Cosmetic surgery has become popular in both developed and developing countries. The aim of this s... more Cosmetic surgery has become popular in both developed and developing countries. The aim of this study is to identify the level of knowledge, determinants of attitude, and willingness for cosmetic surgery among online media users in Nigeria. A semi-structured online questionnaire was designed on Google forms and was forwarded to respondents via the investigator's social media networks (Email, WhatsApp, Facebook). Data on socio-demographic characteristics, level of knowledge, attitude, and willingness for cosmetic surgery was collected from one hundred and ninety-seven online users and analyzed using SPSS version 20.0. P-value less than or equal to 0.05 was taken as significant. The mean age of the respondent was 28.0 ± 7.1 years with a male to female ratio of 1:1.4. The majority (91.9%) of the respondents had good knowledge of cosmetic surgery, but 53.0% of the respondents have a positive attitude to cosmetic surgery. More than three-quarters (77.7%) were unwilling to have cosmetic surgery, and satisfaction with body image was the most frequent reason stated. The younger age group, respondents that are Christians, and personal income of above ₦1,000,000 ($2,595.63) per annum were predictors of a positive attitude to cosmetic surgery. The respondents had good knowledge of cosmetic surgery. However, the attitude towards cosmetic surgery was relatively poor. Factors such as age, religion, ethnic affiliation, and income were important determinants of the attitude towards cosmetic surgery.
This study was designed to evaluate the effect of dust on health status of sawmill workers in Ben... more This study was designed to evaluate the effect of dust on health status of sawmill workers in Benin City. • It consisted of a cross-sectional descriptive study of 102 randomly selected sawmill workers and 53 controls, and the use of questionnaire to elicit morbidity pattern. Respiratory peak flow rates were measured in both groups. The subjects had poor awareness of the hazards they were exposed to. Respiratory symptoms were more common among sawmill workers as compared to controls .• Only 18.6% of sawmill workers used protective clothing. None of them had pre-employment or periodic medical examination. Forced expiration volume showed lower values among sawmill • workers than in• controls. Results suggest that respiratory symptoms are frequent and lung function is compromised in this group.
Pan African Journal of Life Sciences, Mar 17, 2023
Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are... more Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are brought-in-dead (BID) with unknown causes and contribute to hospital mortality statistics. This study aimed to determine the causes and patterns of death in the AEU of the
Pan African Journal of Life Sciences, Mar 31, 2022
Background: Burns constitute a significant public health problem worldwide, with most reported mo... more Background: Burns constitute a significant public health problem worldwide, with most reported mortalities occurring in low and medium-income countries (LMICs). Therefore, this study aimed to generate epidemiological data on the aetiologies, patterns of presentations, and outcomes of burn injuries in Ado Ekiti, the capital of Ekiti State. Methodology: This was a five-year prospective study of all patients with burns managed at Ekiti State University Teaching Hospital. The required information was entered into a hospital-based burn data collection form from admission to discharge. The data generated were exported to IBM SPSS version 23 for analysis. Results: A total of 160 patients were included in this study. The median age was 10.5 years (IQR 2-33). Half of the patients were aged <10 years old. About 66.9% of the injuries occurred indoors, with the kitchen being the most common injury site (49.4%). Scald was the most common aetiology, and most injuries occurred in the morning. While 71.9% had first aid at the injury site, the first aid agents used were potentially harmful in most cases. The injuries were predominantly partial-thickness with a mean TBSA burn of 14% and a median ABSI of 4 (IQR 3-5). The lower limbs were the most frequently affected body regions, with an overall mortality rate of 5%. Conclusion: Scalds are the most common aetiology of burns in Ado Ekiti, with most injuries occurring in the kitchen. The populace needs to be adequately educated on the suitable materials to provide first aid to burn victims.
SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...
SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...
