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Search Results: 1 - 10 of 326273 matches for " E.D Kitcher "
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Foreign Body Inhalation: A Review of Patients at the Korle Bu Teaching Hospital, Accra, Ghana
E.D Kitcher
West African Journal of Medicine , 2009,
Abstract: BACKGROUND: Foreign body inhalation, a surgical emergency requiring prompt management to avoid morbidity and mortality , poses a diagnostic and management challenge to otolaryngologists. OBJECTIVE: To assess the pattern of foreign body inhalation at the ENT Unit Korle Bu Teaching Hospital Accra, Ghana. METHODS: The theatre records of patients managed for foreign body inhalation from Ist January 2003–31st December 2006 at the ENT Unit of the Korle Bu Teaching Hospital Accra, Ghana were studied with respect to age, sex, clinical presentation, types of foreign bodies removed, location of foreign bodies, and outcomes of the laryngoscopy or bronchoscopy procedures. RESULTS: There were forty patients with an age range of seven months to 15 years with a mean age of 4.78 years and a peak age incidence at zero–four year age group. The commonest inhaled foreign bodies included groundnuts in five (12.5%) patients, fish bones in six (15%) patients, plastic materials in five (12.5%) patients, metal material in five (12.5%) patients and seeds in five (12.5%) patients. The common clinical presentations included respiratory difficulty, irritating cough, choking, painful swallowing and whistling sound during breathing. Foreign bodies were localized in the right main bronchus in 27 (67.5 %) patients, and in the left main bronchus in ten (25%) patients and in the larynx in three (7.5%) patients. One patient died during bronchoscopy and another patient had bronchotomy for failed bronchoscopy. CONCLUSION: The peak age of occurrence of forein body inhalation is in the zero-four year age group. The commonest inhaled foreign bodies are groundnuts, fish bones, plastic materials, metal materials and seeds. Majority of inhaled foreign bodies tend to localise in the right main bronchus. WAJM 2009; 28(6): 368–370.
Ischemia and fibrosis: the risk mechanisms of hypertensive heart disease
Frohlich, E.D.;
Brazilian Journal of Medical and Biological Research , 2000, DOI: 10.1590/S0100-879X2000000600010
Abstract: mechanisms underlying risk associated with hypertensive heart disease (hhd) and left ventricular hypertrophy (lvh) are discussed in this report and provide a rationale for understanding this very common and important cause of death from hypertension and its complications. emphasized are impaired coronary hemodynamics, endothelial dysfunction, and ventricular fibrosis from increased collagen deposition intramurally and perivascularly. each is exacerbated by aging and, perhaps, also by increased dietary salt intake. these functional and structural changes promote further endothelial dysfunction, altered coronary hemodynamics, and diastolic as well as systolic ventricular contractile function in hhd. the clinical endpoints of hhd include angina pectoris (with or without atherosclerosis of the epicardial coronary arteries), myocardial infarction, cardiac failure, lethal dysrhythmias, and sudden death. the major concept to be derived from these alterations is that not all that is clinically recognized as lvh is true myocytic hypertrophy and structural remodeling. other major co-morbid changes occur that serve to increase cardiovascular risk including impaired coronary hemodynamics, endothelial dysfunction, and ventricular fibrosis.
Principals and Teachers Perceptions of the Role of Private Sector in Enhancing the Quality of Pubilc Secondary Schools in Central Senatorial District of Delta State, Nigeria
E.D. Nakpodia
Pakistan Journal of Social Sciences , 2012, DOI: 10.3923/pjssci.2011.192.197
Abstract: The study examined the role of private sector in enhancing the quality of public secondary school in Central Senatorial district of Delta State, Nigeria. Three research questions were raised and three null hypotheses formulated to guide the study. The instrument designed were administered in person to 574 respondents made up of 52 principals and 522 teachers sampled from the target population of 152 principals and 4,408 teachers. A stratified random sampling technique was employed. The instrument was validated in its face and content values and found reliable at 0.77 reliability coefficient using the Spearman Brown Prophesy formula. Data collected were analysed with mean scores standard deviation and the three null hypotheses were tested using the Z-test at 0.05 level of significance. The findings showed that private sector has contributed to quality school buildings and that the private sector has not contributed to well equipped libraries and laboratories in the schools while government should make laws that will compel the private sector to participate actively in enhancing the quality of public secondary schools.
