What is Needed Now is Policy Backup to Actively Integrate Fathers: Insights from Health Workers on Father Support for Exclusive Breastfeeding

Health professionals are important in fostering a mother-infant-father triad towards breastfeeding success.  Therefore, this study explored health workers’ perspectives on father support for exclusive breastfeeding. A qualitative survey using semi-structured interviews was conducted among 11 health workers who were purposefully selected from Ikenne Local Government Area, southwest Nigeria. The participants had over 5 years’ experience in maternal, newborn and child health services delivery. Content was analysed thematically.  The major findings were (1) The health workers aknowledge their new role in the mechanism of enabling fathers to support breastfeeding, but also emphasized the need for health systems support. (2) Thinking outside of a patriarchal community, other forms of paternal social support were emphasized. (3) Community level strategies for active father support for breastfeeding were highlighted.The health workers have been making untailored efforts to involve men in health care. However, there is a need to develop appropriate policies to support the integration of father support programming into the current maternal and child health service delivery. Keywords: Breastfeeding, Breastfeeding support, Father support, Health worker DOI: 10.7176/JHMN/71-10 Publication date: February 29th 202

Beliefs Related to Expectant Father’s Support for Exclusive Breastfeeding in Nigeria

Fathers are an essential element in the social context of breastfeeding. This study identified salient beliefs about expectant fathers’ support for 6 months Exclusive Breastfeeding. A purposive sample of 39 expectant men aged 33.67 ± 7.02 years resident in Ikenne LGA Nigeria participated. An open-ended theory of planned behaviour based questionnaire was used to collect data. Thematic content analysis followed by a frequency count was used to identify the modal salient beliefs. The salient beliefs were 30: twelve behavioral, 12 normative, and 6 control. Behavioural modal beliefs were that support of 6 months exclusive breastfeeding would motivate a brainy (56%), strong (41%) and generally healthy child (38%). Normative modal beliefs were that grandmothers (26%), family (26%) and health workers approve, while friends (21%) disapprove. Control modal beliefs were time (21%) and nature of work (21%). Beliefs influencing expectant fathers support are similar to those influencing mothers breastfeeding decisions. These can be used in the development of father-focused breastfeeding promotion interventions. Keywords: Beliefs, breastfeeding support, breastfeeding promotion, exclusive breastfeeding, fathers Nigeria DOI: 10.7176/JCSD/56-05 Publication date: February 29th 202

Congenital epulis: a report of two cases and review of the literature

Background: Congenital epulis of the newborn is a rare benign soft-tissue tumour of the gingival, which is also called gingival granular cell tumour of the newborn. These slow growing soft tissue tumors affect the gingivae of a new born child. It is essential to document the presentation and the management of this lesion because of its rare nature.Aim: To highlight the clinical presentation, diagnosis and management of the lesion. Methods: Two clinical cases of congenital epulis were used to illustrate the presentation and surgical management of the lesion.Findings: The first clinical case is a one month old female child with a protruding gum tumour on the anterior alveolar process of the mandible. The second case is a one week old male child with a gingival growth on the anterior alveolar process of the mandible. All the tumours were surgically excised under local anaesthesia. Conclusion: Congenital epulis could interfere with the functions of the oral cavity. Therefore, it is imperative to surgically excise it when diagnosed. Following the management of the two cases presented, it is essential that the mouth of all newborns must be examined to rule out any such lesion.Key words: Congenital epulis, gingival, tumour, alveolar process, neonate, surgical excisio

Management of bilateral orbital cellulitis in a 41-year-old man

Orbital cellulitis is the infl ammation of the tissues of the eye behind the orbital septum. The disease is mainly caused by either bacteria or fungal organisms. Orbital cellulitis is an emergency condition that requires prompt hospitalization and appropriate antibiotic cover without which there will be visual loss and even death! It affects all ages but more common with the younger age groups and males are more prone to the disease. It is a unilateral disease commonly but in rare situations both eyes are affected. We report a case of a bilateral disease in a healthy middle-aged man who presented with fevers, diminished vision, eye pains, lid swellings, severe ptosis, axial proptosis and ophthalmoplegia in both eyes. Our impression was that of Class 5 orbital cellulitis according to Chandler’s classifi cation. His laboratory investigations revealed positive growths of Staphylococcus otherwise his laboratory investigations were all normal. He responded well to intravenous cefuroxime and oral ofl axacin and metronidazole with diclofenac and was discharged from hospital within 1 week. We conclude that prompt hospitalization and appropriate intravenous and oral antibiotics can successfully treat this orbital emergency.Keywords: Appropriate antibiotics, bilateral orbital cellulitis, bilateral visual loss, orbital septu

Designing augmentative and alternative communication systems that focus on real-world contexts as well as the motor, cognitive and linguistic processing of autistic children

