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Search Results: 1 - 10 of 336 matches for " RJ Chiegil "
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Nigerian health workers’ views concerning factors influencing paediatric adherence to anti-retroviral therapy
VJ Ehlers, RJ Chiegil
Health SA Gesondheid , 2011,
Abstract: Few studies have focused on paediatric anti-retroviral therapy (ART) adherence in Nigeria, probably because of the ethical challenges involved in studying children. The study aimed to identify factors that influence paediatric ART adherence as perceived by health care workers providing ART services in two cities in Nigeria. Knowledge about such factors would be used to formulate recommendations for enhancing paediatric ART adherence in Nigeria, for facilitating the tasks of the health care workers and for enhancing the ART programme’s effectiveness. An exploratory descriptive qualitative research design was used to identify and to describe health care workers’ views in Kano and Lagos, Nigeria. Three focus group discussions were conducted at two clinics that provide free paediatric ARVs (antiretroviral drugs). The transcribed data were analysed by using the framework approach of data analysis. Health care providers perceived poverty, illiteracy, stigma, discrimination, inappropriate care approaches, and parental dynamics as factors that influence paediatric ART adherence. Paediatric ART adherence levels in Nigeria could be enhanced by emphasising paediatric ART adherence counselling and by adopting a comprehensive family centred care approach, by improving free paediatric ART services and by empowering parents and reducing stigma and discrimination. Min studies het al op pediatriese anti-retrovirale behandeling (ARB) nakoming in Nigeri gefokus, wat moontlik toegeskryf kan word aan die etiese uitdagings betrokke by die bestudering van kinders. Die studie het gepoog om faktore te identifiseer wat pediatriese ARB nakoming kan be nvloed, soos waargeneem deur gesondheidsdienswerkers wat ARB dienste verskaf in twee stede in Nigeri . Kennis van sulke faktore sal aangewend word om aanbevelings te maak om die pediatriese ARB nakoming in Nigeri te verbeter, om die taak van die gesondheidsorgwerkers te vergemaklik en om die ARM (anti-retrovirale medisyne) program se doeltreffendheid te verbeter. ‘n Verkennende beskrywende kwalitatiewe navorsingsontwerp was benut ten einde gesondheidswerkers in Kano en Lagos, Nigeri , se standpunte te identifiseer en te beskryf. Drie fokusgroepbesprekings is gehou in twee klinieke wat gratis ARMs verskaf. Die getranskribeerde data is ontleed deur die raamwerkbenadering tot data analise te gebruik. Gesondheidsdienswerkers het waargeneem dat armoede en ongeletterdheid, stigma en diskriminasie, ontoepaslike sorgbenaderings en ouerlike dinamika, faktore was wat pediatriese ARB nakoming be nvloed het. Pediatriese ARB nakomingsvlakke in Nigeri kan verbeter word deur pediatriese ARB nakomingsberading te beklemtoon, deur die aanvaarding van ‘n omvattende gesinsgesentreerde sorgbenadering wat gratis ARB dienste bied, deur die verbetering van ARB dienste, die bemagtiging van ouers en die vermindering van stigma en diskriminasie.
