Western Journal of Medical and Biomedical Sciences最新文献

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Operating Room Drugs and, Consumables Distribution Systems: Knowledge, Attitude and, Practice among Operating Room Workforce in a Tertiary Hospital in the Developing World 手术室药品和耗材分配系统:发展中国家三级医院手术室工作人员的知识、态度和实践
Western Journal of Medical and Biomedical Sciences Pub Date : 2021-07-06 DOI: 10.46912/WJMBS.38
I. Madu, U. Nnadozie, CC Maduba, RL Ewah, Obinna Remigius Okwesili, Ogk Asiegbu
{"title":"Operating Room Drugs and, Consumables Distribution Systems: Knowledge, Attitude and, Practice among Operating Room Workforce in a Tertiary Hospital in the Developing World","authors":"I. Madu, U. Nnadozie, CC Maduba, RL Ewah, Obinna Remigius Okwesili, Ogk Asiegbu","doi":"10.46912/WJMBS.38","DOIUrl":"https://doi.org/10.46912/WJMBS.38","url":null,"abstract":"Drug and consumables distribution system in the operating room is key to the smooth running of the operating room in any hospital. Technological advancements have led to the development of newer and more efficient distribution systems. We aim to assess the knowledge, attitude and, practice of drug and consumable distribution systems among operating room workforce of a tertiary hospital in Nigeria. The study was a questionnaire-based cross-sectional study among the various categories of professionals of the operating room workforce. Two sets of questionnaires with structured questions on the knowledge, attitude and practice of operating room drug and consumables distribution system were administered one after the other on the operating room personnel. 282 of 363 operating room workforce consented and responded to the questionnaires. The workforce is made up of surgeons 198 (70%), physician anaesthetists 28 (10%), nurse anaesthetists 25 (9%) and, perioperative nurses 31 (11%). Their mean age was 42.61+8.74 years, 175 (64%) aged between 30 and 49 years with male to female ratio of 2.9:1. The majority 243 (86%) of respondents did not know the meaning of an operating room drug and consumable distribution system. After explanation, it was discovered that 228 (81%) had experienced the individual prescription order system with its associated wastages 195 (69%), medication errors 130 (46%,) and, delay or scheduling of cases 183 (65%). This study revealed poor knowledge of drug and consumables distribution system among operating room workforce in our institution. The study centre uses individual prescription order system with significant untoward effects. We recommend improved awareness of the theatre workforce on drug and consumable distribution systems.","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121178108","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}
引用次数: 0
Unexpected Low Covid-19 Mortalities Across Africa: What Could have Happened? 非洲各地的Covid-19死亡率出乎意料地低:可能发生了什么?
Western Journal of Medical and Biomedical Sciences Pub Date : 2020-11-30 DOI: 10.46912/wjmbs.34
M. Onoja, Jj Oloche, G. Jombo, TA Onoja
{"title":"Unexpected Low Covid-19 Mortalities Across Africa: What Could have Happened?","authors":"M. Onoja, Jj Oloche, G. Jombo, TA Onoja","doi":"10.46912/wjmbs.34","DOIUrl":"https://doi.org/10.46912/wjmbs.34","url":null,"abstract":"COVID-19 mortalities have continued to be surprisingly low across Africa against all the earlier predictions. This has baffled the global scientific community and several hypotheses and theories have been propounded to explain the underlying factors for this unexpected occurrence. We found out that none of the theories is free of technical flaw, no matter how as plausible as it may appear it does not fully explain this phenomenon. Hence, we conclude that the mystery behind COVID-19 on African soil is yet to be unraveled. Meanwhile preventive measures already on ground should be sustained to keep the disease permanently low.","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123884277","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}
引用次数: 0
Beliefs and Perceptions about COVID-19 among Students of a Higher Institution in South-western Nigeria 尼日利亚西南部一所高等院校学生对COVID-19的信念和看法
Western Journal of Medical and Biomedical Sciences Pub Date : 2020-06-19 DOI: 10.46912/wjmbs.10
A. Joseph, A. Joseph
{"title":"Beliefs and Perceptions about COVID-19 among Students of a Higher Institution in South-western Nigeria","authors":"A. Joseph, A. Joseph","doi":"10.46912/wjmbs.10","DOIUrl":"https://doi.org/10.46912/wjmbs.10","url":null,"abstract":"The on-going coronavirus disease outbreak is arguably one of the greatest public health challenges of our time. Being a novel disease discovered in December 2019, little is known about it. This study examines the beliefs and perception on coronavirus disease among students of an institution of higher learning in Southwest Nigeria. Two hundred and sixty (260) students were selected through a two-staged non-probability sampling method for the study. Data was collected using structured questionnaire which tested the general knowledge of respondents on the subject as well as their beliefs and perception about the disease. Even though 90.0%) of the participants have heard of Coronavirus as a pathogen, their knowledge of the associated disease was fair on the average due to misconceived notions probably because information was sourced majorly from unconfirmed sources such as word of mouth from family members (56.5%), print media (56.2%), social media (51.2%), television (50.0%), and to a lesser extent from school (43.1%), health talk (42.7%), hospital (35.8%), over the radio (30.8%) as well as posters and billboards (24.2%). These misconceived notions, despite their level of education, include but not limited to claims that disease can be transmitted through mosquito bite (33,5%) and believing that it is a consequence of man's sin (48.1%). Some doubt its existence (28.8%) while a sizeable number believes they cannot be infected (44.2%) and peradventure if infected, prayer and fasting can cure it (44.2%). We therefore advocates for an intense public enlightenment campaign.","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116547946","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}
引用次数: 2
