African health sciences
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African health sciences · Sep 2019
Breastfeeding skills of full-term newborns and associated factors in a low-and-middle-income setting.
Normative information on the breastfeeding of term newborns may guide clinicians in early identification of breastfeeding difficulties and oro-pharyngeal dysphagia (OPD), and may support optimal breastfeeding practices. ⋯ Results may be used for early identification of OPD in newborns. The findings may be useful to primary care clinicians.
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African health sciences · Sep 2019
Mandibular reconstruction with autogenous non-vascularised bone graft.
Reconstruction of mandibular defects can be challenging because an acceptable aesthetic and functional outcome must be achieved simultaneously. ⋯ This study has shown the types of mandibulectomies and reconstruction materials used in our centre.
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African health sciences · Sep 2019
Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates.
A clinical feeding assessment instrument to assist with early identification of oropharyngeal dysphagia (OPD) in neonates was developed. ⋯ The NFAS may be of use to clinicians to support the early identification of OPD in this population, especially in resource constrained settings working without access to MBSS and to reach under served neonates.
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African health sciences · Sep 2019
Observational StudyCorrelation between superficial and intra-operative specimens in diabetic foot infections: results of a cross-sectional Tunisian study.
To determine the correlation between superficial, and intra-operative specimens in diabetic foot infections (DFIs). ⋯ In our study, DFIs were most frequently caused by Enterobacteriaceae and superficial specimens were correlated to intra-operative specimens in only two thirds of cases. Clinicians should emphasize on the systematic practice of intraoperative specimens in all patients with DFIs treated surgically, while well-performed superficial specimens could be useful for prescribing appropriate antibiotic therapy in other patients.
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African health sciences · Sep 2019
Antibiotics prescription pattern and determinants of utilization in the national health insurance scheme at a Tertiary Hospital in Nigeria.
Subsidizing the cost of medicines through insurance schemes increases consumption of medicines and may contribute to irrational use of antibiotics. ⋯ There were poly-pharmacy, and non-adherence to generic antibiotic prescriptions. Penicillins (amoxicillin/clavulanate) were the most commonly prescribed antibiotic class. Being < 5 years old, and taking more than 4 medicines were significant predictors of antibiotics exposure.