A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin
Introduction: Sub-Saharan Africa has a high burden of breast cancer and very low rates of breast reconstruction. This study aimed to determine the awareness of and attitude to breast reconstruction among women with breast cancer who had mastectomy. Methods: A cross-sectional study of women with breast cancer who underwent mastectomy was done. Participants were recruited from September 2020 to January 2021 from the surgical oncology and radio-oncology outpatient clinics of the University College Hospital, Ibadan. A multivariate logistic regression was used to determine predictors of awareness and attitudes to breast reconstruction. P ≤ 0.05 was considered statistically significant. Results: Fifty-one women participated in the study. The mean age was 54.76 (+9.94) years. Most, 30 (58.8%) of them had tertiary level of education, were working, 39 (76.5%) and were married, 41 (80%). Funding for the mastectomies was mainly out-of-pocket 34 (66.7%). Most 37 (72.5%) were not aware that the breast could be reconstructed before their surgery and only one (1.96%) of the women had breast reconstruction. The reason most proffered for declining breast reconstruction was not wanting another surgery 13 (33.3%). The age (odds ratio [OR] 0.02, 95% confidence interval [CI] 0.001–0.33), P = 0.006 of the participants and the educational status (OR 12.50, 95% CI 1.86–84.26), P = 0.009 were significant predictors of awareness of breast reconstruction. None of the variables were significant predictors of positive attitudes to breast reconstruction. Conclusion: There is a very low level of awareness of breast reconstruction. Younger age and tertiary education were significant predictors of awareness of breast reconstruction.
撒哈拉以南非洲地区乳腺癌发病率高，乳房重建率低。本研究旨在了解乳腺癌切除患者对乳房再造术的认识和态度。方法:对接受乳房切除术的乳腺癌患者进行横断面研究。参与者于2020年9月至2021年1月从伊巴丹大学学院医院的外科肿瘤学和放射肿瘤学门诊招募。采用多元逻辑回归来确定对乳房重建的意识和态度的预测因素。P≤0.05认为有统计学意义。结果:51名女性参与了这项研究。平均年龄54.76岁(+9.94)岁。其中大专以上学历30人(58.8%)有工作，已婚39人(76.5%)，已婚41人(80%)。乳房切除术的资金主要是自付34(66.7%)。37例(72.5%)患者术前不知道乳房可以再造术，仅有1例(1.96%)进行了再造术。选择乳房再造术的主要原因是不想再做一次手术(33.3%)。参与者的年龄(优势比[OR] 0.02, 95%可信区间[CI] 0.001-0.33)， P = 0.006)和教育程度(优势比[OR] 12.50, 95% CI 1.86-84.26)， P = 0.009是乳房重建意识的显著预测因素。没有一个变量是对乳房重建积极态度的显著预测因子。结论:女性对乳房再造术的认识水平很低。年龄较小和高等教育程度是乳房重建意识的重要预测因素。
{"title":"Postmastectomy breast reconstruction awareness and attitudes in Nigerian women with breast cancer: A descriptive, cross sectional survey","authors":"A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin","doi":"10.4103/jcls.jcls_28_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_28_21","url":null,"abstract":"Introduction: Sub-Saharan Africa has a high burden of breast cancer and very low rates of breast reconstruction. This study aimed to determine the awareness of and attitude to breast reconstruction among women with breast cancer who had mastectomy. Methods: A cross-sectional study of women with breast cancer who underwent mastectomy was done. Participants were recruited from September 2020 to January 2021 from the surgical oncology and radio-oncology outpatient clinics of the University College Hospital, Ibadan. A multivariate logistic regression was used to determine predictors of awareness and attitudes to breast reconstruction. P ≤ 0.05 was considered statistically significant. Results: Fifty-one women participated in the study. The mean age was 54.76 (+9.94) years. Most, 30 (58.8%) of them had tertiary level of education, were working, 39 (76.5%) and were married, 41 (80%). Funding for the mastectomies was mainly out-of-pocket 34 (66.7%). Most 37 (72.5%) were not aware that the breast could be reconstructed before their surgery and only one (1.96%) of the women had breast reconstruction. The reason most proffered for declining breast reconstruction was not wanting another surgery 13 (33.3%). The age (odds ratio [OR] 0.02, 95% confidence interval [CI] 0.001–0.33), P = 0.006 of the participants and the educational status (OR 12.50, 95% CI 1.86–84.26), P = 0.009 were significant predictors of awareness of breast reconstruction. None of the variables were significant predictors of positive attitudes to breast reconstruction. Conclusion: There is a very low level of awareness of breast reconstruction. Younger age and tertiary education were significant predictors of awareness of breast reconstruction.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78252096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Faculty of clinical sciences to hold its first international conference","authors":"A. Ademuyiwa","doi":"10.4103/jcls.jcls_17_22","DOIUrl":"https://doi.org/10.4103/jcls.jcls_17_22","url":null,"abstract":"","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82653050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Abazie, O. Mobolaji-Olajide, Linda C. Odikpo, E. Duke, D. Gbahabo, U. Musa-Malikki