Electrical burn injuries have not been well reported in the literature. Though uncommon, they nev... more Electrical burn injuries have not been well reported in the literature. Though uncommon, they nevertheless cause significant multisystem injury with significant morbidity and mortality and are often associated with a high amputation rate from tissue necrosis. We reviewed 15 patients out of a burn population of 229 patients managed at the Burn Service of the University of Benin Teaching Hospital, Nigeria from August 2009 to June 2011.There were 13 males and 2 females. The mean age was 27.7yrs ( Range 4-43). Ten (67%) suffered high voltage (>1000V) injuries, while 3 were from low voltage. Only one occurred in the home setting. Ten were work related and 4 occurred from fallen high tension cables. The mean burn size was 21% BSA ( Range 2- 43%).There were three deaths ( 20%). We identified electricity workers as target for preventive action and proper maintenance of overhead cables and poles as strategy to prevent electrocution from falling cables.
Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The a... more Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains...
Background: Globally, the medical and teaching professions are two major professions with the hig... more Background: Globally, the medical and teaching professions are two major professions with the highest prevalence of burnout, and academic physicians bestride the two professions. This study investigated the prevalence and associated factors of burnout among academic physicians working in tertiary hospitals in Nigeria. Methodology: This was a self-administered online survey. Burnout was measured using the Maslach Burnout Inventory and sent to 256 academic physicians in tertiary hospitals across Nigeria using the WhatsApp broadcast feature. Findings: A total of 150 Academic Physicians responded, of which there were 121 (80.7%) males and 29 (19.3%) females. The prevalence of burnout in our study was 57.7%. Moderate emotional exhaustion was reported by 12.3% (18 respondents), high emotional exhaustion by 18.5% (27 respondents), moderate depersonalization by 4.8% (7 respondents), high depersonalization by 0.7% (1 respondent), moderate personal accomplishment by 10.4% (16 respondents), and high personal accomplishment by 33.1% (51 respondents). Eight variables: religion, geopolitical zone of practice, enjoyment of academic writing, apathy toward teaching, university ownership, number of published peer-reviewed articles, salary, and supplementary income were signi cantly associated with emotional exhaustion, while the number of weeks spent teaching in a year and teaching hours/week were signi cantly associated with depersonalization and personal accomplishment, respectively. Age (OR 1.302, CI 1.080-1.570), Teaching hours/week (OR 0.924, CI 0.854-0.999), Salary (OR 0.996, CI 0.993-1.0), and supplementary salary (OR 0.996, CI 0.993-0.999) were found to signi cantly predict emotional exhaustion. Conclusion: The high prevalence of burnout among academic physicians in Nigeria highlights the need for further research and implementation of preventive measures
Background: Background: Death is common in accidents and emergency units (AEU), and its causes va... more Background: Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are brought-in-dead (BID) with unknown causes and contribute to hospital mortality statistics. This study aimed to determine the causes and patterns of death in the AEU of the Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria Methods: This was a 5-year retrospective study of all patients who died in the AEU of Ekiti State University Teaching Hospital, including those brought in dead. The information needed was extracted from the case notes and entered into SPSS version 23 for analysis. Results: A total of 7,682 patients were observed during the study period, with 275 deaths repre-senting a mortality rate of 3.6%. One hundred and fifty-six (56.7%) patients were BID. The mean age was 50.8 years. Most deaths (n=233, 84.7%) were from non-traumatic causes, with stroke and heart failure being the most common causes. Head injury (3.3%) was the most common traumatic cause of ...
Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered ... more Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered among rural dwellers in developing countries mostly as a result of ignorance, believe in alternate therapy and fear of surgery. Its management is very challenging and requires adequate preoperative preparation. We present two patients with giant inguinal herniae, one of which was left sided Amyand’s her-nia, who successfully had mesh hernioplasty in our center.
Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered ... more Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered among rural dwellers in developing countries mostly as a result of ignorance, believe in alternate therapy and fear of surgery. Its management is very challenging and requires adequate preoperative preparation. We present two patients with giant inguinal herniae, one of which was left sided Amyand’s her-nia, who successfully had mesh hernioplasty in our center.
Background: Patients coming to the hospital hope on getting well or cured of their ailment, but t... more Background: Patients coming to the hospital hope on getting well or cured of their ailment, but this hope goes unrealized, sometimes leading to their death. Objectives: We looked at the pattern and causes of death at adult surgical wards and autopsy rates in our facility. Materials and Methods: Retrospective descriptive study of the mortalities in adult surgical wards at Ekiti State University Teaching Hospital, Ado-Ekiti, in South-Western Nigeria, over a period of 5 years, July 2011–June 2016. Results: Two thousand one hundred and thirty-eight patients were managed in the adult surgical wards, and there were 89 (4.16%) cases of death during the study with 51 case notes available for the analysis. Twenty-eight males and 23 females with a male: female of 1.2:1. Age ranges from 18 to 93 years, with a mean of 57.14 ± 20.42 years. The highest mortalities were recorded in general surgical unit (25, [49.0%]) with a mortality rate of 3% and highest in patients with neoplastic diseases (24,...
