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Bilateral Accessory Breast: A Case Report
DY Buowari
Jos Journal of Medicine , 2012,
Abstract: Accessory breast is a relatively rare conduction, which is commoner in females than males. Most of them do not cause any discomforting symptoms but cosmetic embarrassment especially to a woman in the presence of her partner. Case Summary: A 23-year-old postpartum woman is presented who was managed for bilateral accessory breast at a district hospital. The accessory breasts were excised under ketamine anaesthesia. Conclusion: The treatment of accessory breast is excision because all disease conditions that affect normal breast can also affect accessory breast including malignant transformation.
Complications of venepuncture  [PDF]
Omiepirisa Yvonne Buowari
Advances in Bioscience and Biotechnology (ABB) , 2013, DOI: 10.4236/abb.2013.41A018

Venepuncture is the commonest procedure performed in health care settings. A review of literature and search on complications of venepuncture and blood collection. This procedure is without complications, which sometime can be fatal. Complications that can arise from venepuncture include haematoma formation, nerve damage, pain, haemaconcentration, extravasation, iatrogenic anaemia, arterial puncture, petechiae, allergies, fear and phobia, infection, syncope and fainting, excessive bleeding, edema and thrombus.

Fake and Counterfeit Drug: A review
OV Buowari
Afrimedic Journal , 2012,
Abstract: BACKGROUND: Drugs are used to cure or treat disease, relieve symptoms, ease pain, prevent disease or symptoms,eliminate or reduce symptoms and to slow the disease process. The problem of fake drugs is wide spread affecting both developing and developed nations, assumes added significance in view of rapid globalisation and is assuming a dangerous dimension in most countries. METHODOLOGY: A review of literature on counterfeit drug and it impact was done. The articles were accessed from public libraries, as well as online through internet search engines and relevant information extracted. RESULTS: The burden of counterfeit is a enormous and can result in treatment failure, end organs damage and toxicity, death, economic loss as well as of loss of confidence in the healthcare system Conclusion: Trade in counterfeit drugs appears to be wide spread and affects both developing and developed countries. The fight against counterfeit and fake drugs is multisectional and requires a prolonged approach. It requires all stake holders to contribute actively in order to achieve success.
Indications for Caesarean Section at a Nigerian District Hospital
YD Buowari
Nigerian Health Journal , 2012,
Abstract: Background: Caesarean section (CS) is a common surgical procedure performed in women of reproductive age. The numerous indications for a CS may be due to foetal or maternal problems. Though it is a life saving procedure, it also carries a higher morbidity and mortality than vagina delivery. Method: This is a retrospective study conducted from January 2005 to December 2006 at a secondary health facility located in a rural setting in Nigeria. The maternity ward and theatre registers were the sources of data. Results: There were fourteen indications for the 155-caeserean sections performed with obstructed labour being the highest indication. Obstructed labour, eclampsia and pre-eclampsia were the major indications for caeserean section. There were 4 (2.6%) Maternal deaths and 19(12.2%) stillbirths out of the 156 babies delivered. Conclusion: Lack of utilization antenatal care services present in the locality and late presentation are some of the risks of maternal mortality and poor foetal outcome. The populace need to be educated on the importance of antenatal care. Key Words: Caesarean Section; Indications; Nigerian Hospital
Quality of Life Following Permanent Neurological Damage after Subarachnoid Block
Yvonne Dabota Buowari
Case Reports in Anesthesiology , 2011, DOI: 10.1155/2011/906905
Abstract: Introduction. Caesarean section is the commonest operation carried out in females of the reproductive age group. Spinal anaesthesia is commonly used for caesarean section with its risk. Permanent paralysis of the lower limbs following subarachnoid block is a rare complication but can occur even in the best of hands. Case Summary. This is a 29-year-old final-year university student now 34 years old who had emergency caesarean section for cephalopelvic disproportion in 2005 under spinal anaesthesia in a low-resource setting in a developing country. She developed permanent neurological deficit thereafter. She had urinary and faecal incontinence for one year. She lost one academic session at her school because of long hospital stay and is now confined to a wheel chair. She celebrated her daughter's fifth birthday in October, 2010. Although there is ability in inability, she is now disabled. Conclusion. It is important for clinicians to recognise the complications of subarachnoid block promptly to avoid delay in treatment and severe neurological deficits.