Extrapulmonary Manifestations of COVID-19: A Call to Extra Vigilance and Tribute to Dr Li Wenliang 新冠肺炎肺外表现:提高警惕致敬李文亮医生
Western Journal of Medical and Biomedical Sciences Pub Date : 2020-06-16 DOI: 10.46912/wjmbs.5
A. Onoja, G. Jombo, A. Onoja, A. Nwannadi, I. Aba
{"title":"Extrapulmonary Manifestations of COVID-19: A Call to Extra Vigilance and Tribute to Dr Li Wenliang","authors":"A. Onoja, G. Jombo, A. Onoja, A. Nwannadi, I. Aba","doi":"10.46912/wjmbs.5","DOIUrl":"https://doi.org/10.46912/wjmbs.5","url":null,"abstract":"COVID-19 pandemic has covered all continents and virtually all countries of the world infecting millions of people with several hundred thousands of death. It was first brought to the attention of a Chinese ophthalmologist Dr Li Wenliang. The disease which was first believed to be solely associated with the lungs and respiratory system has now shown that the spectrum of organ involvement of the disease is much larger than earlier believed.  While lung and pulmonary features still account for a much larger presentation of the disease, other clinical manifestations such as  fulminant myocarditis, arteriovenous thromboembolism, disseminated intravascular coagulopathy, intracerebral haemorrhage, diarrhea, hypoxic encephalopathy, septicaemia and detection of SARS-CoV-2 particles in stool, saliva and semen of infected individuals are also becoming less infrequent. Haematologic manifestations of hypercoagulable blood are commonly reported among hospitalized COVID‐19 patients.  An elevated  D‐Dimer, that is rising  in the course of disease may signifies disease deterioration. Prolonged PT and aPTT and increased fibrin degradation products with severe thrombocytopenia have been associated with life-threatening disseminated intravascular coagulation (DIC). Physicians should therefore be on a watch out for these features in the management of patients and be ready to spot out other new surprises by the disease. This should be through deepening of curiosity by health personnel in the assessment and management of patients to spot out early surprises of COVID-19 to strengthen the sustenance of the ongoing control of the pandemic","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129410302","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}
引用次数: 1
Utilization of Laparoscopic Surgery in Cirrhosis of the Liver 腹腔镜手术在肝硬化中的应用
Western Journal of Medical and Biomedical Sciences Pub Date : 2020-06-15 DOI: 10.46912/wjmbs.1
G. Obonna, MC Obonna, Rk Mishra
{"title":"Utilization of Laparoscopic Surgery in Cirrhosis of the Liver","authors":"G. Obonna, MC Obonna, Rk Mishra","doi":"10.46912/wjmbs.1","DOIUrl":"https://doi.org/10.46912/wjmbs.1","url":null,"abstract":"Surgery in patients with cirrhosis of the liver is dangerous and risky due to abnormalities in their physiology. However these patients do present with conditions that may require surgical intervention. Laparoscopic surgery is safer for these patients as it mitigates the dangers and complications associated with open surgery, offers shorter operation time and subserves a diagnostic value in its safe use to determine and confirm the pathology of the liver.  The aim of this study is to determine if laparoscopic surgery is dangerous or safe for patients with cirrhosis of the liver. A literature review was  done using search engines viz Hinari, goggle, high wire press and overview of our experiences in patients in university of medical science teaching hospital Ondo. References to our experiences during our subspecialty training at world laparoscopy hospital New-Delhi were also beneficial in the course of this study. The results show that the technique of laparoscopy in all index cases is more favourable than open surgery in cirrhotic patients. We conclude that cirrhosis of the liver does not contraindicate the procedure of laparoscopy.","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128841264","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}
引用次数: 0
Haematological Correlates of Helicobacter pylori Infection Amongst Children Receiving Care in a Private Setting in Port Harcourt, Rivers State 在河流州哈科特港接受私人护理的儿童中幽门螺杆菌感染的血液学相关性
Western Journal of Medical and Biomedical Sciences Pub Date : 1900-01-01 DOI: 10.46912/wjmbs.51
K. Akhimienho, D. Briggs, I. Enato
{"title":"Haematological Correlates of Helicobacter pylori Infection Amongst Children Receiving Care in a Private Setting in Port Harcourt, Rivers State","authors":"K. Akhimienho, D. Briggs, I. Enato","doi":"10.46912/wjmbs.51","DOIUrl":"https://doi.org/10.46912/wjmbs.51","url":null,"abstract":"Helicobacter pylori is a spiral-shaped, gram-negative bacterium that basically colonizes the digestive tract of humans. It is an established cause of anaemia, leucopenia and thrombocytopenia and affects 70-95% of children in developing countries. We carried out a retrospective study of 140 children, presenting with abdominal discomfort and/or vomiting in a private hospital in Port Harcourt, South-South, Nigeria. Positive serology for H.pylori was established using IgG test kit and Full blood counts were done with an autoanalyzer. Sixty-four (45.7%) of the children studied were serologically positive for H.pylori infection, while 54.3%(76) were negative. H.pylori has been detected in virtually all age groups of children studied. Ten (15.6%) of the children with H.pylori positive serology had anaemia, 3.1%(2) had leucopenia and 12.5%(8) had leucocytosis. None of these was statistically significant. The overall seroprevalence of H.pylori in the children studied was high. Similarly, there was a high prevalence of haematologic derangements in the children with positive H.pylori assay compared to those children with negative serology for H.pylori. This was however not statistically significant. Routine screening of children with symptoms of abdominal discomfort for H.pylori and commencement of treatment for those with positive serology results is not recommended without a confirmatory test.","PeriodicalId":334745,"journal":{"name":"Western Journal of Medical and Biomedical Sciences","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125149662","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}
引用次数: 0
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