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Showing posts from August, 2014

Ebola: Zmapp effective in macaques (rhesus monkeys)

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Featured post via Medpage Today (29:08:2014)
By Michael Smith
A controversial cocktail of Ebola antibodies was safe and highly effective in saving the lives of rhesus macaques, even as the animals neared death from the virus, researchers reported.


The medication, dubbed ZMapp, saved all 18 animals in a study, even when they were given the first of three doses 5 days after infection, when the clinical signs of disease were apparent, according to Gary Kobinger, PhD, of the Public Health Agency of Canada.
The antibody cocktail has been used several times, on a compassionate basis, to treat people during the current West African outbreak. That use has been controversial because, among other issues, the medication has had no formal tests in humans.
Also, because the supply was limited, questions arose as to which patients were allowed to receive the compassionate treatment. Two were American healthcare workers who were already receiving top-level care.
Kobinger said the compassionate use wa…

Doctors' Handwriting; Why we write the way we write

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Medic-ALL(29:08:2014)
by Kayode Kuku MB;BS:
I had just finished discussing with a patient and was documenting away in my usual serious but friendly fashion (stealing glances occasionally), then the patient on her way out after receiving her prescription volunteered "Doctor , you've got a fine handwriting for a Doctor", Thanks, I simply replied in my "humbly" proud tone. It really wasn't the first time I had received such a compliment from a patient, yes it wasn't, but mind you I have also heard nurses complain about my handwriting and some patients wonder aloud, "Doctor, what have you written"?


The horrible handwriting of doctors ,as some describe it, has being widely discussed and condemned by many people outside the profession. While some have come to the conclusion that doctors learn to write in a particular unreadable way while in school , others believe that doctors deliberately write in a certain way in order to conceal the exact content …

THE NIGERIAN HEALTH SECTOR: "SOME TRUTHS AND SHAPESHIFTERS" PART 3!

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Final Part
By Dr. Jide Akeju

The introduction of an expanded program that involves greater specialization was introduced in the USA, this is generally not a worldwide practice and only one institution in the United Kingdom offers something similar to the Doctor of Physical therapy program popular in the USA. JOHESU affiliates readily point to other climes to justify their demands. It can be deduced that the agitation for a residency program by the NSP has been copied from the USA, it is not what anyone can term as best global practice and regarded as excessive in some climes where masters or PhD programs are viewed as sufficient postgraduate training. Do the NSP have the requisite facilitators and experienced trainers to oversee a qualitative residency program or are they just copying and pasting what is practiced in another place without adequately evaluating the pros and cons?
If residency program is part of the agitations of JOHESU, which of the professional bodies are going to bene…

THE NIGERIAN HEALTH SECTOR: "SOME TRUTHS AND SHAPESHIFTERS" PART 2

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Continued from PART 1 By Jide Akeju

The 5 affiliate lions that make up the JOHESU “voltron” are: Medical and Health workers Union of Nigeria (MHWUN); National association of Nigerian Nurses and Midwives (NANNM); Senior staff association of Universities, Teaching Hospitals and associated Institutions (SSAUTHRIAI); Nigeria Union of Allied Health Professionals (NUAHP) and the Non Academic Staff Union of Educational and Associated Institutes (NASU). Of these 5 unions, only 3 are listed as written above amongst the 43 NLC affiliates I counted on the NLC website. There is no union like NUAHP and the closest union to SSAUTHRIAI is SSANU which represents the senior staff association of Nigerian Universities. In a draft released by the JOHESU to protest the non-inclusion of any of their members by the FG to the recently concluded confab, the leadership urged the president to urgently include members of the professional bodies in JOHESU at least. 
They mentioned the Association of Medical Labor…

Ebola: Health Workers , the Biggest Losers

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Medic-ALL (26:08:2014)
The World Health Organization(WHO) on Tuesday said that the deadly Ebola outbreak in West Africa has been unprecedented in many ways. A high proportion of healthcare workers are among those infected with the virus. 
So far, over 240 healthcare workers, including doctors and nurses, have contacted the disease in Guinea, Liberia, Nigeria, and Sierra Leone and over 120 have died.
According to the WHO, the virus has taken the lives of doctors in Sierra Leone and Liberia, depriving these hard-hit countries not only of experienced medical care but also of inspiring national heroes.



The UN health agency noted that shortage of personal protective equipment or its improper use, too few medical staff to cope with such a large outbreak and working beyond the number of hours recommended as safe contributed to the high proportion of infected medical staff. 
"In many cases, medical staff are at risk because no protective equipment is available, not even gloves and face m…

THE NIGERIAN HEALTH SECTOR: "SOME TRUTHS AND SHAPESHIFTERS" PART 1

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By Dr. Jide Akeju
16Then came there two women, that were harlots, unto the king, and stood before him. 17And the one woman said, O my lord, I and this woman dwell in one house; and I was delivered of a child with her in the house. 18 And it came to pass the third day after that I was delivered, that this woman was delivered also: and we were together; there was no stranger with us in the house, save we two in the house. 19 And this woman's child died in the night; because she overlaid it.20 And she arose at midnight, and took my son from beside me, while thine handmaid slept, and laid it in her bosom, and laid her dead child in my bosom. 21And when I rose in the morning to give my child suck, behold, it was dead: but when I had considered it in the morning, behold, it was not my son, which I did bear. 22And the other woman said, Nay; but the living is my son, and the dead is thy son. And this said, No; but the dead is thy son, and the living is my son. Thus they spake before the ki…

NMA Strike: New Salary structure to take off in Jan 2015

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BusinessDay(25:08:2014) The House of Representatives in Nigeria on Monday disclosed that the new salary structure for doctors would be reflected in the 2015 budget and takes effect from January 2015.
Ndudi Elumelu, chairman, House Committee on Health, gave the assurance while reacting to the resolution of the Nigerian Medical Association (NMA) to suspend the 55-day old nationwide strike on Sunday.


