OCULOPLASTIC TRAINING AND ITS ROLE IN EYE CARE SERVICES IN A NIGERIA TERTIARY HOSPITAL

ABSTRACT Oculoplasty subspecialty in Ophthalmology was barely 7 years in Nigeria. National statistics show an increased number of cases that should have benefitted from this expertise that is rare. As a result of this deficit, a consultant ophthalmologist was sent to Sankara Nethralaya Eye Hospital, Chennai, India for 3 months oculoplastic training with the help of International Council Ophthalmology (ICO). To evaluate the role of oculoplastic training in eye-service care in our hospital, all patients seen at our oculoplastic unit during the 8 months period from April to November 2017, had information extracted from their medical record. The data obtained was analysed using SPSS version 20. Out of 53 patients seen 30 (56.65) were males and 23 (43.4%) were females. Majority 10 (18.9%) were diagnosed with a traumatic irreparable ruptured globe, while 10 (18.9%) had congenital nasolacrimal duct obstruction. Page 7 of 23 https://mc.manuscriptcentral.com/sljbr Sierra Leone Journal of Biomedical Research Oculoplastic training and its role in eye care services in a Nigeria tertiary hospital for Review Only 2 Thirty-six (67.9%) patients had surgery and 10 (18.9%) were successfully managed with lacrimal sac massage for congenital nasolacrimal duct obstruction in children. Majority 10(18.9%) of the surgery were evisceration with primary ocular implants. One patient with clinically significant orbital floor fracture was referred. Four cases of congenital ptosis declined surgery. This expertise resulted in increased patient turnout by 30% and income to the department, while it saves cost to patients who need not be referred. The skills acquired from oculoplastic training have help in rendering oculoplastic services to the people of Kebbi State and its environs at a reduced cost. Also, there is improved internally generated revenue to the hospital. The importance of skill transfers and subspecialty training is underscored. Keywords: oculoplastic; subspecialty training; Kebbi State; tertiary hospita

Subspecialty training in Ophthalmology; How far?

No Abstract

Pattern of intimate partner violence disclosure among pregnant women attending ante-natal clinic in Oyo East Local Government, Nigeria

Background: Intimate partner violence (IPV) is a significant public health problem. Despite being a phenomenon that occurs globally, few studies have reviewed the issue of intimate partner violence among pregnant women as it relates to disclosure of abuse. This study sets out to determine the prevalence and pattern of disclosure of intimate partner violence among pregnant women attending antenatal clinic in Oyo East Local Government of Oyo State. Methods: A descriptive cross-sectional study among pregnant women aged 18–49 years. A total of 350 pregnant women in the sole secondary health care facility and 3 out of the 18 primary health care facilities randomly selected by balloting were consecutively recruited. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women’s Health and Domestic Violence was used to collect data. Data were analysed with SPSS® version 16. Results: Of 252 (72.0%) women who had been exposed to violence by their partner in pregnancy, 72 (28.6%) disclosed their IPV experience. The experience was disclosed to relatives, friends and religious leaders. Of the 72 that disclosed their IPV experience, 31 (43.1%) reported for the purpose of seeking redress through religious or local leaders, healthcare professionals and law enforcement agencies. Conclusion: Intimate partner violence is common among pregnant women, but a culture of silence still persists, making identification of the exposed difficult. These data may encourage healthcare providers to include screening for IPV in the curriculum of the antenatal care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.127224

Knowledge of morphine use in the management of pain in cancer patients among physicians in a resource-constraint setting

Introduction: The use of morphine is viewed as an integral part of pain management in cancer patients. Theresponsibility for pain treatment lies with physicians. Therefore, this study assessed the knowledge of clinicaluse of morphine in the management of pain in cancer patients among physicians working in KebbiState, Nigeria.Material and method: A self-administered questionnaire was distributed to all the 110 participants inattendance at the Continuing Medical Education meeting organized by the Nigerian Medical Association,Kebbi State Branch. Data were analyzed using SPSS version 20.Result: A total of 95 physicians participated, including 12 consultants (12.6%), 38 registrars (40.0%),35 medical officers (36.8%), and 7 house officers (7.4%). Only 30 respondents (31.6%) had ever receivedprofessional training on pain management or analgesic use. Overall, only 10 (10.5%) respondents hadgood knowledge of pain management in cancer patients and morphine use.Conclusion: Physicians knowledge of pain management in cancer patients and clinical use of morphine ispoor. There is a need to improve active professional analgesic education programs