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News

Empowering children to stem the tide of the coronavirus in Lagos, Nigeria

To prepare communities to protect themselves from the coronavirus, UNICEF is supporting social mobilization efforts by the Lagos State Government…

PHCs
News

Lack of confidence in PHCs crippling health delivery system –Lawmaker

The Chairman of, the House Committee on Health, Dr. Yusuf Sununu, has said that the lack of confidence in primary health care (PHC) centers by the majority of Nigerians, was crippling an effective delivery of health care services in the country…

S-OF-E-1 (1)
Research & Publication

Nigeria declares state of emergency on maternal and child health

The National Primary Health Care Development Agency has declared a state of Emergency on Maternal and Child Mortality. This was announced by the Executive Director of the agency, Dr. Faisal Shuiab while ….

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Research & Publication

Candida auris, what do paediatricians need to know?

The newly recognised and emerging fungal species, Candida auris, has caused worldwide invasive infections and has been implicated in difficult to control hospital outbreaks. Challenges are encountered in the correct identification of this fungus as commonly used phenotypic

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FMH
Research & Publication

FMH – ACCELERATING ACTION FOR IMPACT: REDUCING MATERNAL, NEWBORN AND CHILD MORTALITY IN NIGERIA

FEDERAL MINISTRY OF HEALTH
ACCELERATING ACTION FOR IMPACT:REDUCING MATERNAL, NEWBORN AND CHILD MORTALITY IN NIGERIA
Action Framework for Reduction of Maternal and Newborn Mortality – NIGER STATE

MAL_0814-small2
Research & Publication

MAJOR CHILD HEALTH FACTSHEET IN SUB-SAHARAN AFRICA

IN SUB-SAHARAN AFRICA

According to WHO Statistics, an estimated 6.3 million children under five died, 2.9 million of them in the WHO African Region. This is equivalent to five children under 5 years of age dying every minute. Two thirds of these deaths can be attributed to preventable causes. 

Research-evidence-practice-trending-in-the-medical-literature-1
Research & Publication

Research evidence practice trending in the medical literature.

  • Clinical practice guideline for management of infantile hemagiomas in :

Pediatrics 2019Jan;143(1).pii : peds. 2018-3475

This guide provides the clinician with required evidence to use propranolol safely.

  • Effect of a low free sugar diet vs Usual Diet on non alcoholic Fatty Liver disease in adolescent Boys: A randomised clinical Trial; in :

JAMA.2019 Jan 22 ; 321(3):256-265

This research’s initial finding offers very important insight into the effect of diet restriction in this population. This though still needs to be validated.

  • Oral versus Intravenous Antibiotics for Bone and Joint infection. In:

N Engl J Med. 2019 Jan31; 380(5):425-436.

In this series, Oral antibiotic use was not inferior to intravenous antibiotics therapy when used during the first 6 weeks for complex orthopaedic infection, as assessed by treatment failure at 1 year. When fully embedded in practice will make a huge impact on the quality of life of patients and also provide huge cost savings. Change in practice however may take time to kick in.

  • Efficacy and safety of EMLA cream for Pain Control Due to Venepuncture in Infants: A meta- analysis. In;

Pediatrics. 2019 Jan; 143(1) pii: peds. 2018-1173

In this meta- analysis, EMLA disd not offer adequate benefit in terms of reduced pain from venepuncture when compared to placebo. Also offered no benefit when compared to Sucrose or breast feeding. It did result in Blanching and raised methemoglobin levels. This should make us think again about its use in these groups of patients.

Child-immunized-3
Research & Publication

4.3 Million Children in Nigeria still miss out on Vaccinations Every Year

Nigeria has made great strides in reducing deaths of under 5-year-old children from 158 to 120 per 1000 births between 2011 and 2016. Yet, during the same period, the coverage of the main vaccines offered through routine immunization has declined.

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Research & Publication

Evidence Alerts

Month’s Most Accessed: We thought you might enjoy reviewing the most interesting articles for the past month, based on the frequency with which subscribers viewed these in detail. The top 10 appear below.

Intensive Glucose Control in Patients with Type 2 Diabetes – 15-Year Follow-up.
N Engl J Med
Antidepressants plus benzodiazepines for adults with major depression.
Cochrane Database Syst Rev
Estimates of all cause mortality and cause specific mortality associated with proton pump inhibitors among US veterans: cohort study.
BMJ
Tagged for: Gastroenterology
Risk of venous and arterial thrombosis in non-surgical patients receiving systemic tranexamic acid: A systematic review and meta-analysis.
Thromb Res
Tagged for: Gastroenterology, Hospital Doctor/Hospitalists
Evaluating the impact of self-monitoring of blood glucose frequencies on glucose control in patients with type 2 diabetes who do not use insulin: A systematic review and meta-analysis.
Int J Clin Pract
XueBiJing Injection Versus Placebo for Critically Ill Patients With Severe Community-Acquired Pneumonia: A Randomized Controlled Trial.
Crit Care Med
Tagged for: Hospital Doctor/Hospitalists
2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.
J Am Coll Cardiol
Hypertonic Saline in Human Sepsis: A Systematic Review of Randomized Controlled Trials.
Anesth Analg
Tagged for: Pediatric Emergency Medicine
Evaluating Effectiveness of Nasal Compression With Tranexamic Acid Compared With Simple Nasal Compression and Merocel Packing: A Randomized Controlled Trial.
Ann Emerg Med
Associations between gabapentinoids and suicidal behaviour, unintentional overdoses, injuries, road traffic incidents, and violent crime: population based cohort study in Sweden.
BMJ
Tagged for: Pediatrics (General)