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Psychometric properties of translated knee outcome Survey–Activities of daily living scale from english to yoruba language among patients with knee pathologies 翻译后膝关节预后的心理测量学特征-膝关节病变患者的日常生活活动量表从英语到约鲁巴语
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_18_20
A. Ojoawo, T. Kehinde, O. Esan
Introduction: The study translated the Knee Outcome Survey–Activities of Daily Living Scale (KOS-ADLS) from English to Yoruba language and established the reliability and validity of Yoruba version with the original English version. Methods: Seventy-four patients with knee pathologies in selected hospitals, South West Nigeria, participated in the study. The original version of KOS-ADLS was translated to Yoruba by two Linguists from Obafemi Awolowo University, Ile-Ife, whose mother tongue is Yoruba. The Yoruba version was retranslated by another specialist in English Language, but the mother tongue is Yoruba from the English Department of the same university. The original KOS-ADLS questionnaire was administered to each participant, and 3 days later, the translated KOS-ADLS questionnaire was readministered. After 2 weeks, a copy of the Yoruba translated version was readministered to each participant. The data collected were analysed using descriptive and inferential statistics. Alpha level was set at 0.05. Results: There were 67.6% of females participants, and 70.2% were fluent in both Yoruba and English languages. The concurrent validity of translated KOS-ADLS shows a significant relationship between original and translated versions of symptoms (r = 0.828, P < 0.001) and functional limitation (r = 0.973, P < 0.001). There was a significant relationship between each of the score of symptoms (r = 0.969, P < 0.001) and functional limitation (r = 0.983, P < 0.001) of translated KOS-ADLS and score of Yoruba retranslated KOS-ADLS. Intra-class correlation of the test–retest was 0.813 and the Cronbach's alpha was 0.897. Conclusion: It can be concluded that there was a strong relationship between the Yoruba and original versions of KOS-ADLS in all domains and test–retest reliability was very strong.
前言:本研究将膝关节预后调查-日常生活活动量表(KOS-ADLS)从英文翻译成约鲁巴语,并与原英文版本建立约鲁巴语版本的信度和效度。方法:选取尼日利亚西南部某医院74例膝关节病变患者为研究对象。原始版本的KOS-ADLS是由来自Ile-Ife的Obafemi Awolowo大学的两位语言学家翻译成约鲁巴语的,他们的母语是约鲁巴语。约鲁巴语版本由另一位英语语言专家重新翻译,但母语是同一所大学英语系的约鲁巴语。对每位参与者进行原始的KOS-ADLS问卷调查,3天后重新进行翻译后的KOS-ADLS问卷调查。两周后,每位参与者重新获得约鲁巴语翻译版本的副本。收集的数据使用描述性和推断性统计进行分析。α水平设为0.05。结果:67.6%的女性参与者,70.2%的人能流利地使用约鲁巴语和英语。翻译后的KOS-ADLS并发效度在症状的原版和译文版本(r = 0.828, P < 0.001)和功能限制(r = 0.973, P < 0.001)之间存在显著关系。翻译后的科斯- adls的症状评分(r = 0.969, P < 0.001)和功能限制评分(r = 0.983, P < 0.001)与约鲁巴重译科斯- adls评分存在显著相关。重测的类内相关系数为0.813,Cronbach’s alpha为0.897。结论:约鲁巴人与原科斯- adls量表在各领域均有较强的相关性,重测信度较高。
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引用次数: 0
Pattern and outcome of childhood admissions in a public tertiary health-care facility in South-Western Nigeria 尼日利亚西南部公立三级医疗机构儿童入院的模式和结果
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_22_20
A. Kareem, O. Alonge, F. Arogundade, A. Kareem, O. Olayinka
Background: Periodic evaluations of the pattern of morbidity and mortality are an aspect of health status which can be used in planning improved medical services. Objective: The objective of this study is to determine the pattern and outcome of childhood admissions in Federal Medical Centre, Owo, Ondo-State, Nigeria. Materials and Methods: A retrospective study of the hospital records of children aged 1 month to 17 years, admitted over 1 year (1st of November 2018 – 31st of October 2019). Results: A total of 1043 children were admitted with mean age 55.6 ± 53.5 months. There were 611 (58.6%) males and 432 (41.4%) females, of which 673 (64.5%) were below 5 years of age. The age group and sex distribution of the study population are significantly related (χ2 = 8.852, P = 0.012). Infections accounted for 80.0% of the morbidities, with malaria (45.3%) being the major cause. There were 955 (91.6%) discharges, one (0.1%) transferred out, 19 (1.8%) discharged against medical advice and 68 (6.5%) mortality. The outcome of the patient is significantly related to the age group (χ2 = 13.760, P = 0.032). There were 68 (6.5%) mortality during the study period, of which 55 (80.9%) were under-five children. Malaria with its complications accounted for 33 (48.5%) of the deaths. Fifty (73.5%) of the 68 deaths occurred within 24 h of admission which is not significant (χ2 = 1.734, P = 0.420). Conclusion: Infection remained the major cause of morbidity and mortality for which malaria was the principal aetiology and under-five children mostly affected.