Background: Health care workers have been affected the most by coronavirus all over the world. Their knowledge and attitude toward caring for people with coronavirus have neither reduced their anxiety nor number of casualties from the pandemic. The aim of this study is on knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus. Methods: A cross sectional, online quantitative survey of the six geopolitical zones in Nigeria was done using multistage sampling technique. Data were collected using Google Forms from 209 nurses, and the Statistical Package for the Social Science (SPSS) version 20 software was used for data analysis. Level of anxiety was determined using Generalized Anxiety Disorder Assessment. Descriptive data of participants were presented in tables, charts, percentages, means, and standard deviation, while the inferential data were tested with Chi square at a significance level of P = 0.05. Results: Mean age of the respondents was 41.01 ± 8.21 years, with 13.1 ± 8.44 years as mean for years of experience. Only 57% had good knowledge with mean of 10.67 ± 1.197, while 70.8% had positive attitude toward nursing care during coronavirus pandemic. Anxiety level increased from 1.88 ± 0.82 before to 2.33 ± 0.96 during the pandemic. Association of knowledge and anxiety before and during was P = 0.79 and P = 0.27, respectively. Gender and age were significant with anxiety during the pandemic with P = 0.01 and P = 0.02, respectively. Conclusion: Adequate knowledge with positive attitude may not be enough to reduce the anxiety level of nurses, hence the need for adequate psychosocial support and provision of personal protective equipment for the nurses in other to keep them safe for optimum health workforce.
背景:在世界范围内，卫生保健工作者是受冠状病毒影响最大的群体。他们对照顾冠状病毒感染者的知识和态度既没有减少他们的焦虑，也没有减少大流行造成的伤亡人数。本研究的目的是了解尼日利亚护士对冠状病毒的知识、态度和焦虑。方法:采用多阶段抽样技术对尼日利亚六个地缘政治区域进行横断面在线定量调查。采用Google表格对209名护士进行数据收集，采用SPSS (Statistical Package for Social Science) version 20软件进行数据分析。使用广泛性焦虑障碍评估确定焦虑水平。描述性资料采用表格、图表、百分比、均值、标准差等形式呈现，推断性资料采用卡方检验，P = 0.05。结果:被调查者的平均年龄为41.01±8.21岁，经验年数平均为13.1±8.44岁。对冠状病毒大流行期间的护理有良好认识的占57%(平均10.67±1.197)，对护理有积极态度的占70.8%。焦虑水平由疫情前的1.88±0.82上升至疫情后的2.33±0.96。治疗前、治疗中知识与焦虑的相关性分别为P = 0.79和P = 0.27。性别和年龄对大流行期间的焦虑有显著影响，分别为P = 0.01和P = 0.02。结论:充分的知识和积极的态度可能不足以降低护士的焦虑水平，因此需要为其他护士提供足够的心理社会支持和个人防护装备，以保证他们的安全，成为最佳的卫生人力资源。
{"title":"Knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus: An online cross-sectional survey","authors":"O. Abazie, O. Mobolaji-Olajide, Linda C. Odikpo, E. Duke, D. Gbahabo, U. Musa-Malikki","doi":"10.4103/jcls.jcls_10_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_10_21","url":null,"abstract":"Background: Health care workers have been affected the most by coronavirus all over the world. Their knowledge and attitude toward caring for people with coronavirus have neither reduced their anxiety nor number of casualties from the pandemic. The aim of this study is on knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus. Methods: A cross sectional, online quantitative survey of the six geopolitical zones in Nigeria was done using multistage sampling technique. Data were collected using Google Forms from 209 nurses, and the Statistical Package for the Social Science (SPSS) version 20 software was used for data analysis. Level of anxiety was determined using Generalized Anxiety Disorder Assessment. Descriptive data of participants were presented in tables, charts, percentages, means, and standard deviation, while the inferential data were tested with Chi square at a significance level of P = 0.05. Results: Mean age of the respondents was 41.01 ± 8.21 years, with 13.1 ± 8.44 years as mean for years of experience. Only 57% had good knowledge with mean of 10.67 ± 1.197, while 70.8% had positive attitude toward nursing care during coronavirus pandemic. Anxiety level increased from 1.88 ± 0.82 before to 2.33 ± 0.96 during the pandemic. Association of knowledge and anxiety before and during was P = 0.79 and P = 0.27, respectively. Gender and age were significant with anxiety during the pandemic with P = 0.01 and P = 0.02, respectively. Conclusion: Adequate knowledge with positive attitude may not be enough to reduce the anxiety level of nurses, hence the need for adequate psychosocial support and provision of personal protective equipment for the nurses in other to keep them safe for optimum health workforce.