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Search Results: 1 - 10 of 219536 matches for " Agozie C Ubesie "
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Mothers' beliefs about infant teething in Enugu, South-east Nigeria: a cross sectional study
Gilbert N Adimorah, Agozie C Ubesie, Josephat M Chinawa
BMC Research Notes , 2011, DOI: 10.1186/1756-0500-4-228
Abstract: A cross-sectional survey involving sixty mothers presenting at a Children's clinic in Enugu metropolis using questionnaire. More than 90% of the respondents thought that babies can experience medical problems as a result of teething. The commonest medical problems perceived to be associated with teething were fever (71.7%), loose stools (58.3%) and vomiting (35%).Mothers still associate a variety of symptoms of childhood illnesses to teething and this association is not evidence based and could lead to delayed interventions, increased morbidity and mortality of children. It is important therefore that mothers and health workers caring for young children are educated on the need to seek prompt medical attentions in a symptomatic child.Teething according to Tasanen cited in Swann [1] has traditionally been the explanation for a variety of symptoms and signs associated with tooth eruption in the young child, both by parents and doctors. A child's first tooth usually appears by 6 months of age, and a complete set of 20 primary or first teeth usually develops by age three [2]. It is important to remember that during this same period of an infant's life, passive immunity due to maternal antibodies wanes and exposure to a wide variety of childhood illnesses can occur [3]. Some of the attributable symptoms such as drooling of saliva and itching gum are trivial, nevertheless significant to the child and parents [4]. Others such as fever, diarrhea and cough may connote underlying serious medical conditions in the child. There is little evidence to support these beliefs despite their implications for prompt diagnosis and management of childhood illnesses [4]. Such uninformed beliefs could cause delays in diagnosing and managing serious childhood illnesses. Delayed diagnosis of underlying serious medical conditions on the other hand, may have far reaching consequences including mortalities from otherwise preventable and treatable diseases. It is important therefore, that parent
Paracetamol use (and/or misuse) in children in Enugu, South-East, Nigeria
Herbert A Obu, Josephat M Chinawa, Agozie C Ubesie, Christopher B Eke, Ikenna K Ndu
BMC Pediatrics , 2012, DOI: 10.1186/1471-2431-12-103
Abstract: To determine the dosage, formulation, and frequency of paracetamol administration to children by caregivers and factors associated with its use and/or misuse.An observational prospective study involving 231 children and their caregivers seen at the paediatric outpatient clinic of the University of Nigeria Teaching Hospital, Ituku - Ozalla, Enugu between June and November 2011 was undertaken. Data on paracetamol use before presentation to the clinic, in addition to demographic and other data were obtained from the caregivers using a structured questionnaire. Ethical consent for the study was obtained from the Hospital Ethics and Research Committee and informed consent was further obtained from the caregivers of the children.A total of 231 children aged six weeks to 16?years and their caregivers participated in this study. The mean ages of the children and their caregivers were 3.8 and 33.9?years, respectively. One hundred and thirty three of the children studied were males while 98 were females. Most of the children (75.6%) received paracetamol at home before presenting. Paracetamol tablet alone or in combination with the syrup was mostly used (60%) and this observation was made across all age groups. The commonest reason for using paracetamol tablet instead of the syrup was that it was more effective. Most caregivers relied on past experience (71.2%) rather than on enclosed information leaflet to decide the appropriate dosage. Half of the children also received other medications, mainly anti-malarials and antibiotics.Paracetamol was commonly given to children on “self prescription” basis and the tablet formulation was most frequently used, with the possibility of misuse and overdose. Caregivers need to be educated on age-appropriate formulations which are less likely to lead to overdose.Paracetamol (also known as acetaminophen) is the most widely used analgesic and antipyretic [1]. It is found in many over the counter and prescription products. Given in the right do
