scholarly journals Anaemia Types and Severity in Patients Aged 1 to 14 Years at the Children’s Hospital of the University Teaching Hospitals in Zambia

2021 ◽  
Vol 3 (1) ◽  
pp. 79-84
Author(s):  
Panji Nkhoma ◽  
◽  
Patrick Loti ◽  
Musalula Sinkala ◽  
Hamakwa Mantina ◽  
...  
Keyword(s):  
Vitamin A Deficiency ◽  
Age Groups ◽  
Haemoglobin Concentration ◽  
Public Health Problem ◽  
University Teaching ◽  
Teaching Hospitals ◽  
P Value ◽  
Microcytic Hypochromic Anaemia ◽  
Hypochromic Anaemia ◽  
University Teaching Hospitals

Anaemia is a condition in which either the number of red blood cells or their oxygen-carrying capacity is insufficient to meet physiologic needs, which vary by age, sex, altitude, smoking and pregnancy status. The global estimate of childhood anaemia indicates that 293.1 million children are anaemic, and 28.5% of these children reside in sub-Sahara Africa. Also,anaemia is a significant public health problem with a high age-standardised death rate of 11.18 per 100,000 in Zambia. We conducted a cross-sectional study involving 392 anaemic children aged one year to 14 years. The study was conducted at the Children Hospital, University Teaching Hospitals, which is a third-level referral Hospital in Lusaka, Zambia. The aim was to determine the most common type of anaemia, it’s severity, and the most affected age groups among children aged 1–14 years.Out of392 participants, 219 (56%) were female. Maximum haemoglobinrecorded was 10.9g/dl, a minimum of 2.0 g/dl, a mean of 7.8g/dl and a standard deviation of 1.86g/dl. 200 (51%) participants had severe anaemia, and 192 (49%) had moderate anaemia with none having mild anaemia. Microcytic hypochromic anaemia was the commonest (60%), followed by normochromic normocytic anaemia (26%) and the least was macrocytic anaemia in 14% of the participants. An analysis of variance showed that the difference in mean haemoglobin concentration between age groups was not significant, F (7.94) = 0.83, p > 0.57. A Chi-squared test was used to determine the relationship between anaemia types (microcytic, hypochromic) and age groups.The interaction was not significant (Chi-Square (1) = 1.28, p-value = 0.73. Microcytic hypochromic anaemia was the most prevalent and all age groups were equally affected.We recommend the country’s National Food and Nutrition Commission to revisit the Zambian National Strategy and Plan of Action for the Prevention and Control of Vitamin A Deficiency and Anaemia of1999 to 2004 and implement the measures stated in the strategic plan

scholarly journals Anaemia Types and Severity in Patients aged 1 to 14 years at the Childrens Hospital of the University Teaching Hospitals in Zambia

2020 ◽  
Author(s):  
Panji Nkhoma ◽  
Patrick Loti ◽  
Musalula Sinkala ◽  
Hamakwa Mantina ◽  
Florence Mwaba ◽  
...  
Keyword(s):  
Vitamin A Deficiency ◽  
Age Groups ◽  
Haemoglobin Concentration ◽  
Public Health Problem ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Childrens Hospital ◽  
Microcytic Hypochromic Anaemia ◽  
Hypochromic Anaemia ◽  
University Teaching Hospitals

Anaemia is a condition in which either the number of red blood cells or their oxygen-carrying capacity is insufficient to meet physiologic needs, which vary by age, sex, altitude, smoking and pregnancy status. The global estimate of childhood anaemia indicates that 293.1 million children are anaemic, and 28.5% of these children reside in sub-Sahara Africa. Also, anaemia is a significant public health problem with a high age standardised death rate of 11.18 per 100,000 in Zambia. We conducted a cross-sectional study involving 392 anaemic children aged one year to 14 years. The study was conducted at the Childrens Hospital, University Teaching Hospitals, which is a third-level referral Hospital in Lusaka, Zambia. The aim was to determine the most common type of anaemia, its severity, and the most affected age groups among children aged 1-14 years. Out of 392 participants, 219 (56%) were female. Maximum haemoglobin recorded was 10.9g/dl, a minimum of 2.0 g/dl, a mean of 7.8g/dl and a standard deviation of 1.86g/dl. 200 (51%) participants had severe anaemia, and 192 (49%) had moderate anaemia with none having mild anaemia. Microcytic hypochromic anaemia was the commonest (60%), followed by normochromic normocytic anaemia (26%) and the least was macrocytic anaemia in 14% of the participants. An analysis of variance (ANOVA) showed that the difference in mean haemoglobin concentration between age groups was not significant, F (7.94) = 0.83, p > 0.57. A Chi-squared test was used to determine the relationship between anaemia types (microcytic, hypochromic) and age groups. The interaction was not significant (Chi-Square (1) = 1.28, p-value = 0.73. Microcytic hypochromic anaemia was the most prevalent and all age groups were equally affected. We recommend the countrys National Food and Nutrition Commission to revisit the Zambian National Strategy and Plan of Action for the Prevention and Control of Vitamin A Deficiency and Anaemia of 1999 to 2004 and implement the measures stated in the strategic plan.

