.78% cases, by surgeons in 10.81% of cases and by house officers and nurses in 14.19% of cases. Majority of patients would like information about their anaesthesia procedures but were inadequately informed. Consent for anaesthesia is often obtained by junior residents who have had little training in this aspect. Training on informed consent should be part of the residency program.

scholarly journals COVID-19 Disease in the Paediatric Population: A Cross Sectional Study at the University Teaching Hospital in Port Harcourt, Southern Nigeria

2021 ◽  
pp. 15-20
Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Causative Organism ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Corona Virus ◽  
Port Harcourt ◽  
The University

Background: Globally, there has been a destruction of human lives, economies and health systems by the novel corona virus pandemic. Presently there is no known certain cure, although a number of vaccines have been proposed to prevent the corona virus disease 2019 (COVID-19) which was first seen as increasing number of pneumonia cases in Wuhan, China, with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) as the causative organism. Objectives: To screen paediatric patients for COVID-19 at the University of Port Harcourt Teaching Hospital and to know their pattern of presentation. Materials and Methods: Descriptive cross-sectional study, not controlled, over a period of six weeks, using interviewer administered structured questionnaire which was adapted and used at the Accident and Emergency Department for patients triaging as a COVID-19 Risk assessment tool. No action was required for a score of 0-7, while admission into COVID-19 holding area following review by IDU was recommended for a score 8 ≥17. All children brought into the department, requiring treatment were screened. Results: There were 131 patients, 74 (56.5%) males and 56 (42.7%) females, with a mean age 7.2 ± 5.41 years. Male: Female ratio was 1.3:1. Four children (3%) had a total score of ≥ 8, while half of them (n=2; 50%) tested positive for COVID-19, giving a disease prevalence of 1.5%. Both cases were females; fever and difficulty in breathing were the commonest symptoms. No mortality was recorded. Conclusions: COVID-19 prevalence is low in children, and they have a good outcome. A community-based study is recommended.

scholarly journals Pattern and Outcome Dermatological Admission at the University of Port Harcourt Teaching Hospital Rivers State

2021 ◽  
pp. 53-58
Author(s):  
D. Altraide Dasetima ◽  
Otike-Odibi Bolaji
Keyword(s):  
Teaching Hospital ◽  
Skin Diseases ◽  
Tertiary Institution ◽  
Female Ratio ◽  
Surgical Subspecialty ◽  
Port Harcourt ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Medical Wards ◽  
The University

Introduction: Dermatology is primarily an outpatient clinical and surgical subspecialty, but a substantial number of patients need in patient care for adequate management. In recent years, there is a rise in the number of inpatient dermatological admissions and an increase in spending. Rarely, skin diseases can be fatal. Aims and Objectives: To analyze the disease patterns and clinical outcomes of dermatological patients admitted on the medical wards of a tertiary institution in southern                                     Nigeria. Materials and Methods: This study involves a retrospective analysis of the admission records of consecutive in patients with a dermatological diagnosis admitted at the university of Port Harcourt teaching hospital from January 2014 to July 2020. The data obtained were statistically analysed with emphasis on the patient’s demographic profile, clinical diagnosis, final outcome, and duration of admission. Results: A total of 68 patients were admitted into our center during this time. Female outnumbered males with male female ratio of 1: 2.2. Infections (53 patients, 77.9%) were the most frequent reason for admission, followed by autoimmune disorders (5 patients, 7.4%), inflammatory causes, drug reactions and cutaneous manifestation of inter diseases had 3 patients each (4.4%). A patient was classed as idiopathic (1.5%).

scholarly journals Prevalence and outcome of hypernatraemic dehydration among under-5 children with diarrhoea at the University Teaching Hospital, Lusaka, Zambia

2020 ◽  
Vol 4 (2) ◽  
pp. 14-20
Author(s):  
Jombo Namushi ◽  
◽  
Evans Mpabalwani ◽  
Keyword(s):  
Hospital Stay ◽  
Teaching Hospital ◽  
Acute Diarrhoea ◽  
University Teaching ◽  
Treatment Modalities ◽  
Cross Sectional ◽  
Female Ratio ◽  
Under Five ◽  
Under Five Children ◽  
The University

