8 research outputs found

    The Socioeconomic Characteristics of The Artisanal Fisherfolks in the Coastal Region of Ondo State, Nigeria.

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    The study was carried out in the coastal region of Ondo –State, Nigeria. A multistage sampling technique was used to select the respondents. Two LGAs, namely, Ilaje and Ese-Odo were purposively selected because they fall within the coastal region of the state. At the second stage, ten towns/villages were randomly selected from each LGA. At the third stage, 20 respondents were also selected from each of the villages/towns, making a total of 400 respondents. Data were collected using well structured questionnaire, interview schedule and Focus Group Discussion (FGD), which were administered on the respondents.  The result of the socioeconomic characteristics of the fisherfolks with respect to age revealed that most of the fisherfolks were within the working age group of 31 – 60 years and this amounted to 68.75% while 84.0% of the fisherfolks were married. The percentage of the male were 67.25% while the female were 32.75%. The household size of (1-5) members recorded the highest (56.75%).  96.25% had one form of education or the other while only 3.5% had no formal education while 90.0% of the fisherfolks had no additional qualification. Most of the fisherfolks were Christians (82.75%), 76.25% took fishing as their major occupation while 48.25% were not involved in any other occupation. The fisherfolks that had fishing experience of (11 – 20) years amounted to be 34.0%.  most of the fisherfolks (43.75%)  got their inputs from the markets and are rightful owners of their inputs. 85% of the fisherfolks made used of dugout canoe to carry out their fishing activities while 60% of the fisherfolks made used of the active methods of fishing. Keywords: socioeconomic, characteristics, artisanal, fisherfolks, coastal regio

    The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications

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    Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. Methods: ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. Results: The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. Conclusions: This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran
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