scholarly journals Caduceus or Rod of Asclepius? Exploring Logos of University Teaching Hospitals in Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 47-55
Author(s):  
Kehinde Kazeem Kanmodi ◽  
Ifeoluwa Oluwasolafunmi Ogidan ◽  
Oluwatobi Emmanuel Adegbile ◽  
Precious Ayomide Kanmodi
Keyword(s):  
Online Survey ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Systematic Screening ◽  
Search Data ◽  
The University ◽  
University Teaching Hospitals

AbstractBackground: Historically, the Rod of Asclepius is considered as the correct symbol of Medicine. Unfortunately, many medical/health institutions in the world have erroneously interchanged the Rod of Asclepius symbol with erroneous symbols (e.g. Caduceus) to depict Medicine. This study aims to assess the official logos (i.e. institutional symbols) of university teaching hospitals in Nigeria and determine if these logos actually depict the true symbol of Medicine.Methods: This study was a cross-sectional online survey of teaching hospitals in Nigeria on their official logos. A total of 40,556 operating hospitals and clinics in Nigeria were identified. After systematic screening, a total of 35 hospitals were identified as university teaching hospitals and used for the survey. Official information about the geopolitical zone, ownership and official logo of the selected hospitals was obtained (via online and offline search). Data collected was analysed using SPSS version 22 software.Results: Out of the 35 surveyed university teaching hospitals, only 7 did not have snake(s) as part of their official logo. However, out of the remaining 28 hospitals that have snake(s) as part of their official logos, only 57.1% (16/28) of them have only one snake in their logo. Exactly half of the surveyed hospitals having logos with two entwined snakes (i.e. Caduceus) were owned by the federal government. Bivariate analysis showed that there exists statistically significant relationship between the geopolitical zone where a hospital is situated and the number of entwined snakes indicated in their official logo (p-value=0.034).Conclusion: This study shows that the correct symbol of Medicine is not universally indicated in the official logos of the university teaching hospitals in Nigeria.

Maternal mortality in the last triennium of the Millennium Development Goal Era at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

2017 ◽  
Vol 38 (2) ◽  
pp. 189-193 ◽  
Author(s):  
Ibraheem Olayemi Awowole ◽  
Olusegun Olalekan Badejoko ◽  
Oluwafemi Kuti ◽  
Omotade Adebimpe Ijarotimi ◽  
Oluwaseun Oludotun Sowemimo ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Millennium Development Goal ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Development Goal ◽  
University Teaching Hospitals

Suspected Down Syndrome in one of non-identical twins in Ile-Ife: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Akaninyene Eseme Ubom ◽  
Keyword(s):  
Down Syndrome ◽  
Trisomy 21 ◽  
Advanced Maternal Age ◽  
Identical Twins ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Nigerian Women ◽  
Chromosomal Disorder ◽  
Port Harcourt ◽  
University Teaching Hospitals

Nigerian women of southwest extraction have the highest rate of dizygotic twinning worldwide, with a reported incidence as high as 49 per 1000 deliveries. Among the risk factors for dizygotic twinning is advanced maternal age, which is also an independent risk factor for Down syndrome (trisomy 21). Down syndrome is the most common chromosomal disorder affecting live born neonates. It occurs very rarely in twins, seen in 14-15 per million non-identical twins. Down syndrome in one of non-identical twins was first reported in Nigeria by Otaigbe in Port Harcourt, in 2007. Herein, we report another case of suspected Down syndrome in one of non-identical twins born to a 41-year-old grand multiparous woman at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun state, Nigeria. Keywords: Down Syndrome; dizygotic; fraternal; dichorionic; diamniotic.

scholarly journals Trainees need more psychiatric teaching sessions and role models: exposure to psychiatry in the Foundation Programme

2013 ◽  
Vol 37 (6) ◽  
pp. 207-209
Author(s):  
Adam Moreton ◽  
Andrew Collier
Keyword(s):  
Role Models ◽  
Active Role ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Clinical Implications ◽  
General Hospitals ◽  
Foundation Programme ◽  
The Mean ◽  
University Teaching Hospitals ◽  
North Western

Aims and methodTo determine the provision of teaching in psychiatry for foundation doctors up to the point of making specialty applications. Data for the cohort of foundation doctors entering training in 2010 were collected from teaching programmes across the Mersey Deanery and North Western Foundation Schools.ResultsIn the 17 hospitals that provided data, ‘protected teaching’ totalled 2354 h; 1.8% of time was dedicated to psychiatry, with 4 hospitals providing no teaching on mental health topics. The mean duration of psychiatry teaching was higher in university teaching hospitals (3 h 34 min) than district general hospitals (2 h 57 min); and almost a quarter of teaching sessions were titled only ‘psychiatry’.Clinical implicationsFor many foundation doctors their only experience of psychiatry will be through teaching sessions, and this is potentially the only time to change opinions and build interest in the specialty. Psychiatrists need to take a more active role in the provision of high-quality teaching for foundation doctors and become the visible role models which are currently lacking.

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