Anaesthesia for the Elderly Cardiac Patient
RJ
Annals of Cardiac Anaesthesia , 2006,
Abstract:
Nigerian health workers’ views concerning factors influencing paediatric adherence to anti-retroviral therapy
Valerie J. Ehlers,Robert J. Chiegil
Health SA Gesondheid , 2011, DOI: 10.4102/hsag.v16i1.571
Abstract: Few studies have focused on paediatric anti-retroviral therapy (ART) adherence in Nigeria, probably because of the ethical challenges involved in studying children. The study aimed to identify factors that influence paediatric ART adherence as perceived by health care workers providing ART services in two cities in Nigeria. Knowledge about such factors would be used to formulate recommendations for enhancing paediatric ART adherence in Nigeria, for facilitating the tasks of the health care workers and for enhancing the ART programme’s effectiveness. An exploratory descriptive qualitative research design was used to identify and to describe health care workers’ views in Kano and Lagos, Nigeria. Three focus group discussions were conducted at two clinics that provide free paediatric ARVs (antiretroviral drugs). The transcribed data were analysed by using the framework approach of data analysis. Health care providers perceived poverty, illiteracy, stigma, discrimination, inappropriate care approaches, and parental dynamics as factors that influence paediatric ART adherence. Paediatric ART adherence levels in Nigeria could be enhanced by emphasising paediatric ART adherence counselling and by adopting a comprehensive family centred care approach, by improving free paediatric ART services and by empowering parents and reducing stigma and discrimination. Opsomming Min studies het al op pediatriese anti-retrovirale behandeling (ARB) nakoming in Nigeri gefokus, wat moontlik toegeskryf kan word aan die etiese uitdagings betrokke by die bestudering van kinders. Die studie het gepoog om faktore te identifiseer wat pediatriese ARB nakoming kan be nvloed, soos waargeneem deur gesondheidsdienswerkers wat ARB dienste verskaf in twee stede in Nigeri . Kennis van sulke faktore sal aangewend word om aanbevelings te maak om die pediatriese ARB nakoming in Nigeri te verbeter, om die taak van die gesondheidsorgwerkers te vergemaklik en om die ARM (anti-retrovirale medisyne) program se doeltreffendheid te verbeter.‘n Verkennende beskrywende kwalitatiewe navorsingsontwerp was benut ten einde gesondheidswerkers in Kano en Lagos, Nigeri , se standpunte te identifiseer en te beskryf. Drie fokusgroepbesprekings is gehou in twee klinieke wat gratis ARMs verskaf. Die getranskribeerde data is ontleed deur die raamwerkbenadering tot data analise te gebruik. Gesondheidsdienswerkers het waargeneem dat armoede en ongeletterdheid, stigma en diskriminasie, ontoepaslike sorgbenaderings en ouerlike dinamika, faktore was wat pediatriese ARB nakoming be nvloed het. Pediatriese ARB nakomings
Lack of Correlation between Severity of Clinical Symptoms, Skin Test Reactivity, and Radioallergosorbent Test Results in Venom-Allergic Patients
RJ Warrington
Allergy, Asthma & Clinical Immunology , 2006, DOI: 10.1186/1710-1492-2-2-62
Abstract: Thirty-six patients (including 15 females) who presented with a history of allergic reactions to insect stings were assessed. The mean age at the time of the reactions was 33.4 ± 15.1 years (range, 4-76 years), and patients were evaluated 43.6 ± 90 months (range, 1-300 months) after the reactions. Clinical reactions were scored according to severity, from 1 (cutaneous manifestations only) to 3 (anaphylaxis with shock). These scores were compared to scores for skin test reactivity (0 to 5, indicating the log increase in sensitivity from 1 μg/mL to 0.0001 μg/mL) and radioallergosorbent test (RAST) levels (0 to 4, indicating venom-specific IgE levels, from undetectable to >17.5 kilounits of antigen per litre [kUA/L]).No correlation was found between skin test reactivity (Spearman's coefficient = 0.15, p = .377) or RAST level (Spearman's coefficient = 0.32, p = .061) and the severity of reaction. Skin test and RAST scores both differed significantly from clinical severity (p < .05), but there was a significant correlation between skin test reactivity and RAST score (p = .042). There was no correlation between skin test reactivity and time since reaction (Spearman's coefficient = 0.18, p = .294) nor between RAST and time since reaction (r = 0.1353, p = .438). Elimination of patients tested more than 12 months after their reaction still produced no correlation between skin test reactivity (p = .681) or RAST score (p = .183) and the severity of the clinical reaction.In venom-allergic patients (in contrast to reported findings in cases of inhalant IgE-mediated allergy), there appears to be no significant correlation between the degree of skin test reactivity or levels of venom-specific IgE (determined by RAST) and the severity of the clinical reaction.There is an understandable tendency on the part of patients (and probably also physicians) to assume that there is a clinical correlation between (1) the degree of skin test reactivity to an allergen on intradermal or epicutan
Curbing the Global Culture of Violence in Nigerian Secondary Schools: The Role of School Administrators
RJ Akpan
African Research Review , 2009,
Abstract: The interactions of learners from distant contrasting cultures through the use of modern communication technologies are integral part of global learning experience leading to globalization. Globalization rides on the crest of technological and information revolution and has numerous gains. Unfortunately, globalization also breeds violence and conflicts. In Nigeria today, violence is one of the major causes of death for the adolescents. Teaching and earning have been impaired by violence in schools. This paper suggests administrative strategies to curb the escalation of violence among the youths so that Nigerians can maximally enjoy the benefits of globalization.
