Attitude towards psychiatric treatment and referral pattern in the University of Maiduguri Teaching Hospital- A preliminary report

Objective: There is a paucity of literature on consultation-liaison psychiatry, in northern Nigeria. This study aimed to determine both the pattern of psychiatric referrals, and the attitudes of doctors toward the treatment of mental disorders in a teaching hospital, in northeast Nigeria. Method: In this cross-sectional survey, we used a modified version of the self-rated Kumar 12-item questionnaire and a basic socio-demographic questionnaire to assess a non-random convenient sample of 100 postgraduate resident doctors (with a response rate of 70%) from the University of Maiduguri Teaching Hospital (UMTH). We subjected the dataobtained to descriptive statistical analysis, using EPI info (2003), to report averages. Results: A relatively low percentage (57.1%) of doctors acknowledged treating patients with mental disorders in their practice, with a higher proportion acknowledging referral (75%). Nearly one in five (17.6%) of the respondents were unaware that patients with functional illness could have psychological disorders. We found more awareness for psychotherapy (44.1%) than other non-pharmacological treatment interventions, while10.3% were ignorant of non-pharmacological forms of treatment for psychological problems. Conclusion: Although this is a preliminary report, the research reported here demonstrated that doctors in the teaching hospital concerned recognized the need for psychiatric consultation and referral. It is difficult to draw further conclusions because of the limitations of this study.Keywords: Consultation; Liaison; Psychiatry; northern Nigeri

Repurposing NGO data for better research outcomes: A scoping review of the use and secondary analysis of NGO data in health policy and systems research

Background Non-government organisations (NGOs) collect and generate vast amounts of potentially rich data, most of which are not used for research purposes. Secondary analysis of NGO data (their use and analysis in a study for which they were not originally collected) presents an important but largely unrealised opportunity to provide new research insights in critical areas including the evaluation of health policy and programmes. Methods A scoping review of the published literature was performed to identify the extent to which secondary analysis of NGO data has been used in health policy and systems research (HPSR). A tiered analytic approach provided a comprehensive overview and descriptive analyses of the studies which: 1) used data produced or collected by or about NGOs; 2) performed secondary analysis of the NGO data (beyond use of an NGO report as a supporting reference); 3) used NGO-collected clinical data. Results Of the 156 studies which performed secondary analysis of NGO-produced or collected data, 64% (n=100) used NGO-produced reports (e.g. to critique NGO activities and as a contextual reference) and 8% (n=13) analysed NGO-collected clinical data.. Of the studies, 55% investigated service delivery research topics, with 48% undertaken in developing countries and 17% in both developing and developed. NGO-collected clinical data enabled HPSR within marginalised groups (e.g. migrants, people in conflict-affected areas), with some limitations such as inconsistencies and missing data. Conclusion We found evidence that NGO-collected and produced data are most commonly perceived as a source of supporting evidence for HPSR and not as primary source data. However, these data can facilitate research in under-researched marginalised groups and in contexts that are hard to reach by academics, such as conflict-affected areas. NGO–academic collaboration could help address issues of NGO data quality to facilitate their more widespread use in research. Their use could enable relevant and timely research in the areas of health policy, programme evaluation and advocacy to improve health and reduce health inequalities, especially in marginalised groups and developing countries

Analysis Of The Windows Vista Security Model And The Implications In The Nigerian Market

This paper provides an in-depth technical assessment of the security improvements implemented in the new Microsoft Windows Vista (officially released February, 2007), focusing primarily on the areas of User Account Protection and User Interface Privilege Isolation. This paper discusses these features and touches on several of their shortcomings. It then demonstrates how it is possible to combine these attacks to gain full control over the machine form medium integrity level. We also looked at the implications in the fast growing Nigerian Market. JORIND Vol. 5 (1) 2007: pp. 112-11

Family medicine’s rapid establishment and early leadership role in Qatar’s health care system

Mohamud A Verjee,1 Mariam Ali Abdulmalik,2 Michael D Fetters31Department of Medical Education, Weill Cornell Medical College in Qatar, Qatar Foundation – Education City, Doha, Qatar; 2Primary Health Care Corporation, Doha, Qatar; 3Department of Family Medicine, University of Michigan, Michigan, USAAbstract: Family medicine is a focus of health care in Qatar, and it has emerged as a primary care pioneer in the Arabian Gulf Region. Strong governmental financial support has underpinned family medicine development in the country, and through proactive health care policy, free or highly affordable health care is available to all citizens and expatriates in primary health care centers and hospitals. An Ivy League and world-class medical school, Weill Cornell Medical College in New York established a second campus in Qatar in 2001, and enrolled its first students in 2002. The inaugural class graduated in 2008, including one graduate who matched to a family medicine residency in the United States. The College has already earned a reputation for an emphasis on cultural sensitivity in the curriculum. Qatar also has a well-established family medicine residency program overseen by the Primary Health Care Corporation. Its inaugural class of family medicine residents began training in 1995 and graduated in 1999. In contrast to a trend of fluctuating interest in family medicine training in many developed countries, the demand for residency slots in Qatar has been consistently high. Since November 2012, the Accreditation Council for Graduate Medical Education-International has approved all hospital-based residency positions. Formed in 2012, the Primary Health Care Corporation is dedicated to achieving accreditation for the family medicine residency in the near future. In 2011, Qatar’s 147 family physicians comprised about 18% of the total physician workforce. Through extended hours of operation at health centers, patients have ready access for acute care and follow-up consultations. Still, Qatar faces challenges including a projected population expansion from about 1.9 million in 2013 to 2.5 million people by 2020. Qatar’s National Primary Health Care Strategic Steering Group has recently submitted a new primary health care strategy to the government and identifies 12 challenges for the future of family medicine. Among these, ensuring access to clinical services that are patient and family centered, addressing the shortage of family physicians, expanding academic capacity, and increasing scholarly output are manifest.Keywords: family medicine, Qatar, undergraduate medical education, residency training, Arabian Gulf Regio

