Morphinofobia: the situation among the general population and health care professionals in North-Eastern Portugal

<p>Abstract</p> <p>Background</p> <p>Morphinofobia among the general population (GP) and among health care professionals (HP) is not without danger for the patients: it may lead to the inappropriate management of debilitating pain. The aim of our study was to explore among GP and HP the representation and attitudes concerning the use of morphine in health care.</p> <p>Methods</p> <p>A cross-sectional study was done among 412 HP (physicians and nurses) of the 4 hospitals and 10 community health centers of Beira Interior (Portugal)and among 193 persons of the GP randomly selected in public places. Opinions were collected through a translated self-administered questionnaire.</p> <p>Results</p> <p>A significant difference of opinion exists among GP and HP about the use of morphine. The word morphine first suggests drug to GP (36,2%) and analgesia to HP (32,9%.). The reasons for not using morphine most frequently cited are: for GP morphine use means advanced disease (56%), risk of addiction (50%), legal requirements (49,7%); for HP it means legal risks (56,3%) and adverse side effects of morphine such as somnolence - sedation (30,5%) The socio-demographic situation was correlated with the opinions about the use of morphine.</p> <p>Conclusions</p> <p>False beliefs about the use of morphine exist among the studied groups. There seems to be a need for developing information campaigns on pain management and the use of morphine targeting. Better training and more information of HP might also be needed.</p

Effects of Organic And Inorganic Manures on The Yield Of Yam Tubers In Termite Infested Soils

A study on the effects of different organic and inorganic manures on the yield of yam tubers in termite infested soil of Owerri Imo State, South Eastern Nigeria was carried out at the Teaching and Research Farm of the Federal University of Technology, Owerri in 2004 and 2005 cropping seasons respectively. The soil was naturally infested with three types of termite genera, namely: Microtermes, Ancistrotermes and Macrotermes. The variety of yam used was Dioscorea rotundata (white yam) cultivar (cv.) Obioaturugo, planted in May 2004 and 2005 respectively. The experiments were laid out in a randomized complete block design (RCBD) with three replications. The treatments were poultry manure at 1.5 tons ha-1 (PMI) and at 3.0 tons ha -1 (PM2), pig slurry at 1.5 tons ha-1 (PS1) and at 3.0 tons ha-1 (PS2), municipal waste at 1.5 tons ha-1 (MW1) and at 3.0 tons ha-1 (MW2), NPK 15:15:15, NPKMg 12:12:17:2, NPK 20:10:10 each at 400kgha-1 and control (no manuring). Result showed that highest fresh tuber yield was recorded in plots where NPK 15:15:15 and NPK Mg 12:12:17:12 were applied in both years while the least was in control plots. Also in both years of the experiment, plots treated with organic manures generally gave lower fresh tuber yield than inorganic but showed marked reduction in termite damage especially with municipal wastes when compared with other treatments. Similarly, plots treated with organic manures gave higher soil pH after tuber harvest than inorganic manures. Keywords: inorganic manure, organic manure, termites, and tuber yield. International Journal of Agriculture and Development Vol. 9 2007: pp. 66-7

Influence of Yam /Cassava Based Intercropping Systems

Abstract: The research showed that intercropping significantly suppressed weeds, reduced pest/disease infestation and thereby can play a leading role in integrated pest management. However, no pests and diseases were observed in all plots at 4WAP while low incidence of termite and stem borers were observed at 8 and 12 WAP respectively. Although, there were heavy weed weights at 4 and 8 WAP, indicating weed troublesome nature and how it constitutes a major limiting factor to food production if not checked. Early canopy cover shading the land area on stakes and fast spread of the landrace legumes covering the ground reduced weed incidence at 12 WAP and beyond while timely weeding also reduced weed and host for pest and diseases syndrome prevalent in unweeded farms in rainforest zones

Petromin: the slow death of statist oil development in Saudi Arabia

The paper recounts the history of Saudi Arabia's first national oil company, Petromin, which was originally supposed to take the place of foreign-owned Aramco. As a result of Petromin's inefficiency and personal rivalries among the Saudi elite, however, Petromin was progressively relegated to the sidelines in favour of a gradually 'Saudiised' Aramco. As a result, the organisation of the Saudi oil sector today is very different from - and more efficient than - that of most other oil exporters in the developing world. The paper concludes with a tentative taxonomy of national oil companies, based on the circumstances of nationalisation

Quality and outcomes of maternal and perinatal care for 76,563 pregnancies reported in a nationwide network of Nigerian referral-level hospitals.

Background: The WHO in collaboration with the Nigeria Federal Ministry of Health, established a nationwide electronic data platform across referral-level hospitals. We report the burden of maternal, foetal and neonatal complications and quality and outcomes of care during the first year. Methods: Data were analysed from 76,563 women who were admitted for delivery or on account of complications within 42 days of delivery or termination of pregnancy from September 2019 to August 2020 across the 54 hospitals included in the Maternal and Perinatal Database for Quality, Equity and Dignity programme. Findings: Participating hospitals reported 69,055 live births, 4,498 stillbirths and 1,090 early neonatal deaths. 44,614 women (58·3%) had at least one pregnancy complication, out of which 6,618 women (8·6%) met our criteria for potentially life-threatening complications, and 940 women (1·2%) died. Leading causes of maternal death were eclampsia (n = 187,20·6%), postpartum haemorrhage (PPH) (n = 103,11·4%), and sepsis (n = 99,10·8%). Antepartum hypoxia (n = 1455,31·1%) and acute intrapartum events (n = 913,19·6%) were the leading causes of perinatal death. Predictors of maternal and perinatal death were similar: low maternal education, lack of antenatal care, referral from other facility, previous caesarean section, latent-phase labour admission, operative vaginal birth, non-use of a labour monitoring tool, no labour companion, and non-use of uterotonic for PPH prevention. Interpretation: This nationwide programme for routine data aggregation shows that maternal and perinatal mortality reduction strategies in Nigeria require a multisectoral approach. Several lives could be saved in the short term by addressing key predictors of death, including gaps in the coverage of internationally recommended interventions such as companionship in labour and use of labour monitoring tool. Funding: This work was funded by MSD for Mothers; and UNDP/UNFPA/ UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a co-sponsored programme executed by the World Health Organization (WHO)