Aplasia cutis congenital though rare is encountered in clinical practice, presenting varying mana... more Aplasia cutis congenital though rare is encountered in clinical practice, presenting varying management dilemma. We present a female neonate delivered at term with congenital absence of skin on both lower limbs, highlighting the constraints of management in a resource-limited environment and the impact on the outcome for the patient.
Journal of Clinical Images and Medical Case Reports, 2021
Open scalp wounds are often associated with retained foreign bodies and are poorly reported. Desp... more Open scalp wounds are often associated with retained foreign bodies and are poorly reported. Despite meticulous radiological evaluations, foreign bodies can still be missed. Complication such as chronic headache, scalp abscess, chronic osteomyelitis, organic personality disorder had been reported. Coupled with the potential for medicolegal concerns, retained foreign bodied in the scalp thus require critical evaluation and management. Herein we reported a case of a retained stalk of grass (foreign body) in the scalp that is complicated with scalp abscess and chronic headache and call for a high index of suspicious in the management of foreign bodies in the scalp.
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
Burn injuries come with enormous challenges and devastation to the victims. The consequences get ... more Burn injuries come with enormous challenges and devastation to the victims. The consequences get worse when multiple members of a family are involved. Social supports are necessary, especially where health financing is mainly through out-of-pocket expenditure. The use of Medical Social Workers (MSW) in burn care in our region is limited, and their roles are poorly or inadequately reported. This study appraises the role of MSW in the multidisciplinary management of burn patients. We report the management of an impoverished family of five who sustained varying degrees of burn injuries, and the role MSW played in their care. Beyond being a routine discharge planner, the MSW provided social support, psychotherapy and rallied community support, which translated to an improved outcome for the patients. Involving MSW in burn care provides great benefit to patients. Burn surgeons are therefore encouraged to use the added value of MSW on their teams. Keywords: Burn, Injury, Medical social wo...
Background: Burns constitute a significant public health problem worldwide, with most reported mo... more Background: Burns constitute a significant public health problem worldwide, with most reported mortalities occurring in low and medium-income countries (LMICs). Therefore, this study aimed to generate epidemiological data on the aetiologies, patterns of presentations, and outcomes of burn injuries in Ado Ekiti, the capital of Ekiti State. Methodology: This was a five-year prospective study of all patients with burns managed at Ekiti State University Teaching Hospital. The required information was entered into a hospital-based burn data collection form from admission to discharge. The data generated were exported to IBM SPSS version 23 for analysis. Results: A total of 160 patients were included in this study. The median age was 10.5 years (IQR 2 – 33). Half of the patients were aged <10 years old. About 66.9% of the injuries occurred indoors, with the kitchen being the most common injury site (49.4%). Scald was the most common aetiology, and most injuries occurred in the morning....
Journal of the West African College of Surgeons, 2011
Electrical burn injuries have not been well reported in the literature. Though uncommon, they nev... more Electrical burn injuries have not been well reported in the literature. Though uncommon, they nevertheless cause significant multisystem injury with significant morbidity and mortality and are often associated with a high amputation rate from tissue necrosis. We reviewed 15 patients out of a burn population of 229 patients managed at the Burn Service of the University of Benin Teaching Hospital, Nigeria from August 2009 to June 2011.There were 13 males and 2 females. The mean age was 27.7yrs ( Range 4-43). Ten (67%) suffered high voltage (>1000V) injuries, while 3 were from low voltage. Only one occurred in the home setting. Ten were work related and 4 occurred from fallen high tension cables. The mean burn size was 21% BSA ( Range 2- 43%).There were three deaths ( 20%). We identified electricity workers as target for preventive action and proper maintenance of overhead cables and poles as strategy to prevent electrocution from falling cables.