Under-five Protein Energy Malnutrition Admitted at the University of In Nigeria Teaching Hospital, Enugu: a 10 year retrospective review
Agozie C Ubesie, Ngozi S Ibeziako, Chika I Ndiokwelu, Chinyeaka M Uzoka, Chinelo A Nwafor
Nutrition Journal , 2012, DOI: 10.1186/1475-2891-11-43
Abstract: A retrospective study using case Notes, admission and mortality registers retrieved from the Hospital’s Medical Records Department.All children aged 0 to 59?months admitted into the hospital on account of PEM between 1996 and 2005.A total of 212 children with PEM were admitted during the period under review comprising of 127 (59.9%) males and 85(40.1%) females. The most common age groups with PEM were 6 to 12?months (55.7%) and 13 to 24?months (36.8%). Marasmus (34.9%) was the most common form of PEM noted in this review. Diarrhea and malaria were the most common associated co-morbidities. Majority (64.9%) of the patients were from the lower socio-economic class. The overall case fatality rate was 40.1% which was slightly higher among males (50.9%). Mortality in those with marasmic-kwashiokor and in the unclassified group was 53.3% and 54.5% respectively.Most of the admissions and case fatality were noted in those aged 6 to 24?months which coincides with the weaning period. Marasmic-kwashiokor is associated with higher case fatality rate than other forms of PEM. We suggest strengthening of the infant feeding practices by promoting exclusive breastfeeding for the first six months of life, followed by appropriate weaning with continued breast feeding. Under-five children should be screened for PEM at the community level for early diagnosis and prompt management as a way of reducing the high mortality associated with admitted severe cases.
Mother-to-child transmission of HIV: the pre-rapid advice experience of the university of Nigeria teaching hospital Ituku/Ozalla, Enugu, South-east Nigeria
Ngozi S Ibeziako, Agozie C Ubesie, Ifeoma J Emodi, Adaeze C Ayuk, Kene K Iloh, Anthony N Ikefuna
BMC Research Notes , 2012, DOI: 10.1186/1756-0500-5-305
Abstract: A retrospective study, involving HIV exposed infants seen at the pediatric HIV clinic of UNTH between March 2006 and September 2008. Relevant data were retrieved from their medical records. The overall rate of mother to child transmission of HIV in this study was 3.9% (95% CI 1.1%- 6.7%). However, in children breastfed for 3?months or less, the rate of transmission was 10% (95% CI ?2.5%-22.5%), compared to 3.5% (95% CI 0.5%-6.5%) in children that had exclusive replacement feeding.This retrospective observational study shows a 3.9% cumulative rate of mother-to-child transmission of HIV by 18?months of age in Enugu. Holistic but cost effective preventive interventions help in reducing the rate of mother-to-child transmission of HIV even in economically-developing settings like Nigeria.The first documented case of Acquired Immune Deficiency Syndrome (AIDS) in Nigeria was in 1986 in a 13?year old child in Calabar, Cross River State [1]. Since then, children have continued to remain vulnerable to this epidemic in Nigeria. Children can be infected with the virus through mother-to-child transmission (MTCT), blood transfusion, unprotected sex and through the use of non-sterile sharp objects [1,2]. MTCT is the most common route and is responsible for as much as 70 to 95% [3-6] of the infection in the pediatric age group. The next most common route of HIV transmission in children living in economically-developing countries is blood transfusion.[7,8]. This route accounts for about 5 to 20% of pediatric AIDS [3,4].MTCT can occur in utero, during labor and delivery, and postnatally through breastfeeding. A number of risk factors for MTCT of HIV have been documented. The risk factors associated with transmission during labor are prolonged rupture of uterine membrane for more than 4 hours, prolonged labor, mixing of maternal and fetal blood which happens more with tears and episiotomies [5,9]. The risk factors associated with transmission post-natally are breastfeeding and mixed f
Otitis Media in Children: Review Article  [PDF]
G. C. Ilechukwu, C. G. A. Ilechukwu, A. C. Ubesie, C. N. Ojinnaka, G. O. Emechebe, K. K. Iloh
Open Journal of Pediatrics (OJPed) , 2014, DOI: 10.4236/ojped.2014.41006
Abstract: Otitis media is one of the most common infectious diseases of childhood. It is not uncommon for clinicians to miss the diagnosis of the acute form especially in younger children. Late and missed diagnoses result in poor management and increased risk of complications. This review highlights the epidemiology, presenting features, diagnosis, treatment and complications of otitis media.
