Can a profession exist without research?

Radiography combines science, technology and patient care to provide an essential role in medical diagnosis and treatment. The term ‘profession’ has existed in the Oxford English Dictionary from the 15th century and argues that a profession is an occupation where professional knowledge is applied by someone who has undertaken prolonged training and obtained a formal qualification (Oxford English Dictionary Online; 2007). For most of history, professions have based their practices on expertise derived from experience passed down in the form of tradition. Even in health care, many practices have still not been justified by evidence and as such there are areas of uncertainty.peer-reviewe

Use of Service-Wide-Vote (Contingency Budget) for National Development: Evidence from Federal Ministries, Departments And Agencies in Nigeria

This paper examines the use of service-wide-vote (Nigeria’s contingency budget) for national development. Documentary pieces of evidence have shown that the Federal government of Nigeria through its MDAs has grossly short-changed Nigerians through the year-in-year-out mismanagement of the service-wide-vote. The objective of this study is therefore, to evaluate the extent to which Federal MDAs in Nigeria have been able to use the service-wide-vote to achieve national developmental objectives. To what extent has the service-wide-vote been used to develop the Nigerian Nation? In order to provide an answer to the foregoing question, primary sources, scholarly journals and reputable online and library sources were used to obtain research materials.  The study revealed that federal MDAs and even the EFCC abused the service-wide-vote to the tune of over N4.17 trillion between 2004 and 2018 due to non-compliance with rules governing the use of the vote and this made it difficult for the national developmental objectives of the vote to be achieved. The following recommendations were therefore, suggested by the paper: allocation of 5 percent of the annual budget to service-wide-vote, regular replenishment of releases from the service-wide-vote, obtaining approval from the National Assembly before releasing funds from the vote, roll over of unspent funds, prosecution of corrupt MDA officials and avoiding those sharp practices that will make the use of the service-wide-vote ineffective in achieving national developmental objectives. Keywords: Federal MDAs, National Development and Service-wide-vote DOI: 10.7176/RJFA/10-10-06 Publication date:May 31st 201

PREVALENCE OF HEPATITIS B AND C VIRAL INFECTIONS IN PREGNANT WOMEN ATTENDING ANTENATAL CLINIC IN NNEWI, NIGERIA

Infections due to Hepatitis B and C viruses are significant health problems around the globe, Nigeria inclusive. This study was conducted among 100 pregnant women attending ante natal clinic at NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria to determine the seroprevalence of Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) and to determine whether liver amino transferases can be affected. The blood samples were tested for hepatitis B surface antigen (HBsAg) and Anti-HCV using HBsAg and Anti-HCV one step rapid test strip and furthermore using ELISA technique. Serum alanine aminotransferase (ALT) and serum aspartate aminotransferase (AST) activities were also estimated in all the subjects using Reitman - Frankel method. The results showed that six percent(6%) and one percent (1%) of the 100 blood samples tested positive for HBV and HCV respectively. The mean AST levels for HBsAg negative and positive subjects were 10.55±2.36 and 12.17±2.23 respectively while the mean ALT levels were 5.54±1.94and 8.00±3.10 respectively. The mean AST for anti-HCV negative and positive subjects were 10.67±2.38 and 9.00±0.00 respectively while the ALT were 5.71±2.09 and 4.00±0.00 respectively There was significant increase in the levels of ALT between the HBsAg positive and negative pregnant subjects (P<0.05). HBV and HCV infection can be present in pregnant women and can alter liver amino transferases. Therefore testing for HBsAg and Anti-HCV is recommended for all pregnant women at first prenatal and postnatal visit so that HBsAg and HCV positive mothers will receive prompt intervention

Real time sonography as an anatomy teaching aid in undergraduate radiography institutions in Northern Nigeria

Background: Real-time ultrasound scanning is increasing in popularity as a teaching tool for human anatomy because it is non-invasive, offers real-time 3-D anatomy and is cheaper than dissections.Objectives: To assess real-time ultrasound scanning as a teaching method of human anatomy, and to determine what teaching methods radiography students consider effective for understanding human anatomy.Materials and methods: One hundred and ten self-administered, structured and pre-tested questionnaires were distributed to Clinical Radiography students (Third, fourth and fifth year)in Northern Nigeria featuring University of Maiduguri and Bayero University Kano. The questionnaire consists of two sections;Demographics and preferred methods of delivery of anatomical information. Participation was voluntary. Comparisons among teaching methods were made using repeated measures ANOVA.Results: A significant difference among the eight delivery methods with 3-D Radiology imaging being as the most preferred method overall (48.17, p<0.0001) and ultrasound the least (32.48, p<0.0001). With Duncan’s multiple Range test, it is clearly shown that 3-D Radiology imaging differ with mean value(5.2522) followed by Computer programs(5.1292), Anatomic models(4.7593), Laboratory videos(4.5815), textbooks(4.5358), animal dissection(4.2568), lectures(3.2568) and finally ultrasound scan (3.6087), (P<0.0001).Conclusion: 3-D Radiology imaging is the most preferred method of delivering anatomical information and ultrasound scanning is the least preferred method.Keywords: Real time sonography, radiography institutions, Northern Nigeria

Real Time Sonography as an anatomy teaching aid in undergraduate radiography institutions in Northern Nigeria

