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Assessment of Injection Safety Practices among Health Workers in Ekiti State, Nigeria

Research Article of International Research Journal of Public Health Assessment of Injection Safety Practices among Health Workers in Ekiti State, Nigeria KOLUDE, Olufunmilola1, EMMANUEL, Eyitayo E1, MARCUS, Oluwadare1, OGUNLAJA, Omotunde1, AJAYI, Paul1, ILESANMI, Mary1, IBIKUNLE, Funmi2, ONWU, Victor A2, ONYIBE, Rosemary3, SUME, Gerald4, BRAKA, Fiona4 1World Health Organization, Ekiti State Field Office, Ado Ekiti, Nigeria; 2State Ministry of Health, Ado Ekiti, Ekiti State, Nigeria; 3World Health Organization, Southwest Zonal Field office, Ibadan; 4World Health Organization, Nigeria Country office, UN House, plot 617/618, Diplomatic, Drive, Central Business District, PMB 2861, Garki, Abuja, Nigeria. Safety of injections been administered on daily basis is becoming of significant Public Health importance considering the increasing prevalence of complications and the negative impact this could have on the overall good intention of the Healthcare providers. It is on the basis of this that we assessed the level of awareness and compliance with injection safety practices among Healthcare workers in Ekiti State. A descriptive cross-sectional study was conducted using multistage sampling technique to recruit 582 HCWs across the State. In Stage One, 2 LGAs were selected from each of the 3 senatorial districts by simple random sampling technique through balloting and in stage two, a list of all the Health Facilities (Public and Private) in the selected LGAs was compiled and all were included in the study. In Stage three, A cluster sampling method was used to select all the staff who are eligible to administer injections in the selected HFs at the time of survey. A semi-structured questionnaire and an observational checklist was used for data collection. Data analysis was done using SPSS version 21. A total of 582 HCWs were interviewed and 151 HFs were directly observed for compliance with Injection safety procedures. The mean age of the respondents was 38.2 ± 9.6 years. Females ...

Volumeplasty of bulky nose using heat dermabrasion as a minor therapy

Research Article of American Journal of Dermatological Research and Reviews Volumeplasty of bulky nose using heat dermabrasion as a minor therapy Khalifa E. Sharquie1, Fatema A. Al-Jaralla2 1Department of Dermatology, College of Medicine, University of Baghdad. Iraqi and Arab Board for Dermatology & Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq. 2Department of Dermatology, College of Medicine, University of Baghdad, Baghdad, Iraq Background: Ultrathick nasal skin and nodulation is one of the most daunting challenges in cosmetic nasal surgery. Rhinoplasty is a common surgical procedure to correct mostly gross abnormal nasal anatomical variation; however, many patients have minor bizarre shape or deformities that could not be well corrected by ordinary surgical procedures. So we should find other techniques to correct these unwanted or undesired nose shape abnormalities. Objective: The purpose of this article is to perform heat dermabrasion to reduce the size of bulky nose and to create new alar groove and to remove nose nodulations, acne or traumatic scarring. Patients and methods: In this study, we collected 40 patients with bulky nose during the period from 2009 through 2019; 21 females and 19 males and their ages ranged from 20-65 years. An Informed consent was taken from each patient before starting the study, after full explanation about the procedure. All patients had bulky nose, some had nodulation of nose and acne or traumatic scarring. Only one patient had history rhinophyma of several years duration. All patients were treated with heat dermabrasion using diathermy needle after local xylocaine anesthesia and patients were received topical antiseptic and oral antibiotics to be seen after 2 weeks. Then topical corticosteroid was used to prevent post-inflammatory pigmentation. Results:A total of 40 patients diagnosed with bulky nose were enrolled in this study; 21 (52.5%) patients were females and 19 (47.5%) were males.  Age of patients ...

Idiopathic Acquired Factor VIII deficiency presenting with compartment syndrome: A case report and Literature Review

Case Report of International Journal of Case Reports Idiopathic Acquired Factor VIII deficiency presenting with compartment syndrome: A case report and Literature Review Khalid E. Ahmed1, Amna Gameil2, Marcus D. Lance3, Arshad H. Chanda3, Lubna Riaz2, Anas Hamad4, Ahmed A. Shible4, Shehab F. Mohamed2  1Department of Medicine Hamad Medical Corporation; 2Medical oncology, Hematology section, NCCCR, Hamad Medical Corporation; 3Department of Anaesthesiology, surgical intensive care and perioperative medicine, Hamad medical corporation; 4Pharmacy department, NCCCR, Hamad medical corporation Haemophilia is a disorder that affects the ability of the blood to form clots. The congenital form of the disease is the most prevalent, is inherited as X-linked recessive and it causes deficiency of clotting Factor VIII or IX. clinically it presents with joint bleeding. Its counterpart, acquired haemophilia is a rare condition that usually presents with cutaneous, soft tissue or internal bleeding. The pathophysiology of the disease is centred on the formation of auto antibodies which inactivate factor VIII. Haematologically this is reflected as a prolonged aPTT with normal PT and failure of mixing studies to correct aPTT to more than 50%. To confirm the diagnosis Bethesda assay has to be performed to detect the presence of factor inhibitors. In half of the cases it is associated with an underlying condition such as autoimmune diseases, malignancy, pregnancy or infections. The mainstay treatment is to control the bleeding with bypassing agents such as recombinant factor VIIa or Factor VIII inhibitor bypassing agent as well as eradicating the inhibitor with immunosuppressive and/or cytotoxic agents. Here we report a patient with idiopathic acquired haemophilia who presented with a thigh compartment syndrome. He was successfully treated with fasciotomy, bypassing agents and immunosuppressive therapy. Keywords: Acquired, Haemophilia, Factor VIII, compartment syndrome ...