According to him, the parties during the reconciliatory meetings attended by Federal Government’s team resolved “that the Federal Ministry of Health will grant the request of NMA for a new circular as demanded by NMA.
“That the Federal Government shall pay two months’ salary arrears to members of NMA on or before August 31, 2014; that balance of salary arrears would be reflected in the 2015 budget and paid to members of NMA.
“That the new salary structure of medical doctors would be reflected in the 2015 budget and medical doctors will begin to get the new salary structure effective from Janu…

AS-AS Couple: Prenatal Diagnosis Option

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Medic-ALL(25:08:2014)
With awareness growing about the attendant consequences of having a child with the sickle cell disorder (SS) in this present age, many young people with the AS or AC genotype continue to take precautions regarding the genotypes of their spouses, as parents who have the benefit of hindsight counselling against their sickle cell trait (AS) children getting involved with their type and religious organizations putting in place strict laws including mandatory genotype testing before joining couples.
Many knowledgeable couples who happen to carry the sickle cell trait however still end up together and look forward to having kids without the sickle cell disease and thankfully scientists continue to work tirelessly to add to the present medical options available; Prenatal diagnosis for genotype, In-vitro fertilization and Bone marrow/Stem cell transplant. These options have been proving beneficial to many of such couples and continue to become increasingly available to a…

ALS & The Ice Bucket Challenge

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Medic-ALL (24:08:2014):
The "Ice-bucket challenge" for some weeks has being making the waves in the social media world. From athletes to movie-stars to politicians and millions of ordinary people all over the world, no one has been left out of this initiative to raise money for amyotrophic lateral sclerosis (ALS) research and awareness. 

In case you have been on some deserted island and away from the internet in the past few weeks the Ice bucket challenge involves pouring a bucket of ice water over their heads and challenging others to do same. When challenged by a friend or colleague to take up the task, you have 24 hours to either donate $100 to the cause or post a video showing yourself donating a bucket of ice on your head. You then in turn challenge 3 other people. A Former President of the United States, George W.Bush despite having said in a preamble to his video that the "task" was "not presidential" soon had a bucket of ice water dumped on his he…

NEW!!! Residency Training in Canada

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Canadian Path : The Road to Residency Training in Canada 

Ohhhh Canada…. An Overview
With the current state of the Nigerian Health care system and the disheartening future outlook of the Medical profession in Nigeria, it is not a surprise that many Nigerian Doctors are looking for greener pastures elsewhere. Some of these choice places being looked at include USA, UK, Ireland, Australia and Canada.
Read More here

U.S Ebola Patients Discharged

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Medpage Today 21:08:2014
Ebola patient Kent Brantly, MD -- saying "today is a miraculous day" -- has been discharged from an Atlanta hospital with a clean bill of health.


Brantly, a medical missionary working in Liberia, was airlifted to the U.S. and arrived at Emory University Hospital after coming down with the virus about 9 days earlier.
After a "rigorous course of treatment and thorough testing ... we have determined that Dr. Brantly has recovered from the Ebola virus infection," said Bruce Ribner, MD, medical director of the infectious disease unit at Emory.
"He can return to his family, to his community, and to his life, without public health concerns," Ribner told reporters.
Nancy Writepol, the other American missionary with Ebola airlifted to Emory, was discharged Tuesday, but at her request there was no announcement, Ribner said.
Brantly told reporters he was thankful to be alive and to be reunited with his family, who had returned to the U.S. fr…

Ebola Travel: South Africa bans West African incomers

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BBC  (21:08:2014): South Africa says non-citizens arriving from Ebola-affected areas of West Africa will not be allowed into the country, with borders closed to people from Guinea, Liberia and Sierra Leone.
Passenger being screened at the Kenyan airport, a common transit point for African travellers
All non-essential outgoing travel to the affected countries has been banned. Senegal also said it was suspending flights with Ebola-affected countries, and closing the border with Guinea. Cameroon and the Ivory Coast earlier imposed travel bans, despite World Health Organization warnings not to. Medium-risk
South African nationals will be allowed to re-enter the country when returning from high-risk countries, but will undergo strict screening, the health ministry said on Thursday. Usual screening procedures are in place for those who travel between Nigeria, Kenya and Ethiopia, which have been defined as medium-risk countries. Nigerian Airport: screening processes stepped up
South Africa has experie…

True Hero: A Tribute to Dr. Adadevoh

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Medic-ALL (20:08:2014)
As we mourn the death of Dr. Ameyo Adadevoh, the Nigerian Consultant physician who passed on last night after having contracted the dreaded Ebola Virus from the Liberian-American Patrick Sawyer, it has been revealed that she indeed did a heroic job for the country when she forced the Nigerian Patient Zero, Sawyer, to his bed after he attempted to escape from the hospital.
Report says Dr. Adadevoh was infected when she forcefully restricted Mr. Patrick Sawyer to his bed after he tried to remove the intravenous giving set administered on him. That one action, according to experts saved many Nigerian lives because, if Sawyer had succeeded in forcing himself out of the hospital, it would have been nearly impossible to trace those who had contact with him. Dr. Adadevoh died at an isolation centre where she had been quarantined alongside other doctors and nurses who treated Sawyer at First Consultants Hospital, Obalende, Lagos. Reports earlier in the week  had suggested th…