Diarrhoea and malnutrition
E.D Nel
South African Journal of Clinical Nutrition , 2010,
Abstract: The relationship between diarrhoea and malnutrition is bidirectional: diarrhoea leads to malnutrition while malnutrition aggravates the course of diarrhoea. Many factors contribute to the detrimental effect of diarrhoea on nutrition. Reduced intake (due to anorexia, vomiting, and withholding of feeds), maldigestion, malabsorption, increased nutrient losses, and the effects of the infl ammatory response are some of the factors involved. High volume stool losses (greater than 30 ml/kg/day) are associated with a negative balance for protein, fat, and sugar absorption. Enteric infections often cause increased loss of endogenous proteins, particularly after invasive bacterial infections. Initially, the major emphasis of treatment of acute diarrhoea in children is the prevention and treatment of dehydration, electrolyte abnormalities and comorbid conditions. The objectives of diarrhoeal disease management are to prevent weight loss, to encourage catch-up growth during recovery, to shorten the duration and to decrease the impact of the diarrhoea on the child’s health. Addressing only diarrhoea or only food security is unlikely to be successful in decreasing the prevalence of malnutrition. Existing evidence provides some guidelines as to the optimal nutritional management of children with diarrhoea and novel treatments may prove to be valuable in future.
Work Environment and Productivity among Primary School Teachers in Nigeria
E.D. Nakpodia
International Business Management , 2012, DOI: 10.3923/ibm.2011.232.238
Abstract: This study examined the influence of work environment on teachers productivity in Primary schools in Nigeria. Since, primary education is the starting point for the citizen s general development and also the basic foundation for sub-sequent levels of education, a lot is expected from the teacher. Every education system depends heavily on the quality and productivity of its teachers for improving and maintaining standards and quality. This study tries to identify and establish the relationship between work environment and the Nigeria primary school teacher productivity. Recommendations are made for the improvement of the work environment of Nigeria primary school teachers to greater productivity of the attainment of the objectives of primary education.
The encyclopaedic impulse; Accounts of the origin of the rajadom of Sikka by two Sikkanese authors
E.D. Lewis
Bijdragen tot de Taal-, Land- en Volkenkunde , 1999,
Word and act in the curing rituals of the Ata Tana ’Ai of Flores
E.D. Lewis
Bijdragen tot de Taal-, Land- en Volkenkunde , 1989,
The tyranny of the text; Oral tradition and the power of writing in Sikka and Tana ?Ai, Flores
E.D. Lewis
Bijdragen tot de Taal-, Land- en Volkenkunde , 1998,
Ritual and reflexes of lost sovereignty in Sikka, a regency of Flores in eastern Indonesia
E.D. Lewis
Bijdragen tot de Taal-, Land- en Volkenkunde , 2008,
Abstract: In 1993 some among the Sikkanese population of the town of Maumere on the north coast of Flores in eastern Indonesia attended a ritual to reconcile the members of two branches of the family of the rajas of Sikka, a dynasty that had once ruled the district. The two branches had fallen out over differences in opinion about the last succession to the office of raja a few years before the end of the rajadom in the late 1950s. A description of the ritual, which was conducted in an urban rather than a village setting, and an analysis of the performance demonstrate much about the persistence of elements of the old Sikkanese religion in modern Sikkanese society. The contemporary Sikkanese are Christians and the regency of Sikka is part of the modern Indonesian nation-state.
Peculiarities of anesthetic aid in myasthenia
Kupriyanova E.D.
Saratov Journal of Medical Scientific Research , 2011,
Abstract: The article presents the data on comparative analysis of two medical cases of myasthenia patients, analysis of general anesthetization and post-surgical process. The influence of previous therapy, overall condition and accompanied pathology is stated
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