Prevalence and Factors Responsible for Stigmatization of the Mentally Ill among Student Nurses in North-Eastern Nigeria

Introduction: There is poor knowledge about mental illness, which contributes to stigmatization. The extent of the problem have been studied across cultures and found to be common(Gureje et al, 2005; Adewuya, 2007; Aghukwa, 2010) The impact of the stigma associated with mental illness is negative and pervasive; affecting patients, their family members, health care givers and the wider community. There is a need to determine the extent and factors associated with the tendency to stigmatize the mentally ill among future health care providers such as student nurses, who are potential community health educators.Aim: The study aimed to find the prevalence and the factors associated with stigma due to psychosis among student nursesMethods: It was a comparative cross sectional study of the prevalence of, and factors associated with mental illness stigma among student nurses using the Osgood semantic differential and World Psychiatric Association questionnaire on psychiatric stigma.Results: A total of 126 subjects participated in the study. The average age of the respondents was 23.7 years (SD=3.7), with an intra centre average of 23.0 and 24.6 for the Maiduguri and Damaturu centres respectively. The study demonstrated that in both study groups there was a general negative attitude (78-88.1% thought the mentally ill patients were dangerous; 78-88.5% would not marry people who had mental illness) and relatively good knowledge (29- 36% believed in a magical/ spiritual aetiology of mental disorders) about mental illness.Conclusion: Overall generally high levels of psychiatric stigma exist amongst the students' nurses, with very few socio demographic variables being associated with the levels of stigm

Lightweight Integrity Preserving Scheme for Secure Data Exchange in Cloud-Based IoT Systems

The information obtained from external sources within the cloud and the resulting computations are not always reliable. This is attributed to the absence of tangible regulations and information management on the part of the information owners. Although numerous techniques for safeguarding and securing external information have been developed, security hazards in the cloud are still problematic. This could potentially pose a significant challenge to the effective adoption and utilization of cloud technology. In terms of performance, many of the existing solutions are affected by high computation costs, particularly in terms of auditing. In order to reduce the auditing expenses, this paper proposes a well-organised, lightweight system for safeguarding information through enhanced integrity checking. The proposed technique implements a cryptographic hash function with low-cost mathematic operations. In addition, this paper explores the role of a semi-trusted server with regard to smart device users. This facilitates the formal management of information prior to distribution through the IoT-cloud system. Essentially, this facilitates the validation of the information stored and exchanged in this environment. The results obtained show that the proposed system is lightweight and offers features such as a safeguarding capability, key management, privacy, decreased costs, sufficient security for smart device users, one-time key provision, and high degree of accuracy. In addition, the proposed method exhibits lower computation complexity and storage expenses compared with those of other techniques such as bilinear map-based systems

Identification of a Small Molecule that Increases Hemoglobin Oxygen Affinity and Reduces SS Erythrocyte Sickling

Small molecules that increase the oxygen affinity of human hemoglobin may reduce sickling of red blood cells in patients with sickle cell disease. We screened 38 700 compounds using small molecule microarrays and identified 427 molecules that bind to hemoglobin. We developed a high-throughput assay for evaluating the ability of the 427 small molecules to modulate the oxygen affinity of hemoglobin. We identified a novel allosteric effector of hemoglobin, di(5-(2,3-dihydro-1,4-benzodioxin-2-yl)- 4H-1,2,4-triazol-3-yl)disulfide (TD-1). TD-1 induced a greater increase in oxygen affinity of human hemoglobin in solution and in red blood cells than did 5-hydroxymethyl-2-furfural (5-HMF), N-ethylmaleimide (NEM), or diformamidine disulfide. The three-dimensional structure of hemoglobin complexed with TD-1 revealed that monomeric units of TD-1 bound covalently to β-Cys93 and β-Cys112, as well as noncovalently to the central water cavity of the hemoglobin tetramer. The binding of TD-1 to hemoglobin stabilized the relaxed state (R3-state) of hemoglobin. TD-1 increased the oxygen affinity of sickle hemoglobin and inhibited in vitro hypoxia-induced sickling of red blood cells in patients with sickle cell disease without causing hemolysis. Our study indicates that TD-1 represents a novel lead molecule for the treatment of patients with sickle cell disease