背景:对发病率和死亡率模式的定期评估是健康状况的一个方面,可用于规划改进的医疗服务。目的:本研究的目的是确定尼日利亚翁多州奥沃联邦医疗中心儿童入院的模式和结果。材料与方法:回顾性分析2018年11月1日至2019年10月31日住院1年以上1个月~ 17岁患儿的住院记录。结果:共收治患儿1043例,平均年龄55.6±53.5个月。男性611例(58.6%),女性432例(41.4%),其中5岁以下673例(64.5%)。研究人群的年龄、性别分布有显著相关(χ2 = 8.852, P = 0.012)。感染占发病率的80.0%,其中疟疾(45.3%)是主要原因。出院955例(91.6%),转出1例(0.1%),不遵医嘱出院19例(1.8%),死亡68例(6.5%)。患者预后与年龄组有显著相关性(χ2 = 13.760, P = 0.032)。在研究期间有68例(6.5%)死亡,其中55例(80.9%)为5岁以下儿童。疟疾及其并发症占死亡病例的33例(48.5%)。68例死亡中有50例(73.5%)发生在入院后24 h内,差异无统计学意义(χ2 = 1.734, P = 0.420)。结论:感染仍然是发病和死亡的主要原因,其中疟疾是主要病因,5岁以下儿童受感染最多。
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引用次数: 0
Mentorship and supervision: Two sides of a coin 指导和监督:一枚硬币的两面
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_14_22
O. Adewole
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引用次数: 0
Pattern of dyslipidaemia in patients with chronic kidney disease 慢性肾病患者的血脂异常模式
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_32_20
B. Omotoso, M. Hassan, O. Okunola, A. Sanusi, F. Arogundade
Context: Dyslipidaemia is one of the traditional risk factors for cardiovascular disease (CVD) and rapid progression of chronic kidney disease (CKD) to end-stage renal disease. Aims: The aim of the study was to determine the prevalence and pattern of dyslipidaemia and assess the cardiovascular risk in various stages of CKD. Setting and Design: A retrospective study of 109 adult pre-dialysis CKD patients who attended nephrology outpatient clinic or admitted at the Obafemi Awolowo University Teaching Hospitals' Complex between 2008 and 2015. Materials and Methods: Patients' sociodemographic characteristics, aetiology of CKD, anthropometry, blood pressure, fasting lipid profile, electrolytes, urea and creatinine at contact were retrieved from their hospital records. Estimated glomerular filtration rate at presentation was calculated using CKD EPI equation. Dyslipidaemia was defined according to the National Cholesterol Education Program Adult Treatment Panel III's final report. Cardiovascular risk was assessed using atherogenic indices. Atherogenic index of plasma (AIP) >0.24 was regarded as high cardiovascular risk. Statistical Analysis Used: Data were analysed using the statistical package for the social sciences (SPSS) software version 22. Results: A total of 109 pre-dialysis CKD patients were studied. Overall prevalence of dyslipidaemia amongst pre-dialysis CKD patient in this study was 90.8%. The mean serum total cholesterol, low-density lipoprotein cholesterol (LDLc), high-density lipoprotein cholesterol (HDLc), very LDLc , non-HDLc and triglycerides were 5.9 (±2.80) mmol/L, 3.6 (±2.50) mmol/L, 1.3 (±0.70) mmol/L, 0.73 (±0.40) mmol/L, 4.5 (±2.60) mmol/L and 1.6 (±1.0) mmol/L, respectively. The median AIP in the pre-dialysis CKD cohort was 0.40 (interquartile range; 0.21–0.72), while 72.5% may be at high risk of developing CVD (AIP >0.24). Conclusion: Dyslipidaemia is common amongst CKD patients. CKD patients show significant abnormalities of lipid metabolism which may contribute to CVD