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86903651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment in medical education: Can we pay more attention to formative assessment?","authors":"C. Esezobor","doi":"10.4103/jcls.jcls_51_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_51_21","url":null,"abstract":"","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88946833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"17th annual scientific conference of the faculty of clinical sciences held on wednesday july 17, 2021","authors":"","doi":"10.4103/jcls.jcls_40_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_40_21","url":null,"abstract":"","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88295982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: In resource-limited countries, it is important that only genuine ophthalmic emergencies should be seen in the Accident and Emergency department to reduce the pressure on the limited human and material resources. The aim of the study is to determine the pattern of eye-related emergencies who presented to the Accident and Emergency department in a Nigerian Tertiary Hospital. Methods: This was a retrospective chart review of all consecutive ophthalmic patients who presented at the general Accident and Emergency department of the University of Benin Teaching Hospital between July 2018 and December 2020. Patients who discharged themselves against medical advice were not included in the study. Results: A total of 363 presented with ophthalmic complaints, and their mean age was 32.6 ± 20.2 years. Most of the cases presented as emergencies (61.4%) with more than half (32.8%) requiring ocular surgery. Eyelid laceration was the leading cause of presentation (12.4%). Emergency cases were more likely to present during the weekend (71.5%). Males were 5.1% less likely to present as emergencies. Conclusion: Most of the cases were emergencies with eyelid laceration and penetrating eye injuries being the leading cause. Although the number of nonemergencies was less, the need for the inclusion of primary eye care in the existing primary healthcare centers will further reduce the number of non-emergency cases seen.
{"title":"Eye-related complaints presenting to the accident and emergency department in a Nigerian tertiary hospital","authors":"D. Kayoma, C. Ukponmwan, J. Ese-Onakewhor","doi":"10.4103/jcls.jcls_13_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_13_21","url":null,"abstract":"Background: In resource-limited countries, it is important that only genuine ophthalmic emergencies should be seen in the Accident and Emergency department to reduce the pressure on the limited human and material resources. The aim of the study is to determine the pattern of eye-related emergencies who presented to the Accident and Emergency department in a Nigerian Tertiary Hospital. Methods: This was a retrospective chart review of all consecutive ophthalmic patients who presented at the general Accident and Emergency department of the University of Benin Teaching Hospital between July 2018 and December 2020. Patients who discharged themselves against medical advice were not included in the study. Results: A total of 363 presented with ophthalmic complaints, and their mean age was 32.6 ± 20.2 years. Most of the cases presented as emergencies (61.4%) with more than half (32.8%) requiring ocular surgery. Eyelid laceration was the leading cause of presentation (12.4%). Emergency cases were more likely to present during the weekend (71.5%). Males were 5.1% less likely to present as emergencies. Conclusion: Most of the cases were emergencies with eyelid laceration and penetrating eye injuries being the leading cause. Although the number of nonemergencies was less, the need for the inclusion of primary eye care in the existing primary healthcare centers will further reduce the number of non-emergency cases seen.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75902263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
More than 1400 microbes are known to cause disease in man and are therefore classified as pathogenic microbes. Only 12% of microbes on earth are responsible for the emerging and re-emerging diseases. All infectious agents have adapted routes for exiting from their reservoirs of infection because that is the only way there can be a perpetuation of their species. Factors aiding the seeming resilience of microbes include microbial evolution and adaptation, human susceptibility, climate and weather, changing ecosystem, human demography and behaviour amongst others. Therefore, man must recognize that the war against microbes is likely going to be there permanently. If we are careless however, the microbes may make life uncomfortable for man and change how we live drastically. A strengthened health intelligence system will support an early warning system that gives clear pictures of what is on the ground and what is evolving. This will also monitor the environment including the water supply system, the sewage, the soil, and the air for evidence of microbes that may be pathogenic to man. We must also mount a robust anthropological surveillance to monitor human behavior as it may affect disease transmission and must search for and deploy effective antimicrobial agents. Overall, we must develop the human capacity that will efficiently deliver our selected strategies to detect, prevent, and mitigate the impact of microbes on human health.