Undergraduate thesis submitted to the Department of Computer Science, Ashesi University, in partial fulfillment of Bachelor of Science degree in Management Information Systems, April 2019Children with autism spectrum disorder (ASD) require Augmentative and Alternative Communication (AAC) Systems to be able to communicate their feelings, thoughts, and expressions. However, AAC systems are not being developed to focus on the complex communication needs of individuals such as the motor, cognitive , sensory needs of the users of the system. Without a focus on the complex and varying competencies of the users of the system, the technology does not perform its intended role of enhancing communication but rather places a cognitive load on the users. In this project, guidelines, and recommendations for developing a tablet-based AAC application that satisfies the complex needs of autistic children with a different ASD diagnosis would be provided. The study analyzed the user interface of Eline Speaks, a tablet based AAC system and identified the limitations, accessibility and usability issues of the system. Recommendations on developing an accessible AAC system was derived from testing a high fidelity prototype in comparison to that of Eline Speaks, an already existing system.Ashesi Universit

Hypohidrotic (anhidrotic) ectodermal dysplasia in female twins

Autosomal recessive hereditary ectodermal dysplasia (HED) has not been described in sub‑Saharan Africa. It is acknowledged to be rarer than the occasionally reported x‑linked and autosomal dominant variants. We report a pair of Nigerian female twins with family history and clinical features suggestive of recessive HED, thereby showing the existence of this rare form in sub‑Saharan Africa.Keywords: Anhidrotic, dysplasia, ectodermal, female, hypohidroticNigerian Journal of Clinical Practice •Jan-Mar 2012 • Vol 15 • Issue

Evaluation of barriers to the adoption of cargo bikes for package delivery-case study of Finland

The logistics sector contributes significantly to the emission levels accounted for in road transport. The use of cargo bikes as a means of delivery for courier companies has progressively gained attention in the last few years in Europe, as a sustainable means of inner-city courier deliveries. Finland has been relatively slower in its adoption, and presently cargo bikes are not being utilized for parcel deliveries. This study aims to provide insight into the barriers for cargo bike usage for parcel delivery in Finland. It aims to identify barriers peculiar to Finland, as well as highlight barriers from past research as relevant to Finland. The methodological approach draws from the multi-level perspective in mobility transitions. In order to understand the systemic characteristics, expert interviews are conducted with multiple actors from the public and private sectors. Using qualitative content analysis methods iteratively, it is found that the major barriers are linked to the prevalent automobility culture in Finland. Identified factors include a lack of awareness of the utility and technology of cargo bikes, inadequacy of winter maintenance on cycling paths, and the lack of cargo bike considerations in city planning. The relatively small market size of Finland is also identified as a limiting factor in the execution of cargo bike trials which could scale up to adoption. Further studies are suggested on the impact of awareness campaigns and advertising, on increasing the cargo bike niche

Human Capital Development and Macroeconomic Performance in Nigeria: An Autoregressive Distributed Lag (ARDL) Approach

Developed nations continue to invest heavily in the development and training of their human resources. Huge budgetary allocations show it to education and health, yet Nigeria’s human capital development policy has only been effective on paper. This study examined the impact of human capital development on the macroeconomic performance of Nigeria. Using the autoregressive distributed lagged (ARDL) model, this study shows an insignificant negative relationship between human capital development and per capita GDP in the short run. The results also showed that only the tertiary enrolment rate significantly and positively improved per capita GDP within the period under review. The study concluded that the government’s efforts aimed at boosting human capital have been insufficient.JEL Classification: O47, J11, J2

Skills Shift and Organisational Sustainability: Perspectives for the Future of Work

Organisational sustainability becomes a nascent concept in the world of business and in academic community. The insurance industry sustainability is beleaguered with low performance of business process, absence of lean structure, poor organisational creativity and excessive talent poaching; suggestively exacerbated by low demand in skills shift (organisational knowledge, critical thinking skill, problem-solving skill and analytical skill). The article addresses this gap by investigating the effect of skills shift on organisational sustainability of selected insurance firms in Lagos State, Nigeria. Methodologically, cross-sectional survey research design was adopted. The findings showed that skills shift had positive significant effect on organisational sustainability (Adj R2 = 0.704, F(2, 337) = 404.206, p < 0.05). The research concludes that skills shift affects organisational sustainability of the selected Insurance companies in Lagos State, Nigeria. The research highlights the need for insurance business to move towards investing in capabilities, knowledge improvement, enhancing critical thinking skill, problem-solving skill, and analytical skill which are valuable enablers of organisational sustainability. These findings suggest unique implications for chief executives, managers, regulators and policy makers

Myositis Ossificans Circumscripta of the Supra-orbital Region: A Case Report

Myositis ossificans circumscripta is a pathological condition characterized by formation of bony tissue within the skeletal muscles following repeated trauma. A case of myositis ossificans circumscripta of thesupra-orbital region in a 25-year-old man is presented and the pertinent literature is reviewed. To the best our knowledge this benign lesion has not been reported previously in the orbital region the world literature. Clinically the patient presented with a swelling and proptosis of the right eye. Radiologically there was a rounded opacity with well defined margin. Lesion was initially misdiagnosed as a fibroosseous lesion; however microscopic examination indicated matured myositis ossificans. Lesion was excised via a bicoronal flap. Careful clinical, radiological and pathologic evaluation is required to make this uncommon diagnosis in an unusual location such as the supra-orbital region to avoid unnecessary surgical mutilation of the patien