Background: Real-time ultrasound scanning is increasing in popularity as a teaching tool for human anatomy because it is non-invasive, offers real-time 3-D anatomy and is cheaper than dissections. Objectives: To assess real-time ultrasound scanning as a teaching method of human anatomy, and to determine what teaching methods radiography students consider effective for understanding human anatomy. Materials and methods: One hundred and ten self-administered, structured and pre-tested questionnaires were distributed to Clinical Radiography students (Third, fourth and fifth year)in Northern Nigeria featuring University of Maiduguri and Bayero University Kano. The questionnaire consists of two sections;Demographics and preferred methods of delivery of anatomical information. Participation was voluntary. Comparisons among teaching methods were made using repeated measures ANOVA. Results: A significant difference among the eight delivery methods with 3-D Radiology imaging being as the most preferred method overall (48.17, p<0.0001) and ultrasound the least (32.48, p<0.0001). With Duncan\u2019s multiple Range test, it is clearly shown that 3-D Radiology imaging differ with mean value(5.2522) followed by Computer programs(5.1292), Anatomic models(4.7593), Laboratory videos(4.5815), textbooks(4.5358), animal dissection(4.2568), lectures(3.2568) and finally ultrasound scan (3.6087), (P<0.0001). Conclusion: 3-D Radiology imaging is the most preferred method of delivering anatomical information and ultrasound scanning is the least preferred method. DOI: https://dx.doi.org/10.4314/ahs.v19i2.54 Cite as: Umar MS, Zira JD, Ogenyi PA, Njokwu G, Malgwi FD, Silas MA, Laushongo SS. Real time sonography as an anatomy teaching aid in undergraduate radiography institutions in northern Nigeria. Afri Health Sci.2019;19(2): 2282-2289. https://dx.doi.org/10.4314/ahs.v19i2.5

Hunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africa

International audienceAdherence levels in Africa have been found to be better than those in the US. However around one out of four ART users fail to achieve optimal adherence, risking drug resistance and negative treatment outcomes. A high demand for 2nd line treatments (currently ten times more expensive than 1st line ART) undermines the sustainability of African ART programs. There is an urgent need to identify context-specific constraints to adherence and implement interventions to address them. We used rapid appraisals (involving mainly qualitative methods) to find out why and when people do not adhere to ART in Uganda, Tanzania and Botswana. Multidisciplinary teams of researchers and local health professionals conducted the studies, involving a total of 54 semi-structured interviews with health workers, 73 semi-structured interviews with ART users and other key informants, 34 focus group discussions, and 218 exit interviews with ART users. All the facilities studied in Botswana, Tanzania and Uganda provide ARVs free of charge, but ART users report other related costs (e.g. transport expenditures, registration and user fees at the private health facilities, and lost wages due to long waiting times) as main obstacles to optimal adherence. Side effects and hunger in the initial treatment phase are an added concern. We further found that ART users find it hard to take their drugs when they are among people to whom they have not disclosed their HIV status, such as co-workers and friends. The research teams recommend that (i) health care workers inform patients better about adverse effects; (ii) ART programmes provide transport and food support to patients who are too poor to pay; (iii) recurrent costs to users be reduced by providing three-months, rather than the one-month refills once optimal adherence levels have been achieved; and (iv) pharmacists play an important role in this follow-up care

Short communication: Comparison between body weigth and prices of ewes in Zaria area.

A total of 83 non-pregnant Yankasa ewes were weighed in five markets located in and around Zaria, Ahmadu Bello University (ABU) with the aim of determining the mean body weight, price per head and price per kg of liveweight. Ewes sold in ABU farm had the highest liveweight of 44.56±2.58kg, while those sold in Kano road market were the lighest with liveweight of 37.72±1.07kg. Ewe sold in Zaria City market at the price of N4716.56±272.Z2 per head were most expensive. The cheapest ewes were sold for N4,121.82±160.25 in Kano road market. The most expensive price of ewes per kg was N109.04±1.97, in Sbika market; while the cheapest price per kg was, N104.40±2.27, in ABU farm. Prices of ewes per head and kg were not different (P > 0.05) from one another, except for Kano road market where the price per head was signincantly lower than than of Shika market. It was concluded that ewes were heaviest and their price per kg live-weight was cheapest in the market of ABU farm, where the management was apparently the best of all the five locations and the cost or production the lowest.Key words: Ewes, body weight, pric

Antihyperglycemic effect of turmeric aqueous root extract and morphological changes in the pancreas of alloxan-induced hyperglycemic Wistar rats

Introduction: The study aims to evaluate the anti-hyperglycaemic effect of turmeric and the histological changes in the pancreas of adult Wistar rats. Materials and Methods: Forty adult Wistar rats were divided into four groups of [A-D] ten rats per group. Group A was normal control, group B was diabetic control, group C was treated with 300mg/kg weight of extract and group D was 500mg/kg body weight. All animals had access to food and water ad libitum.  Aqueous extract of turmeric was administered orally, once daily for 14 days. The rats were then anaesthetized with dichloromethane before sacrifice and sample collection. Pancreatic tissues were processed, stained using the hematoxylin and eosin (H&E) method. Blood glucose estimation was determined using the glucose oxidase method. Results: The mean body weights of the rats across groups were not statistically significant. Similarly, blood glucose levels across groups revealed a progressive statistically significant increase from group A to D and from day one to day 17. Pairwise comparison of group A with B, C and D showed a statistically significant increase but a comparison of Group B with C and D were not significant. Discussion: There was progressive body weight increase of the rats from day one to the final day across all groups and reduction in the blood glucose levels of the animals treated with 300mg/kg and 500mg/kg body weights, after seven days of treatment, but these, progressively increased with time even with treatment. The overall pancreas features indicate moderate inflammatory changes. Keywords: turmeric, anti- hyperglycemia, alloxan, Wistar rat