Annals of Tropical Medicine and Public Health
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   2015| January-February  | Volume 8 | Issue 1  
    Online since May 8, 2015

 
 
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ORIGINAL ARTICLE
Factors militating against effective implementation of primary health care (PHC) system in Nigeria
Josephat M Chinawa
January-February 2015, 8(1):5-9
DOI:10.4103/1755-6783.156701  
Objectives: This study aimed to evaluate the factors that militate against effective implementation of a primary health care (PHC) system in Nigeria. Materials and Methods: The study was conducted at four selected PHC centers in Enugu State from November 2014 to January 2015. The primary health center was chosen by systemic sampling from about eight primary health centers in Enugu metropolis. The sixteen-item questionnaire was elaborated with the Likert scale. Data retrieved were collected with the aid of a structured study pro forma and analyzed using SPSS Version 18. Results: A total of 169 health workers were recruited from four primary health centers. The mean age of all participants was 38.42 years standard deviation (SD) = 9.8, while the male: Female ratio was 2:1. Among the subjects, 59% were aged 30-39 years. Existing equipment and manpower on one hand and job security and salary on the other hand are negative factors in the implementation of PHC; the respondents believed that adequate supply of gloves, needles, bandages, good access to drugs and medications, a good cold chain system, and full implementation of immunization programs all exist in PHC centers. Adequate community participation, culture and religion, access to safe and clean water, and steady electricity, on the other hand, are nonexistent in the PHC centers in the study. Conclusions: The PHC centers studied showed that much remains to be desired, especially in terms of manpower, communication, and the remuneration of health workers.
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CASE REPORTS
Bilateral extensive tubercular iliopsoas abscess: An uncommon manifestation of Pott's spine
Kartikeya Sharma, Suhani , Shadan Ali, Lalit Aggarwal, Shaji Thomas
January-February 2015, 8(1):10-12
DOI:10.4103/1755-6783.156705  
Bilateral iliopsoas abscess is an uncommon presentation of Pott's spine. We recently cared for a young, immunocompetent male who presented with a right paravertebral swelling. He had been on antitubercular therapy (ATT) for 6 months for pulmonary tuberculosis. On computerized tomography (CT), the patient was found to have Pott's spine as the primary pathology with extensive iliopsoas abscesses bilaterally. The aspirate from the swelling grew Mycobacterium tuberculosis, which was resistant to isoniazid and rifampicin. He was then started on appropriate drugs according to sensitivity reports. Our patient was a rare case of a young, immunocompetent male who presented with large bilateral psoas involvement due to Pott's spine. This was not associated with any neurological deficit. The organisms were multidrug-resistant, even though the pulmonary lesions had resolved after being on ATT for 6 months. To conclude, for any tubercular patient presenting with paravertebral abscess or back pain, Pott's spine should be considered among the differential diagnoses, especially in endemic regions. Tubercular culture and sensitivity should be done in all such cases due to the widespread prevalence of drug-resistant forms.
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ORIGINAL RESEARCH ARTICLE
A study of the relationship between the observation of fever symptoms and parasitemia among children in the Federal Capital Territory, Nigeria
Adebola Onanuga, Oluwatoyin A Igbeneghu, Adebayo Lamikanra
January-February 2015, 8(1):1-4
DOI:10.4103/1755-6783.156668  
Background: Fever is usually associated with malaria parasitemia, and it is recommended that febrile children below the age of 5 years be treated with antimalarials. This study was undertaken to obtain information concerning the relationship between fever and the prevalence of malaria parasitemia among Nigerian children. Materials and Methods: Blood specimens from deep finger pricks of 730 children aged 0-2 years were examined for parasitemia using the Field's stain method, and the axillary temperature of each subject was measured. Results: Malaria parasites were observed in 26.1% of the afebrile children and 40.6%, a statistically significant difference, in febrile children. Furthermore, 59.2% of the febrile subjects had no detectable malaria parasites in their blood. Conclusions: Fever is not always indicative of parasitemia, and subjects with asymptomatic infection must be regarded as a significant reservoir of transmissible malaria parasites within the study environment.
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CASE REPORTS
Human ocular thelaziasis: A case report from Manipur, India
Rajkumar Manojkumar Singh, Huidrom Lokhendro Singh, Preeti Gurumayum, RK Gambhir Singh
January-February 2015, 8(1):13-15
This is a case report of asymptomatic human ocular thelaziasis that was discovered accidentally just before a planned cataract surgery. A 69-year-old farmer from a rural area presented to the outpatient department of Ophthalmology with diminished vision in both the eyes, which was diagnosed as bilateral cataract. On the day of operation of the right eye, after instillation of 4% lignocaine hydrochloride eyedrops, a small, motile, chalky white, translucent worm was removed from the conjunctiva. It was morphologically identified as a female Thelazia callipaeda (T. callipaeda).
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LETTERS TO THE EDITOR
Pulp stones' association with renal stones: "A minute one can help detect a large one"
Archana Bhatia Bains, Sandeep Kumar Bains
January-February 2015, 8(1):19-20
DOI:10.4103/1755-6783.156725  
  1,216 14 -
Local wisdom for cancer prevention: A case study from Dângrêk region
Wasana Kaewla, Viroj Wiwanitkit
January-February 2015, 8(1):16-17
DOI:10.4103/1755-6783.156710  
  737 15 -
T cell epitopes within envelope glycoprotein of Ebola virus: The clue for vaccine development
Viroj Wiwanitkit, Somsri Wiwanitkit
January-February 2015, 8(1):16-16
DOI:10.4103/1755-6783.156709  
  700 13 -
Melatonin treatment for Ebola virus disease
Somsri Wiwanitkit, Viroj Wiwanitkit
January-February 2015, 8(1):19-19
DOI:10.4103/1755-6783.156723  
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Mayaro virus during a dengue outbreak
Sim Sai Tin, Viroj Wiwanitkit
January-February 2015, 8(1):18-18
DOI:10.4103/1755-6783.156720  
  678 14 -
Varicella infection during 6-year period of medical degree study of medical students
Sora Yasri, Viroj Wiwanitkit
January-February 2015, 8(1):17-18
DOI:10.4103/1755-6783.156718  
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