Diarrhoea is the second commonest cause of under-five mortality globally (second to Pneumonia) and kills one (10 percent) out of every 10 children who die before their fifth birthday. In Zambia dehydration due to diarrhoea is a leading cause of morbidity and mortality among under-five children. Hypernatraemic dehydration is the most dangerous and fatal form of dehydration. Despite the availability of well known effective treatment modalities for dehydration in diarrhoea, mortality remains high in many developing countries. The situation is not any different in Zambia and at The University Teaching Hospital (UTH) Department of Paediatrics. This study therefore sought to determine the prevalence and outcome of hypernatraemic dehydration as a possible contributing factor to the high mortality rate among children with diarrhoea.It was a cross sectional study conducted at the UTH Department of Paediatrics. The study population was under-five children presenting with acute diarrhoea with dehydration. Independent variables were age, sex, feeding modality, prior ORS therapy, rotavirus vaccine status and serum sodium. The dependent or outcome variables were discharge/mortality and duration of hospital stay. Data analysis was done with the help of SPSS version 20. There were a total of 148 participants with an almost 1:1 male/female ratio (73/75), mean age of 14.7 months ranging 1-60 months. The prevalence of hypernatraemic dehydration was approximately 19 percent (29/148) among children presenting with diarrhoea and dehydration. Hypernatraemia was associated with a high risk of mortality (7/29) with an OR 5.8 (adjusted OR 3.6, 95% CI 2.9-8.0, p 0.002), compared to (7/74) OR 1.8 (adjusted OR 1.1, 95% CI 0.8-2.2, p 0.06), and (5/33) OR 3.1 (adjusted OR 2.3, 95% CI 1.7-4.4, p 0.03) for normal and low initial sodium level respectively. Hypernatraemia was also associated with longer hospital stay with a mean duration of 3.09 days (74.2hrs) compared to 2.01 days (48.2 hours) and 2.13 days (51.1 hours) for normal and low sodium respectively. Hypernatraemia is prevalent among under-five children presenting with diarrhoea at UTH department of peadiatrics and a major contributing factor to high diarrhoeal associated mortality. Recognition of its occurrence through diligent laboratory services is therefore critical for appropriate patient care.

scholarly journals Pattern of Blood Transfusion in the Special Care Baby Unit of Benue State University Teaching Hospital in Makurdi North-Central Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 9-16
Author(s):  
M O Ochoga ◽  
E E Eseigbe ◽  
A M Onoja ◽  
M Aondoaseer ◽  
B N Samba ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Teaching Hospital ◽  
Neonatal Jaundice ◽  
Special Care ◽  
University Teaching ◽  
State University ◽  
Female Ratio ◽  
Exchange Blood Transfusion ◽  
Special Care Baby Unit ◽  
Male Female Ratio

Blood transfusion is a life-saving procedure in which whole blood or parts of blood are introduced into a patient's bloodstream intravenously. The need maybe due to physiological or pathological causes. The objective of this study was to document the pattern and indications for blood transfusion at the Special Care Baby Unit of the Benue State University Teaching Hospital (BSUTH), Makurdi. This study was a retrospective review of 126 neonates who received blood transfusion at the Special care baby unit of BSUTH from 1st January 2015 to 31st December 2019. Data was retrieved from patient's medical records and analyzed using IBM SPSS version 23. A total of 1142 neonates were admitted over the study period and 126 had blood transfusion giving a prevalence of 11.0%. Male/Female ratio of 1.57:1.Mean (±SD) Birth weight and gestational age (GA) were 2.23±0.82Kg and 35.48 ±3.95 weeks respectively. Exchange blood transfusion was the most frequent 53(42.1%) type of blood transfusion. The most common indications for blood transfusion were anaemia of prematurity, sepsis and severe neonatal jaundice. A hundred and twelve (88.9%) who received transfusion were discharged while 4(3.2%) died. The rate of blood transfusion was low, while severe neonatal jaundice and anaemia were the main indications for blood transfusion in this study. Exchange blood transfusion was the main type of transfusion.