{"title":"The resilience of microbes – Man's great enemies","authors":"A. Osibogun","doi":"10.4103/jcls.jcls_39_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_39_21","url":null,"abstract":"More than 1400 microbes are known to cause disease in man and are therefore classified as pathogenic microbes. Only 12% of microbes on earth are responsible for the emerging and re-emerging diseases. All infectious agents have adapted routes for exiting from their reservoirs of infection because that is the only way there can be a perpetuation of their species. Factors aiding the seeming resilience of microbes include microbial evolution and adaptation, human susceptibility, climate and weather, changing ecosystem, human demography and behaviour amongst others. Therefore, man must recognize that the war against microbes is likely going to be there permanently. If we are careless however, the microbes may make life uncomfortable for man and change how we live drastically. A strengthened health intelligence system will support an early warning system that gives clear pictures of what is on the ground and what is evolving. This will also monitor the environment including the water supply system, the sewage, the soil, and the air for evidence of microbes that may be pathogenic to man. We must also mount a robust anthropological surveillance to monitor human behavior as it may affect disease transmission and must search for and deploy effective antimicrobial agents. Overall, we must develop the human capacity that will efficiently deliver our selected strategies to detect, prevent, and mitigate the impact of microbes on human health.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87454979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hepatitis B is a major global health problem with a higher prevalence among waste workers compared to the general population. Inefficient waste segregation techniques and the unique property of hepatitis B whereby it can survive outside the body for about a week puts waste scavengers at a significant risk of this disease. The study aims to assess the knowledge and attitude toward hepatitis B and identify the risk factors of hepatitis B among waste scavengers in Lagos, Nigeria. Methods: In a descriptive cross-sectional study, information was obtained from waste scavengers using interviewer administered questionnaires. Respondents were selected consecutively. Data were analyzed using Epi Info™ version 7.2.2.6 and MS-Excel. The associations between variables were considered statistically significant if the two-tailed probability is <5%. Results: Out of 417 respondents, 51 (12.0%) were aware of hepatitis B. Among those aware, 95.0% had poor knowledge of hepatitis B. Majority (87.5%) had a negative attitude toward hepatitis B. The prevalence of needle stick injuries and exposure to blood was 46.5% and 25.7%, respectively. There is also a statistically significant association between the age and level of education of respondents and their attitude toward hepatitis B. Conclusions: Overall knowledge and attitude toward hepatitis B among respondents was poor. Exposure of the respondents at work to risk factors of hepatitis B was high as majority reported presence of used syringes and bloody materials in the waste. Health education programs focused on enlightening waste scavengers about hepatitis B should be organized.
{"title":"Knowledge, attitude, and risk factors of hepatitis B among waste scavengers in Lagos, Nigeria","authors":"Aishat Oladipo, K. Odeyemi","doi":"10.4103/jcls.jcls_59_20","DOIUrl":"https://doi.org/10.4103/jcls.jcls_59_20","url":null,"abstract":"Background: Hepatitis B is a major global health problem with a higher prevalence among waste workers compared to the general population. Inefficient waste segregation techniques and the unique property of hepatitis B whereby it can survive outside the body for about a week puts waste scavengers at a significant risk of this disease. The study aims to assess the knowledge and attitude toward hepatitis B and identify the risk factors of hepatitis B among waste scavengers in Lagos, Nigeria. Methods: In a descriptive cross-sectional study, information was obtained from waste scavengers using interviewer administered questionnaires. Respondents were selected consecutively. Data were analyzed using Epi Info™ version 7.2.2.6 and MS-Excel. The associations between variables were considered statistically significant if the two-tailed probability is <5%. Results: Out of 417 respondents, 51 (12.0%) were aware of hepatitis B. Among those aware, 95.0% had poor knowledge of hepatitis B. Majority (87.5%) had a negative attitude toward hepatitis B. The prevalence of needle stick injuries and exposure to blood was 46.5% and 25.7%, respectively. There is also a statistically significant association between the age and level of education of respondents and their attitude toward hepatitis B. Conclusions: Overall knowledge and attitude toward hepatitis B among respondents was poor. Exposure of the respondents at work to risk factors of hepatitis B was high as majority reported presence of used syringes and bloody materials in the waste. Health education programs focused on enlightening waste scavengers about hepatitis B should be organized.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79982953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Joseph, A. Akinsete, O. Awofeso, O. Balogun, K. Oyeyinka, A. Onitilo
Background: Unaffordable health-care costs are a critical factor in poor cancer care in low and middle-income countries. Net costs of treating childhood cancer in Nigeria are largely undocumented. This study sought to define the direct cost of pediatric cancer treatment in Lagos, Nigeria, to address this knowledge gap. Methods: This was a longitudinal study design targeting determination of cost of cancer-related care delivered to newly diagnosed childhood cancer patients at the Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria, from January 2017 to January 2020. Study participants included children with histologically confirmed diagnoses. All direct costs associated with care from the time of diagnosis until either remission or death were documented based on a parental survey at each patient encounter. Results: Among 46 enrolled participants (median age of 6 years), leukemia was the most common diagnosis. The median duration from diagnosis to last assessment was 11 months, and the average cost directly related from diagnosis to remission or death was NGN 5,064,700 (USD 13,876). The highest cost of care was associated with rhabdomyosarcoma, with an average cost of ₦6,798,635 ($18,678). These costs were juxtaposed to the average monthly family earning of NGN 115,228 (USD 316). Conclusion: This study revealed the direct cost of managing childhood cancer in Lagos, Nigeria, which proved unaffordable for most caregivers. Policies are needed to improve the affordability of health-care delivery for childhood cancer, including a focus on the adequacy of health insurance coverage and public health-related policies governing financial support targeting health-care delivery in the context of childhood cancer to improve outcomes.