Pediatric HIV/AIDS in sub-Saharan Africa: emerging issues and way forward
AC Ubesie
African Health Sciences , 2012,
Abstract: Background: Sub-Saharan Africa has the largest burden of pediatric HIV in the world. Global target has been set for eradication of pediatric HIV by 2015 but there are still so many complex issues facing HIV infected and affected children in the sub-continent. Objective: To review the current and emerging challenges facing pediatric HIV care in sub-Saharan Africa; and proffer solutions that could help in tackling these challenges. Method: A Medline literature search of recent publications was performed to identify articles on “pediatric HIV”, “HIV and children”, “HIV and infants”, “HIV and adolescents” in sub-Saharan Africa. Result: There are a number of challenges and emerging complex issues facing children infected and affected by HIV in sub-Saharan Africa. These include late presentation, limited access to pediatric HIV services, delayed diagnosis, infant feeding choices, malnutrition, limited and complex drug regimen, disclosure, treatment failure and reproductive health concerns. A holistic cost effective preventive, diagnostic and treatment strategies are required in order to eliminate pediatric HIV in SSA. Conclusion: HIV infected children and their families in sub-Saharan Africa face myriad of complex medical and psychosocial issues. A holistic health promotional approach is being advocated as the required step for eradication of pediatric HIV in Africa.
Prevalence of hypoxemia among children with sickle cell anemia during steady state and crises: A cross.sectional study
JM Chinawa, AC Ubesie, BF Chukwu, AN Ikefuna, IJ Emodi
Nigerian Journal of Clinical Practice , 2013,
Abstract: Background: Patients with sickle cell anemia (SCA) are prone to recurrent pain crises related to red blood cell sickling and vaso.occlusion with subsequent tissue hypoxia. Alveolar hypoxia has been shown to be associated with entrapment of sickle cells in the pulmonary microcirculation which may propagate a cycle of further hypoxemia and sickling. Pulmonary complications are common in sickle cell disease (SCD) and may exacerbate microvascular occlusive phenomena. Thus, detecting hypoxemia is of particular importance in SCD. Objectives: This study was designed to determine the prevalence of hypoxemia among children with SCA and compare the oxygen saturation of those in crises with those in steady state. Materials and Methods: This is a prospective observational study involving 46 children with SCA in steady state, 42 with crises, and 42 with HbAA genotype carried out between August and December 2010. The study compared the oxygen saturation of sickle cell anaemic children in steady state and in crises with normal hemoglobin genotype using Nellcon pulse oximeter while the hemoglobin concentration was analyzed using automated Sysmex KX.21N model. Results: A total of 130 participants aged 6 months to 18 years were recruited. The overall prevalence of hypoxemia in this study was 13.8%. Hypoxemia was highest among SCA patients in the crisis state (23.8%) compared to 13% and 0% for those in the steady state and in those with normal hemoglobin genotype, respectively ( 2 = 6.425, P = 0.04). Hypoxemia was higher among those with hemoglobin less than 5 g/dl (30%) and least among those whose hemoglobin levels were 10 g/dl and above. Conclusions: Hypoxemia was significantly higher among children with SCA during Vaso-occlusion crises. We recommend that one should have a high index of suspicion and take prompt action in managing these individuals especially those with acute chest syndrome.
