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Search Results: 1 - 10 of 902 matches for " AC Ubesie "
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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.
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.
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
Research in theology in the digital age: Opportunities and limitations
AC Neele
Acta Theologica , 2011,
Abstract: Digital text repositories in the field of theology and history, including the works of John Calvin (1509-1564), are promising tools assisting scholars with comprehensive search capabilities, collaborative projects, annotations, and editing options. This paper discusses a case study of the opportunities and limitations of online scholarly archives of primary sources concerning the works of Calvin with particular attention to research, education, and publication.
Income Support and the Promotion of the Rights of the Elderly in Lesotho
AC Nyanguru
African Anthropologist , 2003,
Abstract: The low economic status of the elderly has been recognized and yet little research has been carried out in this area. The poverty of old people translates into poor health and nutrition, high levels of risk, problems of generating income, acute difficulties in sustaining the burdens brought by HIV and AIDS, migration, conflict, and the loss of land-based assets, violence and psychological pressures. The purpose of the study was to investigate how the rights of older people were realized. It reports on the rights to independence that ensures income security and access to food, shelter etc. The paper reports on a study conducted among a sample of 150 persons aged 60 years and above. The sample was drawn from an urban area (Maseru) and among the rural residents of Berea and Roma (30-40 km from Maseru). A questionnaire was administered by university students and took about one hour to administer. The main areas studied were the reported cash income and its sources, source of income in an emergency and the respondents' satisfaction with levels of the same. The study showed that slightly less than three-quarters of the rural elderly and slightly more than half of the urban elderly had incomes less than the minimum wage specified then. Urban incomes were higher. Two-fifths of respondents were unemployed, with an equal number mostly employed in manual and low paying jobs. A number largely depended on remittances or charity. There were no significant differences in satisfaction with incomes between the rural and urban elderly in spite of the significant differences in the same. The policy implications of the findings are discussed. The African Anthropologist Vol.10(2) 2003: 154-179
Speech Acts and Ideology in Select Nigerian Legal Discourse
AC Ezeife
African Research Review , 2010,
Abstract: Since linguistic investigations have proved that ideology is woven in our everyday linguistic interaction, the speech acts can portray such beliefs. Affidavit, on the other hand expresses facts for official and record purposes, as a result, there is a conceived inherent notion held in the interaction. As well, numerous studies on Nigerian legal discourse have largely concerned themselves with its stylistic and pragmatic features, but none of these have worked within the constraint of a model like speech acts to show that the ideological position of affidavit is apparent in its linguistic approach. This paper is therefore interested in filling this gap, concentrating only on speech acts in affidavits. The study is significant in that it shows how a legally and socially situated text such as affidavit is ‘not perfectly free’ of the ideological groups of its originators and time. This paper therefore, investigates fifteen affidavits of three different subject matters - affidavit of loss, affidavit of change of ownership and affidavit of personal identification. The paper concludes that ideological representations in affidavits, in addition to showing the bases of the terminology and aiding their meanings, reveal how speech acts account for acts which language may be used to perform.
Prevention And Control Of Tuberculosis
AC Okoh
Benin Journal of Postgraduate Medicine , 2009,
Abstract: No
Post-Reformation Reformed sources and children
AC Neele
HTS Theological Studies/Teologiese Studies , 2008,
Abstract: This article suggests that the topic “children” received considerable attention in the post-Reformation era – the period of CA 1565-1725. In particular, the author argues that the post-Reformation Reformed sources attest of a significant interest in the education and parenting of children. This interest not only continued, but intensified during the sixteenth-century Protestant Reformation when much thought was given to the subject matter. This article attempts to appraise the aim of post-Reformation Reformed sources on the topic “children.” HTS Theological Studies Vol. 64 (1) 2008: pp. 653-664
Historical narrative and wisdom. Towards preaching Esther “for such a time as this”.
AC Leder
Acta Theologica , 2011,
Abstract: This article considers the problem of preaching OT historical narrative from the point of view of the depiction of God’s participation in the drama. It suggests that historical narrative in general depicts a God who reveals himself infrequently, that his presence is normally veiled, and that the reader often has more information about God than the characters in the narrative. The discussion then focuses on Esther where God is resolutely veiled, even from the reader, were it not for the inter-textual references which the competent reader of OT historical narrative will discern. The article suggests that biblical wisdom literature, which discerns God’s veiled presence without respect to acts in history, can be employed to profitably preach Esther in a world where God is present, but readers experience him as veiled. The article ends with suggestions for a series of sermons on Esther.
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