Laboratory diagnosis of malaria in children under five years in a rural community: microscopy versus malaria PF test

The morbidity and mortality associated with malaria in children below 5 years is really worrisome especially in the rural communities with little or no laboratory diagnostic facilities. This study was carried out to compare microscopy with Malaria Pf test for the diagnosis of malaria in a rural community in Ideato North Local Government Area of Imo State. Two hundred and fifty blood smears of children below 5 years were stained with Giemsa and examined microscopically for malaria parasites. Also the Malaria Pf rapid diagnostic test was used to test the same blood samples for malaria antigens. Thirty two per cent of the blood samples were positive for malaria parasite. Compared with microscopy, the sensitivity of the Malaria Pf test was 90.0%, the specificity was 98.2%. The positive predictive value was 96.0% and negative predictive value was 95.4%. The Malaria Pf test is reliable in the parasite based diagnosis of malaria in children under 5 years. We recommend the application of this test for parasitological confirmation of malaria in all places where it is not possible to provide facilities for good quality microscopy especially in the rural communities.KEY WORDS: MALARIA, DIAGNOSIS, CHILDREN, MICROSCOPY, MALARIA P

Bronchopulmonary Tuberculosis- Laboratory Diagnosis And Dots Strategy Outcome In A Rural Community: A Retrospective Study

Pulmonary tuberculosis is still a global public health threat. Despite all efforts at its containment, the scourge is still menacing especially in the rural communities and among HIV infected patients. This retrospective study was carried out to determine the case detection rate of pulmonary tuberculosis in a rural community hospital in Nigeria from 2001-2006. A total of 1219 suspected patients were tested for pulmonary tuberculosis by sputum smear stained by Ziehl-Neelsen technique. Out of this number, 350 (28.7%) were positive for Acid-Fast Bacilli including 198 males and 152 females. Also 235 of the sputum-smear positive patients were tested for the human immunodeficiency virus (HIV) antibodies by Immunocomb 11 HIV 1 & 2 Bispot and confirmed by Immunocomb 11 HIV 1 & 2 Combfirm and HIV-1 Western Blot kit. Sixty three (26.8%) of the sputum-smear positive patients were co-infected with HIV. Two hundred and seventy (77.1%) of the AFB positive patients were treated under the Directly Observed Therapy-Short course, 201 of them (74.4%) completed the treatment, 39 (14.4%) defaulted, 30 (11.1%) died before the completion of the treatment, 195 of the patients were declared cured and 6 were declared failed. Case detection rates could be improved upon by providing culture facilities at the DOTS centers. Also efforts should be made to ensure that all positive cases are followed to a logical conclusion and that anti-retroviral drugs are provided for patients co-infected with HIV to reduce the mortality rate of pulmonary tuberculosis

ECONOMETRIC MODELING OF THE NEXUS OF AGRICULTURAL POLICY AND FOOD SECURITY IN NIGERIA: A DUMMY VARIABLE REGRESSION APPROACH

Sustainable food production is not negotiable if food security is to be achieved. Recent statistics show increasing food insecurity issues in Nigeria despite government policy and programmes in the agricultural sector. The study specifically described agriculture growth trend under three policy regimes and analysed the effects of agricultural sector policy on food security in Nigeria between 1960 and 2020. Secondary data on agricultural output, gross deficit financing, labour employed in the agricultural sector, land, and population were obtained from World Development Indicators (WDI) of the World Bank, Food and Agriculture Organization Statistics (FAOSTAT), Central Bank of Nigeria (CBN), and National Bureau of Statistics (NBS). The data were analysed using trend analysis and Dummy Variable Regression (DVR) model. The Instantaneous Growth Rate (IGR) and compound growth rate (CGR) were respectively 3 percent and 7.2 percent in 1960 – 1969, 0.5 percent and 1.2 percent in 1970 – 1985, and 3.4 percent and 8.1 percent in 1986 – 2020; the country experienced stagnated pattern of growth in the agriculture sector within the oil boom and policy reconstruction period with an instantaneous and compound growth rate of 0.5 percent and 1.2 percent, respectively. An IGR and CGR of 3.4 percent and 8.1 percent, respectively were recorded during the policy stabilization era with an accelerating growth pattern. The intercept of agricultural output and per capita food production of the period with complete agricultural policy document differs from the period with no policy document by 36.8 percent and 39.8 percent, respectively, revealing an increase in the value of agricultural output and per capita food production in the period with a national policy document. The study concludes that availability of agricultural sector policy document directly impacts food security. The postestimation tests on the models confirmed that policy implications emanating from this study are adoptable to improve food security in Nigeria through the agricultural sector policy. Proper and efficient policy mix to support agricultural production was recommended

