{"title":"The Chronic Discharging Ear in the Tropics: A useful management guide for primary care physicians","authors":"H. Omokanye, A. Aluko","doi":"10.4314/sjmrp.v6i2.3","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i2.3","url":null,"abstract":"","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133735454","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}
The National health act took a long period of 2004 -2014 before coming to existence, it serves as a legal backing for the regulation, development, and management of our health system. It also sets a standard for delivering health care to all citizens. The NHAct is a way of saying good bye to the era of poor access to health care, stock-out syndrome of essential drugs and vaccines, skewed health manpower distribution, mushroom health facilities, hospitals turned to “mere consulting clinics”, unregulated and unethical health researches, assault on health workers, total paralyzing strikes that leave the nation no option than unnecessary death of the citizens. The 2014 NHAct, therefore sets out a legal framework for the provision of health services which is a strong potential to transforming health care provision in Nigeria through the Basic Health Care Provision Fund (BHCPF) by extending primary health care to all Nigerians. As such, the NHAct can be used as a tool to strengthen the health system which is synonymous to the country as the roadmap to Universal Health Coverage (UHC). It is therefore recommended that all health workforce, health Ministries, Departments and Agencies (MDAs) and the three tiers of government work together harmoniously, so that our health system can be strengthened.Keywords: National Health Act, Basic Health care fund, Legal framework, Health System Strengthening.
{"title":"The role of National Health Act in Nigeria Health System strenghening","authors":"D. Adegboye, T. Akande","doi":"10.4314/SJMRP.V6I1.1","DOIUrl":"https://doi.org/10.4314/SJMRP.V6I1.1","url":null,"abstract":"The National health act took a long period of 2004 -2014 before coming to existence, it serves as a legal backing for the regulation, development, and management of our health system. It also sets a standard for delivering health care to all citizens. The NHAct is a way of saying good bye to the era of poor access to health care, stock-out syndrome of essential drugs and vaccines, skewed health manpower distribution, mushroom health facilities, hospitals turned to “mere consulting clinics”, unregulated and unethical health researches, assault on health workers, total paralyzing strikes that leave the nation no option than unnecessary death of the citizens. The 2014 NHAct, therefore sets out a legal framework for the provision of health services which is a strong potential to transforming health care provision in Nigeria through the Basic Health Care Provision Fund (BHCPF) by extending primary health care to all Nigerians. As such, the NHAct can be used as a tool to strengthen the health system which is synonymous to the country as the roadmap to Universal Health Coverage (UHC). It is therefore recommended that all health workforce, health Ministries, Departments and Agencies (MDAs) and the three tiers of government work together harmoniously, so that our health system can be strengthened.Keywords: National Health Act, Basic Health care fund, Legal framework, Health System Strengthening.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115394997","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":"National Health Act 2014","authors":"Salisu Abubakar Maokasuwa","doi":"10.4314/sjmrp.v6i1.5","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i1.5","url":null,"abstract":"","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130978786","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 13 year old presented with epigastric distension and pain, with bilious vomiting of 1 week duration. There was no history of dyspepsia but patient was constipated. Plain abdominal radiograph reveal a grossly dilated stomach and first part of duodenum. However, a barium meal showed the dilatation progressing to the third part of the duodenum with trickling of contrast into the collapse fourth part of the duodenum near the ligament of Treizt. Duodenotomy at laparotomy confirmed a membrane causing windsock deformity in the duodenum which was excised and patient has since been well. This is a delayed and rare presentation of this anomaly which call for a consideration among causes of upper gastrointestinal obstruction.
{"title":"Duodenal obstruction due to windsock deformity in a 13 year old female","authors":"M. Suwaid","doi":"10.4314/SJMRP.V6I1.3","DOIUrl":"https://doi.org/10.4314/SJMRP.V6I1.3","url":null,"abstract":"A 13 year old presented with epigastric distension and pain, with bilious vomiting of 1 week duration. There was no history of dyspepsia but patient was constipated. Plain abdominal radiograph reveal a grossly dilated stomach and first part of duodenum. However, a barium meal showed the dilatation progressing to the third part of the duodenum with trickling of contrast into the collapse fourth part of the duodenum near the ligament of Treizt. Duodenotomy at laparotomy confirmed a membrane causing windsock deformity in the duodenum which was excised and patient has since been well. This is a delayed and rare presentation of this anomaly which call for a consideration among causes of upper gastrointestinal obstruction.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125892740","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}
This is a case of a 21-year-old man who presented with history of chronic constipation that was relieved by enemas and laxatives. Barium enema and Abdominal CT scan done shows features suggestive of Hirchsprung's disease which was histologically confirmed following rectal biopsy and histology. He was successfully managed using the Duhamel's surgical pull through procedure with no immediate or delayed post operative complications.