背景:血脂异常是心血管疾病(CVD)和慢性肾脏疾病(CKD)快速发展为终末期肾脏疾病的传统危险因素之一。目的:研究的目的是确定血脂异常的患病率和模式,并评估CKD不同阶段的心血管风险。背景和设计:对2008年至2015年间在Obafemi Awolowo大学教学医院肾内科门诊或住院的109名成人透析前CKD患者进行回顾性研究。材料和方法:从患者的医院记录中检索患者的社会人口学特征、CKD病因、人体测量、血压、空腹血脂、电解质、尿素和肌酐。使用CKD EPI方程计算肾小球滤过率。血脂异常是根据国家胆固醇教育计划成人治疗小组III的最终报告定义的。通过动脉粥样硬化指数评估心血管风险。血浆动脉粥样硬化指数(AIP) >0.24为心血管高危。使用的统计分析:使用社会科学统计软件包(SPSS)软件版本22对数据进行分析。结果:共纳入透析前CKD患者109例。本研究中透析前CKD患者中血脂异常的总体患病率为90.8%。平均血清总胆固醇、低密度脂蛋白胆固醇(LDLc)、高密度脂蛋白胆固醇(HDLc)、极低密度脂蛋白胆固醇(LDLc)、非高密度脂蛋白胆固醇(HDLc)和甘油三酯分别为5.9(±2.80)mmol/L、3.6(±2.50)mmol/L、1.3(±0.70)mmol/L、0.73(±0.40)mmol/L、4.5(±2.60)mmol/L和1.6(±1.0)mmol/L。透析前CKD队列的中位AIP为0.40(四分位数范围;0.21-0.72),而72.5%的人可能有发生心血管疾病的高风险(AIP >0.24)。结论:慢性肾病患者普遍存在血脂异常。CKD患者表现出明显的脂质代谢异常,这可能导致心血管疾病
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引用次数: 0
Mentoring practices and needs of paediatric resident doctors in Nigerian training institutions 指导尼日利亚培训机构儿科住院医生的做法和需求
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_10_20
O. Olorunmoteni, O. Esan, A. Kareem, S. Edward, T. Babalola, O. Ugowe
Context: Formal mentoring was recently introduced into the Nigerian residency programmes, but studies are lacking on the mentoring practices and unmet needs of Paediatric residents. Aim: The aim of this study is to determine the awareness of paediatric resident doctors in Nigeria about mentoring, their mentoring practices and the needs of residents with and without mentors. Design: The study design involves descriptive, cross-sectional study. Methods: Pre-tested questionnaires were administered to 150 paediatric resident doctors attending the update courses in Paediatrics and Paediatric Association of Nigeria Conference held in Nigeria in 2018. Results: The mean age of the respondents was 33.5 ± 3.7 years, with a male-to-female ratio of 1:2.5. The majority (98.0%) of the resident doctors had heard about mentoring though only 58 (39.5%) had formal teaching on mentorship. Seventy-nine (52.7%) of the respondents were in a mentoring relationship. The mean duration of the mentoring meeting (min) was significantly associated with the degree of satisfaction with mentorship (F = 11.7 P = 0.020). Of the 71 paediatric residents without a mentor, 68 (95.8%) of them desired a mentor. The majority (125; 83.3%) of the residents had an unmet need for mentoring, either because their desire for having a mentor is yet to be met or they are not satisfied with their current mentoring relationship. Conclusion: Mentoring is desired by many Paediatric trainees who are not undergoing mentorship. There is a need for college boards and institutions to evaluate the on-going mentoring schemes to address these needs.