ECONOMETRIC MODELING OF THE NEXUS OF AGRICULTURAL POLICY AND FOOD SECURITY IN NIGERIA: A DUMMY VARIABLE REGRESSION APPROACH

Sustainable food production is not negotiable if food security is to be achieved. Recent statistics show increasing food insecurity issues in Nigeria despite government policy and programmes in the agricultural sector. The study specifically described agriculture growth trend under three policy regimes and analysed the effects of agricultural sector policy on food security in Nigeria between 1960 and 2020. Secondary data on agricultural output, gross deficit financing, labour employed in the agricultural sector, land, and population were obtained from World Development Indicators (WDI) of the World Bank, Food and Agriculture Organization Statistics (FAOSTAT), Central Bank of Nigeria (CBN), and National Bureau of Statistics (NBS). The data were analysed using trend analysis and Dummy Variable Regression (DVR) model. The Instantaneous Growth Rate (IGR) and compound growth rate (CGR) were respectively 3 percent and 7.2 percent in 1960 – 1969, 0.5 percent and 1.2 percent in 1970 – 1985, and 3.4 percent and 8.1 percent in 1986 – 2020; the country experienced stagnated pattern of growth in the agriculture sector within the oil boom and policy reconstruction period with an instantaneous and compound growth rate of 0.5 percent and 1.2 percent, respectively. An IGR and CGR of 3.4 percent and 8.1 percent, respectively were recorded during the policy stabilization era with an accelerating growth pattern. The intercept of agricultural output and per capita food production of the period with complete agricultural policy document differs from the period with no policy document by 36.8 percent and 39.8 percent, respectively, revealing an increase in the value of agricultural output and per capita food production in the period with a national policy document. The study concludes that availability of agricultural sector policy document directly impacts food security. The postestimation tests on the models confirmed that policy implications emanating from this study are adoptable to improve food security in Nigeria through the agricultural sector policy. Proper and efficient policy mix to support agricultural production was recommended

Social Determinants of Health among Health Workers in a Tertiary Health Institution in Anambra State, Nigeria: A Pilot Study

Background&#x0D; Social determinants of health (SDH) are a critical theme for health equality for Nigeria. Nigeria is one of the countries in the world which is far from achieving targets of 2030 SDG 3 due to this inequity in health.&#x0D; Methods&#x0D; This is a cross-sectional pilot survey designed to collect information about the SDH, strengths, challenges and perceived areas to be addressed among different cadres of healthcare workers at the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH) Awka in the South eastern part of Nigeria. This is a cross-sectional pilot survey among the different cadres of healthcare workers.&#x0D; Results&#x0D; The elements of SDH are vital for the continuing well-being of health workers because of their role in attending to the totality of their community. From our study, two elements of SDH (family and physical activity) had the greatest level of confidence (44% and 26% respectively), while the justice system (police and the legal issues) had the lowest areas of confidence (2% each), but the greatest strength of the community were found in education (70%) and family (58%).&#x0D; Conclusions&#x0D; Policies in general need to be implemented to address the economic instability in order to yield positive outcomes towards education, security of lives and property, food security and affordable healthcare and transportation. Reducing health inequities in Nigeria will depend on a focus addressing the social circumstances of individuals, families and communities using equity-based approaches on the broader structural environment. The role of formal and informal educational strategies will be beneficial in the highlighted social, economic and political factors from this study.</jats:p

Kuluttajabarometri maakunnittain 2000, 2. neljännes

Suomen virallinen tilasto (SVT

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

This was an investigator-initiated study funded by Nestle Health Sciences through an unrestricted research grant and by a National Institute for Health Research (UK) Professorship held by R.P. The study was sponsored by Queen Mary University of London

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries The International Surgical Outcomes Study group

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700