Location and Size of Coronary Ostia in Normal Autopsied Hearts at the University Teaching Hospital, Lusaka, Zambia

2016 ◽  
Vol 3 (4) ◽  
pp. 199-203 ◽  
Author(s):  
Moono Silitongo ◽  
◽  
Dailesi Ndlovu ◽  
Kasonde Bowa ◽  
Krikor Erzingatsian ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Coronary Ostia ◽  
The University

Morphoconstitutional analysis of a series of 166 urinary stones in Western Algeria for a period of two years (2015-2017)

2018 ◽  
Vol 7 (3) ◽  
pp. 107-112
Author(s):  
Bouzana Fatima ◽  
Sbahi Khayra ◽  
Kerroumi Slimane ◽  
Attar Abderahmane ◽  
Seghir Madjhouda Omar ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Sequential Analysis ◽  
Left Kidney ◽  
Urinary Stones ◽  
Female Ratio ◽  
Composition And Structure ◽  
Male Female Ratio ◽  
Anatomical Localization ◽  
Western Algeria ◽  
The Right

A stone is not only an obstacle, sometimes painful, on the urinary tract justifying an emergency urological gesture to restore their permeability. It is primarily a symptom of crystallogenic pathologies or urinary imbalances of nu-tritional origin whose recurrence is the rule if the cause has not been correctly identified. It is therefore recommended in the patient's interest; analyze the calcul or its fragments to determine its composition and structure, one and / or the other orienting towards the pathology in question. A series of 166 urinary stones were collected nearby the hospitals of western Algeria after urological intervention or spontaneous expulsion and sequential analysis of the nucleus at the surface by Fourier transform infrared spectrophotometry. The male / female ratio was 1.78. The study of the anatomical localization of the stones showed a predominance of the high urinary tract with a rate of 76.9%. 27.3% of the stones were located in the left kidney compared to 25.7% in the right kidney. Analysis of the crystalline composition showed that calcium oxalate was predominant in 65.8% of the calculs and in 58.5% of the nuclei. In all, whewellite was present in 46.9% of cases and weddellite in 18.9%. uric acid anhydrous was the major component of 12.2% of the calculations analyzed. It was present in 23.3% of cases with predominance in subjects over 60 years. Our results show that the lithiasis of the urinary tree in western Algeria tends to evolve in the same direction as that of the industri-alized countries.

scholarly journals Aphakia Correction by Injection of Foldable Intra Ocular Lens in the Anterior Chamber

2013 ◽  
Vol 5 ◽  
pp. OED.S12672
Author(s):  
Kagmeni Giles ◽  
Moukouri Ernest ◽  
Domngang Christelle ◽  
Nguefack-Tsague Georges ◽  
Cheuteu Raoul ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Teaching Hospital ◽  
Case Series ◽  
University Teaching ◽  
Case Series Study ◽  
The Mean ◽  
The University

We assessed the outcomes of the use of anterior chamber foldable lens for unilateral aphakia correction at the University Teaching Hospital of Yaounde. In this retrospective, non-comparative, consecutive case series study, we reviewed the records of patients who underwent an operation for aphakia correction by the means of injection of an angular supported foldable lens between January 2009 and December 2011 in the University Teaching Hospital Yaounde. Student's paired t-test was carried out to compare preoperative and postoperative visual acuity (VA) and intraocular pressure (TOP). P-values less than 0.05 were considered statistically significant. Twenty-one patients were included in the study; twelve were male (57.1%) and nine were female (42.9%). The mean age was 55.38 ± 17.67 years (range 9–75 years). The mean follow-up duration was 5.95 ± 3.14 months (range 2–12 months). The mean logMAR visual acuity was 1.26 ± 0.46 pre-operatively and 0.78 ± 0.57 post-operatively ( P = 0.003). The change in intraocular pressure was not statistically significant. Complications included intraocular hypertension (over 21 mmHg) in 3 patients (14.3%) and macular edema, pupillar ovalization, and retinal detachment in one patient each. The results indicate that injection of an angular support foldable lens in the anterior chamber is a useful technique for the correction of aphakia in eyes without capsular support. More extended follow-up, however, and a larger series of patients are needed to ascertain the effectiveness and safety of this procedure.

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