背景:尼日利亚最近在住院医师项目中引入了正式的指导,但缺乏关于指导实践和儿科住院医师未满足需求的研究。目的:本研究的目的是确定尼日利亚儿科住院医生对指导的认识,他们的指导实践以及有导师和没有导师的住院医生的需求。设计:研究设计包括描述性、横断面研究。方法:对参加2018年在尼日利亚举行的儿科和尼日利亚儿科协会会议更新课程的150名儿科住院医生进行预测问卷调查。结果:被调查者的平均年龄为33.5±3.7岁,男女比例为1:25 .5。绝大多数(98.0%)住院医师听说过师徒关系,但仅有58名(39.5%)住院医师接受过师徒关系的正式教学。79人(52.7%)处于师徒关系。师徒会平均持续时间(min)与师徒满意度显著相关(F = 11.7 P = 0.020)。在71名没有导师的儿科住院医师中,68名(95.8%)希望有导师。大多数(125;83.3%)的居民对师徒关系的需求未得到满足,要么是他们对导师的渴望尚未得到满足,要么是他们对目前的师徒关系不满意。结论:许多没有接受指导的儿科实习生希望接受指导。大学理事会和机构有必要评估正在进行的指导计划,以满足这些需求。
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引用次数: 0
Pentalogy of cantrell in Ile-Ife: A case report and review of the literature 儿童生活中的cantrell五联症:一例报告及文献复习
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_45_20
O. Ugowe, O. Afeniforo, B. Adeyefa, J. Okeniyi, E. Adejuyigbe
Pentalogy of Cantrell is a rare congenital malformation. The aetiology is not well understood, but genetic and sporadic forms have been reported. It is a combination of five congenital defects: the heart, pericardium, diaphragm, sternum and anterior abdominal wall. Only a few cases of pentalogy of Cantrell have been reported in Nigeria. Prenatal diagnosis is possible at the beginning of the second trimester using ultrasonography. Success in the management of this condition requires expertise and a multidisciplinary approach. We report the case of a 7-day-old boy, who was referred to our hospital in Ile-Ife with a chest wall defect at birth and ectopia cordis, diaphragmatic hernia seen on ultrasound and multiple heart defects seen on echocardiography. The diagnosis of pentalogy of Cantrell was made. The severity of the cardiac defects in this case and the late referral contributed to the poor outcome of the reported case. Other difficulties in the management of this case peculiar to our environment are highlighted.
坎特雷尔五联症是一种罕见的先天性畸形。病因尚不清楚,但有遗传和散发形式的报道。它是五种先天性缺陷的组合:心脏、心包、隔膜、胸骨和前腹壁。在尼日利亚仅报告了几例坎特雷尔五联症。产前诊断是可能的,在妊娠中期开始使用超声检查。成功地管理这种情况需要专业知识和多学科的方法。我们报告一个7天大的男孩,他在出生时胸壁缺陷和心异位,超声显示膈疝和超声心动图显示多重心脏缺陷,被转介到伊莱- ife的我们医院。对Cantrell五联症进行诊断。严重的心脏缺陷,在这个情况下,晚转诊促成了不良的结果报告的情况下。在处理这一案件中,突出了我国环境所特有的其他困难。
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引用次数: 0
Picture images in medicine – Neurofibromatosis 医学图象。神经纤维瘤病
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_39_20
A. Akinwumi, S. Adegoke
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引用次数: 0
Evaluation of attitude and behaviour of Nigerian dental students to their research dissertations by their academic supervisors 学术导师评估尼日利亚牙科学生对其研究论文的态度和行为
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_19_20
O. Otuyemi, E. Olaniyi
Background/Aim: This study aimed to evaluate supervisors' perceptions of the attitudes and behaviour of undergraduate dental students to their dissertation projects. Materials and Methods: A questionnaire survey of all academic staff of the Faculty of Dentistry, Obafemi Awolowo University Ile-Ife, Nigeria, who were involved in the training and supervision of final-year dental students' dissertations between 2013 and 2017 was carried out to record the supervisors' perceptions of their supervisees' behaviour, performance, preparedness and the challenges encountered during their research work. Data were analysed using descriptive and analytical statistics with SPSS version 16. Statistical significant level was set at P < 0.05. Results: Seventeen of the 19 eligible academic staff participated in the study. Most supervisors (70%) especially of the male gender and the senior supervisors perceived the supervisees as inexperienced and lacked good understanding of the dissertation process even though majority of supervisees (58.8%) were motivated. Nevertheless, more than one-half (52.9%) were perceived to have improved in the course of the project. The perception of male supervisors with regards to the importance attached to dissertation process by supervisees was significantly ranked low (3.8+0.7) when compared to the female supervisors (5.6+0.5) (P<0.05). The supervisees' challenges were in the domain of understanding the research process and meeting deadlines. Conclusion: Supervisees were perceived to be motivated, but majority of the supervisors, particularly, the male and senior supervisors, felt that the supervisees were inadequately prepared and lacked good understanding of dissertation process as a result of limited academic research experience, poor supervision and guidance.
