Foreign body in the nasopharynx; masquerading as pharyngotonsillitis

Foreign body (FB) in the aerodigestive tracts has been commonly reported but findings of impacted foreign bodies in the nasopharynx following inhalation/ingestion are very rare. Most of the FB gets lodged as a result of forceful vomiting, coughing,and digital manoeuvres for removal of FB in the oropharynx. Several objects have been identified lodged in the nasopharynx.No age group is spared although most victims are children under 10 years of age.Foreign bodies in the nasopharynx can be uneventful or potentially dangerous depending on type,size and location as it may cause sudden airway obstruction,or local pressure necrosis of alimentary or respiratory tract or both.Presentation in children is usually with a history of swallowed FB which may not be witnessed in children, choking, cough, bluish discolouration, breathlessness, drooling of saliva, halitosis, rhinorrhoea, snoring, stridor, dysphagia, vomiting and dysphonia.A foreign body in the nasopharynx is a challenge to patient, parents,the physician and the ENT surgeon,as it may be miss-diagnosed,in the index case,as Pharyngotonsilitis.The index patient,a 14 month child,was presented with a two days history of fever,drooling of saliva,mouth breathing, and digital manipulation. Lateral imaging of the post nasal space following initial treatment with antibiotics, aided the diagnosis of a periwinkle shell in the nasopharyngx that was removed during a nasopharyngoscopy under general anaesthesia without complication and subsequently discharged home.This emphasizes a high index of suspicion for FB in the nasopharynx in children with history of missing foreign body, digital manipulation, drooling of saliva and mouth breathing. Lateral X-ray of the postnasal space, neck, chest and abdomen should be the minimum investigation required

Abnormalities of the external genitalia and groins among primary school boys in Bida, Nigeria

Background: Abnormalities of the male external genitalia and groin, a set of lesions which may be congenital or acquired, are rather obscured to many kids and their parents and Nigerian health care system has no formal program to detect them.Objectives: To identify and determine the prevalence of abnormalities of external genitalia and groin among primary school boys in Bida, Nigeria.Methods: This was a cross-sectional study of primary school male pupils in Bida. A detailed clinical examination of the external genitalia and groin was performed on them.Results: Abnormalities were detected in 240 (36.20%) of the 663 boys, with 35 (5.28%) having more than one abnormality. The three most prevalent abnormalities were penile chordee (37, 5.58%), excessive removal of penile skin (37, 5.58%) and retractile testis (34, 5.13%). The prevalence of complications of circumcision was 15.40% and included excessive residual foreskin, excessive removal of skin, skin bridges and meatal stenosis. Undescended testes were seen in 6 (0.90%) boys, with median age of 9 years and 2 were bilateral. Also, micropenis was detected in 27 (4.07%) of the pupils.Conclusion: Inguino-penoscrotal abnormalities are common in our community (36.20%). Screening of pre-school and school children to  detect them should be introduced into the school health programs in Nigeria.Keywords: External genitalia, groin abnormalities, boy

Biochemical conversion of fruit rind of Telfairia occidentalis (fluted pumpkin) and poultry manure

Environmental pollution by solid wastes and inadequate energy supply are some of the major challenges facing the developing world. This study evaluated the potentials of Fluted pumpkin fruit rind and poultry manure for biogas generation. Mechanical and thermo-alkaline pre-treatments were applied to two samples labeled ‘O’ and ‘P’ while the third sample (Q) had no thermo-alkaline treatment. The physicochemical characteristics of the substrates revealed richness in nutrients and mineral elements. The results showed that use of a combination of pre-treatment methods enhanced the biogas yield in the pre-treated substrates. Analysis of the gas composition showed 66.5 ± 2.5% Methane, 25 ± 1% Carbon dioxide; 58.5 ± 2.5% Methane, 26 ± 1% Carbon dioxide; 54.5 ± 1.5% Methane, 28 ± 2% Carbon dioxide for the three experiments, respectively. All the obtained values show the models had a high predictive ability. The substrates should be further used for energy generatio

Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria

Abstract: Antimicrobial resistance (AMR) is a global health concern and the inappropriate use of antibiotics in animals and humans are considered contributing factors. A cross-sectional survey to assess the knowledge, attitudes and practices of veterinarians regarding AMR and antimicrobial stewardship was conducted in Nigeria. A total of 241 respondents completed an online survey. Only 21% of respondents correctly defined the term antimicrobial stewardship and 59.8% were unaware of the guidelines provided by the Nigeria AMR National Action Plan. Over half (51%) of respondents indicated that prophylactic antibiotic use was appropriate when farm biosecurity was poor. Only 20% of the respondents conducted antimicrobial susceptibility testing (AST) frequently, and the unavailability of veterinary laboratory services (82%) and the owner’s inability to pay (72%) were reported as key barriers to conducting AST. The study findings suggest a focus on the following areas of potential intervention may be useful in improving appropriate antibiotic use and antimicrobial stewardship among veterinarians in Nigeria: increased awareness of responsible antimicrobial use among practicing and new graduated veterinarians, increased dissemination of regularly updated antibiotic use guidelines, increased understanding of the role of good biosecurity and vaccination practices in disease prevention, and increased provision of AST at affordable costs