Hospital services for ill patients in the middle-belt geopolitical zone, Nigeria: Patient’s waiting time and level of satisfaction

An important parameter in the assessment of quality healthcare lies on patient satisfaction. Despite concerted efforts to improve health care services, patient satisfaction couple with the quality of hospital care at disposal remains a significant challenge in Nigeria. The purpose of the study was to determine the perception on factors associated with prolonged waiting time and patient satisfaction at the outpatient department of Ibrahim Badamasi Babangida Specialist Hospital in Nigeria. A mixed method research was utilised. Questionnaire was administered on 95 outpatients along with a focus group discussion (FGD) was held with 8 participants. Statistical analysis was utilized to determine the association between dependent and independent variables. Data from focus group discussion was analysed with NVivo 10. The overall hospital satisfaction was found to be 75.8% among the study population. There was a significant inverse relationship between the level of satisfaction with the doctor and (employment status, and educational level) and direct relationship with (appointment status and type of visits). In FDG, the result shows that patients were satisfied with the neatness of the hospital, doctor’s professionalism and patient-doctor relationship. Dissatisfaction was with extended patient waiting time and the small size infrastructure of the hospital, inefficient handling of patient files by nurse aids and thoroughness of the physicians. The results showed that majority of the patients were dissatisfied with the waiting time for consultation in the hospital. In other words, consultation time positively correlated with the level of patient satisfaction. To improve the overall patient satisfaction the waiting time for consultation should be reduced significantly

Clinical significance of Q-TC interval in children with sleep-disordered breathing

Aim: We investigated the usefulness of ECG (Q-Tc interval) in determining the optional treatment modality for pediatric Sleep disordered breathing (SDB). METHOD: Fifty-six children presenting with snoring and associated symptoms of obstructive SDB had adenotonsillectomy (A&T) as an optional treatment modality. All studied children had ECG as routine preoperative evaluation in the absence of polysomnographic facilities. At 12 weeks post-adenotonsillectomy ECG was repeated. A Q-Tc interval = or >0.43 was regarded as prolonged. Duration of study was 4 years (September 2002 to August 2006). RESULTS: There was disappearance of symptoms in 98.21 % of children by the second week following A&T. At 12 weeks post-A&T only 26 (46.42%) of patients were available for ECG re-evaluation. Mean pre-op versus post-op Q-Tc was 0.4482 and 0.3932 (t -5.484, df 25, p=0.000.) while mean heart rate was 106.15 and 105.19 (t -.179, df 25, p=0.859.). Adenotonsillectomy resulted in a reversal of prolonged Q-Tc to within the normal range. Five (19.23%) of the children with normal Q-Tc 0.39, 0.41, 0.40, 0.41 and 0.35 preoperatively assumed even lower values post operatively (0.37, 0.40, 0.39, 0.406 and 0.32 respectively). There was no statistical correlation between heart rates and Q-Tc intervals in the pre and post adenotonsillectomy patients. (Pearson correlation; -.058, P = 0.389 and -.266, p = .095 respectively). CONCLUSION: Prolonged Q-Tc interval can be a reasonable pointer to the severity of SDB and its correction is an objective assessment of adenotonsillectomy as an effective treatment option for childhood SDB. Global Journal of Mathematical Sciences Vol. 6 (1) 2007: pp. 41-4

Pirate Towns: Reworking Social and Symbolic Infrastructures in Johannesburg and Douala

Through examinations of inner-city street economies in Johannesburg and mechanisms of emigration and political resistance in the Bapenda Omnisport and Mouchouchou quarters of Douala, the paper attempts to explore how notions of piracy might usefully elucidate the everyday practices of African urban residents attempting to operate more resourcefully in underresourced cities. Rather than being rooted in clearly defined familial, territorial and institutional relationships, residents increasingly seek out and manage a wide diversity of engagements within the city without long-term or clearly defined commitments. The key to realising movement within and among cities is to multiply the uses that can be made of resources of all kinds and this means the ability to put together different combinations of people with different skills, perspectives, linkages, identities and aspirations. Such complex and not easily identifiable forms of social organisation constitute a kind of perceptual system, a way of seeing that leads individuals and groups to put objects and experiences to many, otherwise unanticipated uses