{"title":"Direct cost of treating childhood cancer in Lagos, Nigeria: A tale of financial inaccessibility to care","authors":"A. Joseph, A. Akinsete, O. Awofeso, O. Balogun, K. Oyeyinka, A. Onitilo","doi":"10.4103/jcls.jcls_87_20","DOIUrl":"https://doi.org/10.4103/jcls.jcls_87_20","url":null,"abstract":"Background: Unaffordable health-care costs are a critical factor in poor cancer care in low and middle-income countries. Net costs of treating childhood cancer in Nigeria are largely undocumented. This study sought to define the direct cost of pediatric cancer treatment in Lagos, Nigeria, to address this knowledge gap. Methods: This was a longitudinal study design targeting determination of cost of cancer-related care delivered to newly diagnosed childhood cancer patients at the Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria, from January 2017 to January 2020. Study participants included children with histologically confirmed diagnoses. All direct costs associated with care from the time of diagnosis until either remission or death were documented based on a parental survey at each patient encounter. Results: Among 46 enrolled participants (median age of 6 years), leukemia was the most common diagnosis. The median duration from diagnosis to last assessment was 11 months, and the average cost directly related from diagnosis to remission or death was NGN 5,064,700 (USD 13,876). The highest cost of care was associated with rhabdomyosarcoma, with an average cost of ₦6,798,635 ($18,678). These costs were juxtaposed to the average monthly family earning of NGN 115,228 (USD 316). Conclusion: This study revealed the direct cost of managing childhood cancer in Lagos, Nigeria, which proved unaffordable for most caregivers. Policies are needed to improve the affordability of health-care delivery for childhood cancer, including a focus on the adequacy of health insurance coverage and public health-related policies governing financial support targeting health-care delivery in the context of childhood cancer to improve outcomes.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84184826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Praveen Sharma, Pavankumar Mathapati, M. Meyyappan, Keerthi Vatsan
Dunbar syndrome (DS) (or median arcuate ligament [MAL] syndrome) is a rare entity of the vascular compression syndrome, where there is focal proximal coeliac axis compression by MAL. It results in an insufficient supply of blood to the respective organs of the gastrointestinal tract. Multidetector computed tomography is a very convenient, noninvasive modality in diagnosing this condition and helpful in distinguishing it from other conditions, such as atherosclerotic disease. DS can further be treated disorder surgically by relieving the compression and sometimes may need vascular reconstruction. We present five cases of the DS.
{"title":"Dunbar (or median arcuate ligament) syndrome: A case series","authors":"Praveen Sharma, Pavankumar Mathapati, M. Meyyappan, Keerthi Vatsan","doi":"10.51201/jusst/21/09562","DOIUrl":"https://doi.org/10.51201/jusst/21/09562","url":null,"abstract":"Dunbar syndrome (DS) (or median arcuate ligament [MAL] syndrome) is a rare entity of the vascular compression syndrome, where there is focal proximal coeliac axis compression by MAL. It results in an insufficient supply of blood to the respective organs of the gastrointestinal tract. Multidetector computed tomography is a very convenient, noninvasive modality in diagnosing this condition and helpful in distinguishing it from other conditions, such as atherosclerotic disease. DS can further be treated disorder surgically by relieving the compression and sometimes may need vascular reconstruction. We present five cases of the DS.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89867516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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