University of Nigeria, Nsukka

About: University of Nigeria, Nsukka is a education organization based out in Nsukka, Nigeria. It is known for research contribution in the topics: Population & Health care. The organization has 10211 authors who have published 13685 publications receiving 138922 citations.

Developing National Cancer Registration in Developing Countries - Case Study of the Nigerian National System of Cancer Registries.

Abstract: The epidemiological transition in sub-Saharan Africa (SSA) has given rise to a concomitant increase in the incidence of non-communicable diseases including cancers. Worldwide, cancer registries have been shown to be critical for the determination of cancer burden, conduct of research, and in the planning and implementation of cancer control measures. Cancer registration though vital is often neglected in SSA owing to competing demands for resources for healthcare. We report the implementation of a system for representative nation-wide cancer registration in Nigeria - the Nigerian National System of Cancer Registries (NSCR). The NSCR coordinates the activities of cancer registries in Nigeria, strengthens existing registries, establishes new registries, complies and analyses data, and makes these freely available to researchers and policy makers. We highlight the key challenges encountered in implementing this strategy and how they were overcome. This report serves as a guide for other low- and middle-income countries (LMIC) wishing to expand cancer registration coverage in their countries and highlights the training, mentoring, scientific and logistic support, and advocacy that are crucial to sustaining cancer registration programs in LMIC.

A survey of the burden of management of chronic suppurative otitis media in a developing Country

Abstract: Background: Although the prevalence of chronic suppurative otitis media (CSOM) is much higher in developing counties, most surgical treatment techniques are not easily accessible in many poor resource countries. Aim: The survey aims to examine the extent to which health care facilities in Nigeria are equipped to address the management challenges of CSOM. Subjects and Methods: Online questionnaires were sent and received from otolaryngologists practicing in across Nigerian public health institutions to evaluate the institutional practice concerning management of CSOM. Information enquired include: Proportion of CSOM among the ear, nose and throat (ENT) patient load, routinely applied treatments and challenges facing availability of standard treatment options. Data were analyzed with Statistical Package for the Social Sciences version 15 (Chicago Illinois, USA), and presented descriptively. Results: Responses were returned from 17 otolaryngologists (68% [17/25]) practicing in institutions across the six geopolitical zones with a mean duration of otolaryngology services of 22.4 (14.8) years. The CSOM patients constitute an average of 25.3% (13.1) of ENT patient load, with an average of 31 (15.3) % having significant hearing loss. Surgery have never been tried in 41% (7/17) of the institutions due to lack of facilities and/or expertise. Among institutions that offer surgery, 40% (4/10) offer only cortical mastoidectomy and only 30% (3/10) offer type 1 tympanoplasty. Achievements of permanent dry ears were reported more in institutions that offer surgery. Unaffordable cost of hearing aid and lack of expertise for tympanoplasty are the major challenging factors for rehabilitation of CSOM induced hearing loss. Conclusion: Considering the enormity of CSOM in Nigeria, and the fact that > 40% (7/17) of the public health institutions still lack facilities and/or expertise for surgical treatments for CSOM, public otolaryngological centers should not only be adequately equipped for tympanomastoid surgeries, attention should be focused on further training of experts in the operative techniques from within and outside the country.

Cervical spondylosis and dysphagia.

Abstract: Spondylosis can lead to dysphagia in the elderly. In these patients pressure of solid food on the osteophytes very probably induces pain and cricopharyngeal spasm, and a transient sharp cut-off is seen in the barium column at fluoroscopy. Three cases are presented and it is suggested that this triad should be looked for in all elderly patients with cervical spondylosis.

Assessment of heavy metal contamination of rice grains (Oryza sativa) and soil from Ada field, Enugu, Nigeria: Estimating the human healtrisk

Abstract: The concentrations of heavy metals in rice grains and soils from Ada cultivated fields were investigated. Rice and soil samples were digested and the heavy metal concentrations determined using atomic absorption spectrophotometer. The results showed the following concentrations of metals (mg/kg): soil—Pb (4.64 ± 2.18), Cd (0.83 ± 0.83), Zn (20.26 ± 18.60), Mn (68.90 ± 19.91), Ni (3.46 ± 2.42), and Cr (21.41 ± 14.6); rice—Pb (3.99 ± 1.43), Cd (1.10 ± 0.53), Zn (65.37 ± 58.09), Mn (37.81 ± 5.82), Ni (3.12 ± 1.49), and Cr (10.87 ± 6.47). The Canadian, Nigerian and Chinese maximum allowable concentration for cadmium in soil were exceeded by 15%, 30%, and 85% of the soil samples, respectively. Heavy metals in all the rice samples evaluated were found to be above the World Health Organization (WHO) maximum permissible limit for lead, cadmium, and chromium. Strong positive and significant correlations were observed between some metal pairs in soil and rice indicating the similarity in origin. The estimat...