{"title":"A rare case of Hirschsprung's disease in a young Nigerian man","authors":"M. Saleh, A. Osawe, S. I. Kazaure, A. Sheshe","doi":"10.4314/sjmrp.v6i1.4","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i1.4","url":null,"abstract":"This is a case of a 21-year-old man who presented with history of chronic constipation that was relieved by enemas and laxatives. Barium enema and Abdominal CT scan done shows features suggestive of Hirchsprung's disease which was histologically confirmed following rectal biopsy and histology. He was successfully managed using the Duhamel's surgical pull through procedure with no immediate or delayed post operative complications.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131818054","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}
Introduction: Halitosis is a prevalent oral condition that frequently causes personal and social embarrassment with consequent interactional difficulties. The objective of this study was to assess the relational impact of halitosis.Materials and Methods: This cross-sectional study was conducted among undergraduates of University of Benin, Nigeria. Demographic characteristics, perception of value of fresh breath in social contact, rank of halitosis in first impression impairment, frequency of encounter with halitosis sufferers and their interactional difficulties, and readiness to inform sufferers about the condition were assessed using self-administered validated questionnaire.Results: About three-quarters(77.3%) of the respondents agreed [slightly agree(11.3%) and agree(66.0%)] that fresh breath is an important factor in social contacts. This was significantly associated with gender. Halitosis was ranked as second after body odour among factor that turn respondents off when meeting individuals for the first time. A total of 14.0% of the respondents always anticipated the possibility of halitosis on first contact with individual(s). The majority of the respondents believed that halitosis sufferers experience difficulty in getting good jobs, getting married and suffer marital disharmony. Readiness to inform halitosis sufferers about their condition was high. The level and mode of informing the halitosis sufferers about the condition varied with the intimacy of the relationship.Conclusion: Fresh breath was highly considered as an important factor in social contacts. The high level of encounter with halitosis sufferers and high readiness of disclosure of condition to sufferers were noted. Difficulty in getting good jobs, getting married and marital disharmony experiences were the perceived interactional difficulty.Keywords: halitosis, prevalence, interaction, relationship, odour
{"title":"Relational impact of halitosis: A study of young adult Nigerians","authors":"C. Azodo, A. Umoh","doi":"10.4314/SJMRP.V6I1.2","DOIUrl":"https://doi.org/10.4314/SJMRP.V6I1.2","url":null,"abstract":"Introduction: Halitosis is a prevalent oral condition that frequently causes personal and social embarrassment with consequent interactional difficulties. The objective of this study was to assess the relational impact of halitosis.Materials and Methods: This cross-sectional study was conducted among undergraduates of University of Benin, Nigeria. Demographic characteristics, perception of value of fresh breath in social contact, rank of halitosis in first impression impairment, frequency of encounter with halitosis sufferers and their interactional difficulties, and readiness to inform sufferers about the condition were assessed using self-administered validated questionnaire.Results: About three-quarters(77.3%) of the respondents agreed [slightly agree(11.3%) and agree(66.0%)] that fresh breath is an important factor in social contacts. This was significantly associated with gender. Halitosis was ranked as second after body odour among factor that turn respondents off when meeting individuals for the first time. A total of 14.0% of the respondents always anticipated the possibility of halitosis on first contact with individual(s). The majority of the respondents believed that halitosis sufferers experience difficulty in getting good jobs, getting married and suffer marital disharmony. Readiness to inform halitosis sufferers about their condition was high. The level and mode of informing the halitosis sufferers about the condition varied with the intimacy of the relationship.Conclusion: Fresh breath was highly considered as an important factor in social contacts. The high level of encounter with halitosis sufferers and high readiness of disclosure of condition to sufferers were noted. Difficulty in getting good jobs, getting married and marital disharmony experiences were the perceived interactional difficulty.Keywords: halitosis, prevalence, interaction, relationship, odour","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116453344","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：