Knowledge, Attitude and Practice of Breast Self Examination among Women in Rivers State, Nigeria
HI Bellgam, YD Buowari
Nigerian Health Journal , 2012,
Abstract: Background: Screening for early detection of diseases is an important public health principle. Breast selfexamination is one of the vital screening techniques for early detection of breast disease and breast cancer, which is the commonest cancer in women. Method: A cross-sectional study was conducted in 2008 in three Local Government Areas of Rivers State, Nigeria, using a structured questionnaire. Results: The age range of respondents was 21-85 years. Two hundred and eleven (16.06%) have heard of breast self-examination, of which 200(28.94%) practice It. Knowledge and awareness of BSE is affected by education as 3 (0.43%) of respondents with primary education, 146(21.13%) secondary education and 125(18.09%) with tertiary education have heard of breast self-examination. None of the respondents without formal education have heard or practice breast self-examination. Conclusion: In developing countries owing to resource crunch and diagnostic facilities being too costly, breast selfexamination is an effective and economic preventive mode. Hence, early detection and screening by self-examination should be promoted. Key Words: Breast, Cancer, Examination, Developing Countries
Postpartum Haemorrhage Following Unsupervised Labour: The Role of the Anaesthetist  [PDF]
Longinus N. Ebirim, Benjamin Lagiri, Omiepirisa Yvonne Buowari
Open Journal of Anesthesiology (OJAnes) , 2012, DOI: 10.4236/ojanes.2012.25046
Abstract: Obstetric haemorrhage is a leading cause of maternal morbidity and mortality and sometimes the patients require anaesthesia in the course of treatment. A Para 3 Nigerian who delivered outside the hospital was rushed in to the hospital in a shocked state following a major obstetric haemorrhage. She was immediately resuscitated and general anaesthesia administered for hysterectomy. Anaesthesia was induced with ketamine, intubation facilitated with suxamethonium and muscle relaxation maintained with 5 mg of atracurium while oxygen was administered. She received blood transfusion and the postoperative period was uneventful. There is need for emergency obstetric and anaesthetic services in developing and low income countries. There is need for continuous training in the administration of emergency anaesthesia to help reduce maternal morbidity and mortality. It is also necessary for blood bank services and antibiotics to be readily available.
Influence on sensitivity to insecticides: a case study of a settled area and a game park in Liwonde
DY Pemba, J Namangale
Malawi Medical Journal , 2009,
Abstract: The close proximity of Liwonde National Park to Liwonde town creates a unique situation of a large human population adjacent to a natural undisturbed animal reserve. The closeness of the two ecosystems has an impact on biology of mosquitoes of the area, such as susceptibility to insecticides. Susceptibility to insecticide was determined using knockdown bioassays. The mosquito, Anopheles gambiae, was exposed to 0.05% deltamethrin and 0.75 % permethrin giving LT 50 and LT 90. The LT50 values for A. gambiae from the town was 17.23 minutes and those from the park, 14.7 minutes (p< 0.05). The calculated LT 90 values were 32.8 and 28.3 minutes respectively. These results suggest that human settlements using insecticides in mosquito control reduce susceptibility of mosquitoes to regularly used insecticides such as deltamethrin and permethrin in this study.
DY Eszter Andrea
Debreceni M?szaki K?zlemények , 2011,
Abstract: In order to determine the higher education institutions competitiveness it is essential to know that, the labor-market what opportunities insures for graduate students.The quality of engineering training, as well as the competence of engineering students will greatly influence the future. The competences that a trained employee needs to fulfil their professional duties can already be developed during education, a good method of which is education through projects For both employers and graduate student the general knowledge, the learning ability, problem solving ability are the most important competencies. For improving the interpersonal competence the Faculty of Engineering of the Debrecen University implemented two elective subjects entitled “Self-Knowledge” and “Personality Development” in the academic year 2010/2011. This study shows the structures and characteristics of these two subjects.
Relating Carbon Dioxide Emissions with Macroeconomic Variables in the Philippine Setting  [PDF]
Rosalina Palanca-Tan, Timothy Allen Dy, Angela Tan
Low Carbon Economy (LCE) , 2016, DOI: 10.4236/lce.2016.71002
Abstract: Using cointegration and error correction modeling techniques, this paper examines the dynamics of carbon dioxide (CO2) emissions in relation to economic growth, energy consumption, trade openness, urbanization and foreign direct investments in the case of the Philippines. The study finds that 1) economic growth and CO2 emissions have a significant positive linear relationship, suggesting that income growth policies must be subject to reasonably stringent environmental constraints related to CO2 emissions; 2) CO2 emissions are inelastic with respect to energy use in the short run, but its response becomes elastic in the long-run; and 3) CO2 emissions have a positive elasticity with respect to FDI which conforms with the Pollution Haven hypothesis.
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