Niger J Clin Pract
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Comparative Study
Pattern of deaths in medical wards of a rurally situated tertiary health institution, Ido-Ekiti, Nigeria.
To determine the basic demographic patterns and the frequency of medical causes of deaths in medical wards of a tertiary health center located in a rural community of Nigeria. ⋯ The most common cause of deaths in medical wards were non-communicable diseases, worse on the elderly especially males. Stroke and human immunodeficiency virus/acquired immunodeficiency syndrome were the principal contributors to medical mortality.
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Multicenter Study Comparative Study
Audit of medication errors by anesthetists in North Western Nigeria.
Safety issues are an important aspect of anesthesia practice. The relevance of medication and drug administration errors in our everyday practice is an important aspect of medical audit. Although there have been few case reports of drug administration errors by anesthetists, there is paucity of information regarding medication errors in anesthetic practice in Nigeria. We set out to study the incidence of medication errors among anesthesia practitioners in Kaduna State, North Western Nigeria and to suggest ways to minimize such errors. ⋯ Medication errors do occur in the everyday practice of anesthetists in Nigeria as in other countries and can lead to morbidity and mortality in our patients. Routine audit and reporting of critical incidents including errors in drug administration should be encouraged. Reduction of medication errors is an important aspect of patient safety, and vigilance remains the watchword.
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Comparative Study
Prevalence of bacterial vaginosis in pregnant women in Maiduguri, North-Eastern Nigeria.
This study determined the prevalence and socio-demographic characteristics of bacterial vaginosis (BV) among pregnant women with abnormal vaginal discharge. ⋯ The high prevalence of BV in this study may necessitate adequate screening of pregnant women with abnormal vaginal discharge in order to give appropriate treatment and avoid complications associated with it.
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Randomized Controlled Trial
Maternal and neonatal effects of adding morphine to low-dose bupivacaine for epidural labor analgesia.
Labor is one of the most painful experiences a woman may face during her lifetime. One of the most effective methods used for eliminating this pain is epidural analgesia. The aim of this study to determine the impact of adding morphine to low-dose bupivacaine epidural anesthesia on labor and neonatal outcomes, and maternal side effects. ⋯ We believe that epidural analgesia comprised of a low-dose local anaesthetic and 2 mg morphine provides a painless labor that significantly reducesthe use of local anesthetic without changing the efficiency of the analgesic, ensuring the mother's satisfaction without leading to an adverse effect on the mother or foetus, while mildly (but significantly) shortening the second stage of labor.