Cosmetic surgery has become popular in both developed and developing countries. The aim of this s... more Cosmetic surgery has become popular in both developed and developing countries. The aim of this study is to identify the level of knowledge, determinants of attitude, and willingness for cosmetic surgery among online media users in Nigeria. A semi-structured online questionnaire was designed on Google forms and was forwarded to respondents via the investigator's social media networks (Email, WhatsApp, Facebook). Data on socio-demographic characteristics, level of knowledge, attitude, and willingness for cosmetic surgery was collected from one hundred and ninety-seven online users and analyzed using SPSS version 20.0. P-value less than or equal to 0.05 was taken as significant. The mean age of the respondent was 28.0 ± 7.1 years with a male to female ratio of 1:1.4. The majority (91.9%) of the respondents had good knowledge of cosmetic surgery, but 53.0% of the respondents have a positive attitude to cosmetic surgery. More than three-quarters (77.7%) were unwilling to have cosmetic surgery, and satisfaction with body image was the most frequent reason stated. The younger age group, respondents that are Christians, and personal income of above ₦1,000,000 ($2,595.63) per annum were predictors of a positive attitude to cosmetic surgery. The respondents had good knowledge of cosmetic surgery. However, the attitude towards cosmetic surgery was relatively poor. Factors such as age, religion, ethnic affiliation, and income were important determinants of the attitude towards cosmetic surgery.
This study was designed to evaluate the effect of dust on health status of sawmill workers in Ben... more This study was designed to evaluate the effect of dust on health status of sawmill workers in Benin City. • It consisted of a cross-sectional descriptive study of 102 randomly selected sawmill workers and 53 controls, and the use of questionnaire to elicit morbidity pattern. Respiratory peak flow rates were measured in both groups. The subjects had poor awareness of the hazards they were exposed to. Respiratory symptoms were more common among sawmill workers as compared to controls .• Only 18.6% of sawmill workers used protective clothing. None of them had pre-employment or periodic medical examination. Forced expiration volume showed lower values among sawmill • workers than in• controls. Results suggest that respiratory symptoms are frequent and lung function is compromised in this group.
Pan African Journal of Life Sciences, Mar 17, 2023
Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are... more Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are brought-in-dead (BID) with unknown causes and contribute to hospital mortality statistics. This study aimed to determine the causes and patterns of death in the AEU of the
Pan African Journal of Life Sciences, Mar 31, 2022
Background: Burns constitute a significant public health problem worldwide, with most reported mo... more Background: Burns constitute a significant public health problem worldwide, with most reported mortalities occurring in low and medium-income countries (LMICs). Therefore, this study aimed to generate epidemiological data on the aetiologies, patterns of presentations, and outcomes of burn injuries in Ado Ekiti, the capital of Ekiti State. Methodology: This was a five-year prospective study of all patients with burns managed at Ekiti State University Teaching Hospital. The required information was entered into a hospital-based burn data collection form from admission to discharge. The data generated were exported to IBM SPSS version 23 for analysis. Results: A total of 160 patients were included in this study. The median age was 10.5 years (IQR 2-33). Half of the patients were aged <10 years old. About 66.9% of the injuries occurred indoors, with the kitchen being the most common injury site (49.4%). Scald was the most common aetiology, and most injuries occurred in the morning. While 71.9% had first aid at the injury site, the first aid agents used were potentially harmful in most cases. The injuries were predominantly partial-thickness with a mean TBSA burn of 14% and a median ABSI of 4 (IQR 3-5). The lower limbs were the most frequently affected body regions, with an overall mortality rate of 5%. Conclusion: Scalds are the most common aetiology of burns in Ado Ekiti, with most injuries occurring in the kitchen. The populace needs to be adequately educated on the suitable materials to provide first aid to burn victims.
SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...
SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...
Electrical burn injuries have not been well reported in the literature. Though uncommon, they nev... more Electrical burn injuries have not been well reported in the literature. Though uncommon, they nevertheless cause significant multisystem injury with significant morbidity and mortality and are often associated with a high amputation rate from tissue necrosis. We reviewed 15 patients out of a burn population of 229 patients managed at the Burn Service of the University of Benin Teaching Hospital, Nigeria from August 2009 to June 2011.There were 13 males and 2 females. The mean age was 27.7yrs ( Range 4-43). Ten (67%) suffered high voltage (>1000V) injuries, while 3 were from low voltage. Only one occurred in the home setting. Ten were work related and 4 occurred from fallen high tension cables. The mean burn size was 21% BSA ( Range 2- 43%).There were three deaths ( 20%). We identified electricity workers as target for preventive action and proper maintenance of overhead cables and poles as strategy to prevent electrocution from falling cables.
Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The a... more Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains...
Background: Globally, the medical and teaching professions are two major professions with the hig... more Background: Globally, the medical and teaching professions are two major professions with the highest prevalence of burnout, and academic physicians bestride the two professions. This study investigated the prevalence and associated factors of burnout among academic physicians working in tertiary hospitals in Nigeria. Methodology: This was a self-administered online survey. Burnout was measured using the Maslach Burnout Inventory and sent to 256 academic physicians in tertiary hospitals across Nigeria using the WhatsApp broadcast feature. Findings: A total of 150 Academic Physicians responded, of which there were 121 (80.7%) males and 29 (19.3%) females. The prevalence of burnout in our study was 57.7%. Moderate emotional exhaustion was reported by 12.3% (18 respondents), high emotional exhaustion by 18.5% (27 respondents), moderate depersonalization by 4.8% (7 respondents), high depersonalization by 0.7% (1 respondent), moderate personal accomplishment by 10.4% (16 respondents), and high personal accomplishment by 33.1% (51 respondents). Eight variables: religion, geopolitical zone of practice, enjoyment of academic writing, apathy toward teaching, university ownership, number of published peer-reviewed articles, salary, and supplementary income were signi cantly associated with emotional exhaustion, while the number of weeks spent teaching in a year and teaching hours/week were signi cantly associated with depersonalization and personal accomplishment, respectively. Age (OR 1.302, CI 1.080-1.570), Teaching hours/week (OR 0.924, CI 0.854-0.999), Salary (OR 0.996, CI 0.993-1.0), and supplementary salary (OR 0.996, CI 0.993-0.999) were found to signi cantly predict emotional exhaustion. Conclusion: The high prevalence of burnout among academic physicians in Nigeria highlights the need for further research and implementation of preventive measures
Background: Background: Death is common in accidents and emergency units (AEU), and its causes va... more Background: Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are brought-in-dead (BID) with unknown causes and contribute to hospital mortality statistics. This study aimed to determine the causes and patterns of death in the AEU of the Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria Methods: This was a 5-year retrospective study of all patients who died in the AEU of Ekiti State University Teaching Hospital, including those brought in dead. The information needed was extracted from the case notes and entered into SPSS version 23 for analysis. Results: A total of 7,682 patients were observed during the study period, with 275 deaths repre-senting a mortality rate of 3.6%. One hundred and fifty-six (56.7%) patients were BID. The mean age was 50.8 years. Most deaths (n=233, 84.7%) were from non-traumatic causes, with stroke and heart failure being the most common causes. Head injury (3.3%) was the most common traumatic cause of ...
Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered ... more Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered among rural dwellers in developing countries mostly as a result of ignorance, believe in alternate therapy and fear of surgery. Its management is very challenging and requires adequate preoperative preparation. We present two patients with giant inguinal herniae, one of which was left sided Amyand’s her-nia, who successfully had mesh hernioplasty in our center.
Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered ... more Giant inguinal hernia is a rare entity in developed world but are still occasionally encountered among rural dwellers in developing countries mostly as a result of ignorance, believe in alternate therapy and fear of surgery. Its management is very challenging and requires adequate preoperative preparation. We present two patients with giant inguinal herniae, one of which was left sided Amyand’s her-nia, who successfully had mesh hernioplasty in our center.
Background: Patients coming to the hospital hope on getting well or cured of their ailment, but t... more Background: Patients coming to the hospital hope on getting well or cured of their ailment, but this hope goes unrealized, sometimes leading to their death. Objectives: We looked at the pattern and causes of death at adult surgical wards and autopsy rates in our facility. Materials and Methods: Retrospective descriptive study of the mortalities in adult surgical wards at Ekiti State University Teaching Hospital, Ado-Ekiti, in South-Western Nigeria, over a period of 5 years, July 2011–June 2016. Results: Two thousand one hundred and thirty-eight patients were managed in the adult surgical wards, and there were 89 (4.16%) cases of death during the study with 51 case notes available for the analysis. Twenty-eight males and 23 females with a male: female of 1.2:1. Age ranges from 18 to 93 years, with a mean of 57.14 ± 20.42 years. The highest mortalities were recorded in general surgical unit (25, [49.0%]) with a mortality rate of 3% and highest in patients with neoplastic diseases (24,...