Farming for balanced nutrition: an agricultural approach to addressing micronutrient deficiency among the vulnerable poor in Africa
RJ Hillocks
African Journal of Food, Agriculture, Nutrition and Development , 2011,
Abstract: Concepts on malnutrition have evolved from an emphasis on protein deficiency through energy deficit, to the realization that food quality in general and an adequate supply of micronutrients in particular, is often more of a problem than food quantity. Throughout the developing world, micronutrient deficiency is one of the most important factors influencing human health, being directly responsible for conditions such as xeropthalmia, associated with vitamin A deficiency and anaemia, due to iron deficiency. In addition, micronutrient deficiency predisposes children to infection and retards recovery from common infections such as malaria, measles and diarrhoea. The groups most at risk from micronutrient deficiency are usually children and those for whom labour for food production is limited by ill health (HIV sufferers), advanced age or intense social commitments (single mothers, for example). There have been numerous health projects in sub-Saharan Africa and elsewhere in the developing world, to address micronutrient deficiency through the distribution of vitamin and mineral supplements, which usually have to be imported. An alternative (or complementary) approach is to promote the inclusion of high quality food crops in the farming system to enrich the diet with essential vitamins and minerals. This agricultural approach to the problem of micronutrient deficiency can provide sustainable solutions, which improve diet quality. An increase in the cultivation of high quality foods such as legumes, fruits and green vegetables, may be able to deliver a balanced diet to households, without necessarily requiring additional land and labour. Agricultural approaches to enhance dietary intake of vitamins and minerals have the additional advantage that they foster community self-reliance, they are sustainable in the absence of external funding, and, offer the opportunity for enhanced income by marketing surplus production. Diet diversification through better use of existing biodiversity offers an immediate means to address poor diet quality and can also include the use of presently available nutritionally enhanced crops, such as orange-fleshed sweet potato.
Fluid therapy in the emergency unit
RJ Diedericks
Continuing Medical Education , 2013,
Abstract: Many children entering emergency units require immediate vascular access and intravenous fluid administration. Choosing the correct fluid and administering effective and safe amounts of fluid for resuscitation are important determinants of morbidity and mortality outcomes. CME January 2013 Vol. 31 No. 1
Implementing biosafety procedures in developing countries: Accessing independent, impartial advice
RJ Frederick
African Crop Science Journal , 1995,
Abstract:
Cutaneous adverse drug reactions: Idiosyncratic and potentially serious cutaneous adverse drug reactions (CADRs), although relatively rare, account for significant morbidity and mortality
RJ Lehloenya
Continuing Medical Education , 2011,
Abstract:
A review of the modern operations management curricula for a new programme qualifi cation mix (PQM)
RJ Steenkamp
Southern African Business Review , 2010,
Abstract: 3The POM (production and operations management) function is less understood than any other business function. In manufacturing industries it is usually taken to be production management and best left to specialists (such as engineers). In some service organisations, the term is still not recognised. In addition to this, the persistent gap between what is being taught and what is relevant to the practitioner needs to be addressed. The purpose of this article is to lead up to a revision and design of the POM function curricula and to promote its core overriding value as the theme for a bachelor’s qualifi cation in higher education that meets the needs of South African industry. 4The methodology used as part of this curriculum design process was based on secondary research sources (current academic reports and established syllabi) and two empirical surveys among a subset of the population, namely industry leaders in South Africa. The resultant qualifi cation design is presented as a conceptual draft as part of the recommended new degree in POM to be submitted to the DOE (Department of Education) by a South African university. The overall implications of this article would put POM back at the top of the corporate agenda. A further study is recommended based on the application of the Collective Causal Mapping Methodology (CCMM) for creating (revising) course curricula (Hays, Bouzdine-Chameeva, Hill, Scavarda & Goldstein 2007).
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