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Nigerian Postgraduate Medical Journal

Lung function indices of flour millworkers in Edo and Delta States

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Last Updated on Monday, 17 March 2014 08:55

Ibekwe RU, *Okojie OH

Department of Community Medicine, Delta State University Teaching Hospital

P.M.B 07, Oghara, Delta State. Nigeria

*Department of Community Health, School of Medicine, University of Benin, P.M.B. 1154, Benin City, Edo State Nigeria.

Correspondence to:

R.U. Ibekwe

e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Tel:+2348035814534

Summary

Aims and Objectives

Flour dust has been associated with lung function impairment and Chronic Obstructive Airway Disease (COAD) among grain workers. This study was therefore conducted to assess the lung function indices of flour mill workers in Edo and Delta states, of Nigeria.

Materials and Methods

Comparative cross-sectionalstudy designed was utilized for the study and it was carried out over a period of six months, (Nov 2010 to May 2011) among 200 flour mill workers and 200 hospital workers in Edo and Delta states.A modified Medical Research Council (MRC) questionnaire which was interviewer administered and an electronic hand held spirometer was used to collect data. Data analysis was carried out using Statistical Package for Scientific Solution (SPSS) version 17.

Results:

The Peak Expiratory Flow Rate (PEFR) of the flour dust exposed workers was significantly lower (p<0.001) compared to that of the unexposed population. All other lung function parameters were also lower although not statistically significant.

Conclusion:

Flour dust exposed workers in Edo Delta states like grain workers elsewhere have lung impairment, hence the need to provide protective equipment and also carry out regular periodic medical checks.

Key words: Lung functions; flour mill workers Edo and Delta states.

 

 

Missed injuries in trauma associated mortalities in a Nigerian teaching hospital

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Last Updated on Monday, 17 March 2014 09:01

Oludolapo Afuwape, *Clement Abu Okolo, **Adeleke Ifesanya

Department of Surgery, *Department of Pathology and Morbid Anatomy,

** Department of Orthopaedics and Trauma

University of Ibadan/University College Hospital Ibadan, Nigeria

Correspondence to: Oludolapo Afuwape This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Summary

Aims and objectives:

The objective of this study is to describe the pattern of missed injuries in trauma associated mortalities in the University College Hospital Ibadan Nigeria and to determine the relevance of postmortem examination in trauma related death.

Subjects and methods:

All cases of trauma- associated death in the Accident and Emergency Department of the University College Hospital (UCH), Ibadan Nigeria over a ten year period from January 1997 to December 2006 were reviewed. Data extracted from the records included the demographic data, the mechanism of injury, time and duration of injury prior to presentation and the clinical diagnosis. The autopsy findings were compared to the clinical diagnosis by the medical officer in the emergency department. The unrecorded injuries noted at autopsy were reviewed and classified using the modified Goldman criteria for autopsy discrepancies Results:

Two hundred and ninety trauma related autopsies were performed within the stipulated period. Diagnostic errors were observed in fifty five (18.9%) of these autopsies. The commonest mechanism of injury was road traffic accident (73%). Thirty (57%) of these patients arrived at the ED within six hours of injury. There were 79 missed injuries consisting of chest injuries (43%), while 26% were abdominal injuries. There were 25 type1 and 25 type 2 major errors. The mean revised trauma score (RTS) at presentation was 4.81+/_ 1.9 with a probability of survival of >60%

Conclusion

Trauma care needs to be taught as a specialty. Post mortem remains a necessary quality control tool.

Keywords; Trauma, death, missed injuries

 

 

Evaluation of a health resources management course for Nigerian doctors

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Last Updated on Monday, 17 March 2014 09:08

Oyeyemi AS*, Ogunnowo BE , Odukoya OO, Onajole AT, Campbell PC, Osibogun A

Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos.

*Department of Community Medicine, College of Health Sciences, Niger Delta University, Bayelsa State.

Correspondence to:

Dr. Abisoye Sunday Oyeyemi

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Summary

Aims and objectives: This study aimed to evaluate the March 2010 edition of the regular biannual two-week course on health resources management organised by the National Postgraduate Medical College of Nigeria. The main objectives were to assess participantsperception of the course and to measure change in their knowledge brought about by the course.

Subjects and Methods: This is a primarily cross-sectional study but with a before and after component. The study population comprised all participants who attended the course. Data were collected using pre-tested structured self- administered questionnaires. Data analysis was done with Epi Info 3.5.1. Students T-test was used to compare mean scores at pre-test and post-test and the p-value of <0.05 was considered statistically significant.

Results: Majority (95.8%) of the participants were senior registrars from teaching hospitals and most of them (70.5%) claimed the course met their needs a great deal/to a large extent. The participants were satisfied to a varying degree with different aspects of the course but overall 50.9% claimed they got value for their money. There was a statistically significant difference in the knowledge score at pre- and post-test (t = 3.19, p = 0.002).

Conclusion: The course met the needs of the participants largely and was able to improve their knowledge of health resources management as intended. A behaviour evaluation is recommended in order to assess the usefulness of the course to participants practice.

Key words: evaluation, Health Resources Management Course, Doctors,

 

   

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