Aplasia cutis congenital though rare is encountered in clinical practice, presenting varying mana... more Aplasia cutis congenital though rare is encountered in clinical practice, presenting varying management dilemma. We present a female neonate delivered at term with congenital absence of skin on both lower limbs, highlighting the constraints of management in a resource-limited environment and the impact on the outcome for the patient.
Journal of Clinical Images and Medical Case Reports, 2021
Open scalp wounds are often associated with retained foreign bodies and are poorly reported. Desp... more Open scalp wounds are often associated with retained foreign bodies and are poorly reported. Despite meticulous radiological evaluations, foreign bodies can still be missed. Complication such as chronic headache, scalp abscess, chronic osteomyelitis, organic personality disorder had been reported. Coupled with the potential for medicolegal concerns, retained foreign bodied in the scalp thus require critical evaluation and management. Herein we reported a case of a retained stalk of grass (foreign body) in the scalp that is complicated with scalp abscess and chronic headache and call for a high index of suspicious in the management of foreign bodies in the scalp.
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
Burn injuries come with enormous challenges and devastation to the victims. The consequences get ... more Burn injuries come with enormous challenges and devastation to the victims. The consequences get worse when multiple members of a family are involved. Social supports are necessary, especially where health financing is mainly through out-of-pocket expenditure. The use of Medical Social Workers (MSW) in burn care in our region is limited, and their roles are poorly or inadequately reported. This study appraises the role of MSW in the multidisciplinary management of burn patients. We report the management of an impoverished family of five who sustained varying degrees of burn injuries, and the role MSW played in their care. Beyond being a routine discharge planner, the MSW provided social support, psychotherapy and rallied community support, which translated to an improved outcome for the patients. Involving MSW in burn care provides great benefit to patients. Burn surgeons are therefore encouraged to use the added value of MSW on their teams. Keywords: Burn, Injury, Medical social wo...
Background: Burns constitute a significant public health problem worldwide, with most reported mo... more Background: Burns constitute a significant public health problem worldwide, with most reported mortalities occurring in low and medium-income countries (LMICs). Therefore, this study aimed to generate epidemiological data on the aetiologies, patterns of presentations, and outcomes of burn injuries in Ado Ekiti, the capital of Ekiti State. Methodology: This was a five-year prospective study of all patients with burns managed at Ekiti State University Teaching Hospital. The required information was entered into a hospital-based burn data collection form from admission to discharge. The data generated were exported to IBM SPSS version 23 for analysis. Results: A total of 160 patients were included in this study. The median age was 10.5 years (IQR 2 – 33). Half of the patients were aged <10 years old. About 66.9% of the injuries occurred indoors, with the kitchen being the most common injury site (49.4%). Scald was the most common aetiology, and most injuries occurred in the morning....
Journal of the West African College of Surgeons, 2011
Electrical burn injuries have not been well reported in the literature. Though uncommon, they nev... more Electrical burn injuries have not been well reported in the literature. Though uncommon, they nevertheless cause significant multisystem injury with significant morbidity and mortality and are often associated with a high amputation rate from tissue necrosis. We reviewed 15 patients out of a burn population of 229 patients managed at the Burn Service of the University of Benin Teaching Hospital, Nigeria from August 2009 to June 2011.There were 13 males and 2 females. The mean age was 27.7yrs ( Range 4-43). Ten (67%) suffered high voltage (>1000V) injuries, while 3 were from low voltage. Only one occurred in the home setting. Ten were work related and 4 occurred from fallen high tension cables. The mean burn size was 21% BSA ( Range 2- 43%).There were three deaths ( 20%). We identified electricity workers as target for preventive action and proper maintenance of overhead cables and poles as strategy to prevent electrocution from falling cables.
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Papers by Kadiri Innih