ВПЛИВ Х М ЧНОГО СКЛАДУ НА ТИСК НАСИЧЕНО ПАРИ В МОТОРНИХ Б ОЛОГ ЧНИХ ПАЛИВАХ The influence of chemical composition on the saturated vapor pressure in biological motor fuels Влияние химического состава на давление насыщенного пара в моторных биологических топливах
?.В. Полунк?н,C.О. Зубенко,О.О. Гайдай,А.В. Струнгар
Proceedings of National Aviation University , 2010,
Abstract: Розглянуто вплив випаровуваност альтернативних палив на р шення проблеми холодного пуску двигуна за рахунок використання пропан-бутаново сум ш для п двищення тиску насичено пари. Volatility fuels fraction of the estimated parameters and letkosti. Volatility characterizes the ability to switch fuels in vaporous state. Selecting indicators to assess the volatility depends on the chemical composition of fuel. The main measure letkosti etanolnogo fuel is vapor pressure. The most simple and cost-effective to improve cold start is putting in fuel lehkoletyuchyh components: butane, izopentanu, gas and other petroleum. It was investigated the influence of DEE on alcohol-gasoline blend, the results show that DEE positive impact on increasing vapor pressure to the desired minimum for starting the engine. But because the ether to 19%, then at such high levels can actively formed peroxide compounds, which is undesirable. Very promising is the use of propane-butane gas mixture as lehkoletyuchoyi gaseous component. Butanizovani spirit-petrol mixture can be recommended for use as alternative fuel vehicles after further study of their stability and himmotolohichnyh characteristics. Автомобильные бензины и альтернативные биологические топлива на основе этанола преимущественно предназначены для применения в двигателях внутреннего сгорания. При использовании альтернативного биологического топлива, особенно этанольного, возникает проблема недостаточной испаряемости бензина при низкой температуре, в результате чего в холодное время года двигатель может не запуститься. Пусковые свойства бензина зависят от содержания в них летучих фракций или летучих соединений. Проблему холодного запуска предлагается решать за счет использования пропан-бутановой смеси для повышения давления насыщенного пара. Для перспективного применения газов пропан-бутановой смеси легколетучего газообразного компонента необходимы дальнейшие исследования стабилизации такой композиции.
Strategic trends of development of the Lithuanian aviation in the light of Euro-integration processes Стратегические направления развития авиации литвы в свете евроинтеграции процессов СТРАТЕГ ЧНИЙ НАПРЯМ РОЗВИТКУ АВ АЦ ЛИТВИ У СВ ТЛИ ВРО НТЕГРАЦ ЙНИХ ПРОЦЕС В
Й. Станкунаc
Proceedings of National Aviation University , 2004,
Abstract: The factors having an effect on the system of air transport in the Republic of Lithuania in connection with Lithuania’s membership in the European Union are discussed. The structure of the system of air transport of the country is presented, an analysis of the current situation and a strategic analysis of the development of the system is made, and the measures addressed at the long-range perspective are proposed. Рассмотрены факторы, действующие в системе воздушного транспорта Литовской Республики после вступления в Европейский Союз. Приведена структура системы воздушного транспорта страны и выполнен стратегический анализ развития транспортной системы на долгосрочную перспективу. Розглянуто чинники, що д ють у систем пов тряного транспорту Литовсько Республ ки п сля вступу в вропейський Союз. Подано структуру систем пов тряного транспорту кра ни та виконано стратег чний анал з розвитку транспортно системи на довгострокову перспективу.
C.В. Поперешняк
Proceedings of National Aviation University , 2012,
Abstract: In this paper a theorem on the asymptotic distribution of rank of random matrices in the field GF (2) of independent random -D lines, the absence in it of unity lines and the assumption that the difference between the number of rows and number of columns of the matrix is a fixed number of random characters, . Получена теорема про асимптотику распределения ранга случайной матрицы над полем GF(2), которая состоит из независимых случайных -мерных строк, при условии отсутствия в ней единичных линий и в предположении, что разница между числом строк и числом столбцов матрицы фиксированное число произвольного знака, . Отримано теорему про асимптотику розпод лу рангу випадково матриц в пол GF(2) з незалежних випадкових -вим рних рядк в за умови в дсутност в н й одиничних л н й та в припущенн , що р зниця м ж числом рядк в та числом стовпц в матриц ф ксоване число дов льного знаку,
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