背景/目的:本研究旨在评估导师对牙科本科学生论文设计态度和行为的看法。材料与方法:对2013年至2017年期间参与培训和指导牙科学生毕业论文的尼日利亚Ile-Ife大学奥巴费米·阿沃罗沃大学牙科学院的所有学术人员进行问卷调查,记录导师对其被导师的行为、表现、准备情况以及在研究工作中遇到的挑战的看法。数据分析采用描述性统计和分析性统计软件SPSS 16。差异有统计学意义,P < 0.05。结果:19名符合条件的学术人员中有17名参与了研究。大多数导师(70%),尤其是男性和高级导师,认为导师缺乏经验,对论文过程缺乏很好的理解,尽管大多数导师(58.8%)是有动力的。然而,超过一半(52.9%)被认为在项目过程中有所改善。男性导师对导师对论文过程的重视程度的感知(3.8+0.7)明显低于女性导师(5.6+0.5)(P<0.05)。导师们面临的挑战是理解研究过程和按时完成任务。结论:被导师被认为是有动力的,但大多数导师,特别是男性和高级导师,认为被导师准备不足,缺乏对论文过程的理解,这是由于学术研究经验有限,缺乏监督和指导。
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引用次数: 0
Erratum: Humanistic design and culture in healthcare environments 校误:医疗环境中的人文设计和文化
Pub Date : 2019-07-01 DOI: 10.4103/1596-4078.346278
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引用次数: 0
Coroners' autopsies and medicolegal evidence: Have we always answered the crucial questions? 验尸官的尸检和医学证据:我们是否总是回答了关键问题?
Pub Date : 2019-07-01 DOI: 10.4103/njhs.njhs_11_20
A. Komolafe, A. Adefidipe, H. Akinyemi, O. Ogunrinde, I. Olorunsola, A. Soremekun, O. Alade
Introduction: The coroner's autopsy is a core medicolegal service which the pathologist upon receiving an order from legal authorities undertakes in reverence and deference to the law. It is therefore a great responsibility and it is incumbent on the anatomical pathologist to attend to the questions that the law expects to be answered in a strictly professional sense. Answering the relevant and crucial questions will help the court to arrive at a veritable verdict with regard to the issues that prompted the medicolegal autopsy. Materials and Methods: Medicolegal autopsy reports of the Department of Morbid Anatomy and Forensic Medicine, OAUTHC, Ile-Ife, Osun State over 11 years, were analyzed for documentation such as identity, cause of death, circumstances of death, resolution of conflicts, criteria for diagnoses, conclusions among others. Results: There were 199 cases including 115 cases of accidents, 50 cases of homicides, 32 cases of natural diseases, and 2 cases of suicides. All cases were properly identified, generally poor commentaries were written in most cases and not all cases had criteria for diagnoses and medicolegal concerns considered. Differential diagnoses which were morphological inferences that could conflict diagnoses or opinions were not considered in many cases. Conclusion: The role of the anatomical pathologist is central in the medicolegal team which investigates the issues related to deaths in suspicious circumstances. Taking cognizance of the main issues at stake and the concerns of the court would guide the pathologist to exercise due diligence in order to assist the court in a more appropriate way.
导读:验尸官的尸体解剖是病理学家在接到法律当局的命令后以敬畏和尊重法律的方式进行的一项核心的法医学服务。因此,这是一个巨大的责任,解剖病理学家有责任去关注那些法律期望在严格的专业意义上得到回答的问题。回答有关和关键的问题将有助于法院就促使进行法医解剖的问题作出真正的裁决。材料和方法:分析了奥松州Ile-Ife市OAUTHC疾病解剖和法医部门11年来的法医尸检报告,以作为身份、死亡原因、死亡情况、冲突解决、诊断标准、结论等方面的文件。结果:共199例,其中意外事故115例,他杀50例,自然疾病32例,自杀2例。所有病例都得到了适当的识别,大多数病例的评论一般都很差,并非所有病例都有诊断标准和考虑到的医学法律问题。鉴别诊断是形态学推断,可能与诊断或意见冲突,在许多情况下没有被考虑。结论:解剖病理学家的作用是中心的法医学小组调查问题有关的死亡在可疑情况下。认识到涉及的主要问题和法院关注的问题将指导病理学家进行应有的努力,以便以更适当的方式协助法院。
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引用次数: 0
期刊
Nigerian Journal of Health and Biomedical Sciences
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