Follicular Dendritic Cell Sarcoma of Colon Presenting as Colo-colic Intussusception: a Rare Entity in Gastrointestinal Site With Extremely Rare Presentation

Case Report of International Journal of Case Reports Follicular Dendritic Cell Sarcoma of Colon Presenting as Colo-colic Intussusception: a Rare Entity in Gastrointestinal Site With Extremely Rare Presentation Sumanta Das1, Charanjeet Ahluwalia2, Dhruv Jain3, Rashmi Arora4 1 Resident of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital 2 Professor, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital 3 Assistant Professor, Oncopathology, Delhi State Cancer Institute 4 Professor and Head of Department, Vardhman Mahavir Medical College and Safdarjung Hospital Follicular dendritic cell sarcoma is a rare mesenchymal tumor of follicular dendritic cells arising from nodal and extranodal site. FDCS generally involves the lymph nodes while many extranodal sites are also affected. We report a case of follicular dendritic cell sarcoma primarily arising in colon and presenting as colo-colic intussusception. Abbreviation: EBV- Epstein-barr virus, FDCS- Follicular dendritic cell sarcoma, VEGF- Vascular endothelial growth factor. Keywords: Follicular dendritic cell sarcoma, Colo-colic inrussusception, Extranodal ...

Occurrence and Antimicrobial Susceptibility of Salmonella sp. and Escherichia coli in Minimally-processed and Frozen Fruit Pulps

Research Article of American Journal of Agricultural Research Occurrence and Antimicrobial Susceptibility of Salmonella sp. and Escherichia coli in Minimally-processed and Frozen Fruit Pulps SANTINI, T.P1; MARQUES, J.O2; NUÑES, K.V.M3; KABUKI, D.Y4 1Departament of Food Science, UNICAMP-SP; 2Institute of Pharmaceutical Science, UNICAMP-SP; 3Departament of Food Science, UNICAMP-SP; 4Departament of Food Science, UNICAMP-SP Fruits and fruit pulps are widely consumed worldwide due to their nutrients, flavors and varieties. However, these products become contaminated with pathogens during harvest or production, which are risks to consumers. This study analyzed the microbiological quality of frozen fruit pulps and minimally processed fruits sold in supermarkets and the presence Salmonella sp. and pathogenic Escherichia coli. Almost all frozen fruit pulps samples were adequate to consume, only one samples of unpasteurized mango pulp was positive for E. coli carrier  of est1b gene that codify thermostable toxin of Enterotoxigenic E. coli. Minimally processed fruits presented high yeast and mold counts in 36.25% (29/80) of the samples and 27.6% (22/80) had thermotolerant coliforms. In addition, one sample of grated coconut had E. coli and one sample of melon honeydew had Salmonella sp. E. coli O157:H7 was absent in all samples of minimally processed fruits. E. coli showed greater resistance to ampicillin and chloramphenicol. Multidrug resistance was observed in 14.3% (2/14) of E. coli isolates. Only one strain of Salmonella sp. was resistant to antibiotic sulfamethoxazole/trimethoprim. Therefore, the enforcement of pasteurization in the fruit pulp processing, as well hygienic-sanitary control in lead up of minimally-processed fruits and temperature control in storage are recommended to minimize the risk of foodborne disease. Keywords: mango, melon, multidrug resistance, pathogenic E. coli ...

Acute renal attack after treatment with Carapa Procera oil: two cases at the Ziguinchor Peace Hospital (Senegal West Africa) and review of the literature

Case Report of International Journal of Traditional and Complementary Medicine Acute renal attack after treatment with Carapa Procera oil: two cases at the Ziguinchor Peace Hospital (Senegal West Africa) and review of the literature KANE Yaya1*, SECK Sidy Mohamed3, BA AW Mamadou2, DIAWARA Mame Selly4, LEMRABOTT A T2,  FAYE Maria2, FAYE Moustapha2, CISSE M Moustapha4, KA El Fary2, NIANG Abdou2, DIOUF Boucar2 1Nephrology Hemodialysis Service, Peace Hospital Assane Seck University of Ziguinchor; 2HALD UCAD Dakar hemodialysis nephrology service;3St Louis UGB CHR hemodialysis nephrology service;4CHR hemodialysis nephrology department of Thiès / University of Thiès We describe two cases of impaired secondary renal function to a Carapa Procera taking as part of traditional treatment in Ziguinchor, southern Senegal. The certain or suspected toxicity of Carapa Procera is little known in the literature. In the two reported observations, no cause but the traditional treatment was found to explain the clinical picture presented. The development was favorable in all cases after medical treatment and a few hemodialysis sessions. we insist on the difficult context of investigation of these accidents, on the medical ignorance of these practices in sub-Saharan Africa and in Senegal in particular, as well as on the necessary collaboration with local botanists knowledgeable in traditional medicine. Keywords: Carapa procera, Kidney attack, Casamance ...