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Biomedical subjects

B T Nasah

Publications and source records attributed to B T Nasah.

At least 19 recordsLinked to original sources
PubMed1992

General principles in delegation of maternity functions to community-based health workers.

Following a review of the general principles in delegation of responsibility, the functions to be delegated are presented together with minimal criteria for training to acquire required skills. Problems arising from delegation are reviewed as well as possible solutions which include modification of some standard procedures. It is concluded, drawing from case summaries, that effective delegation needs strong leadership of maternal health teams buttressed with national political, professional, and community support.

Community Health Services↗
PubMed1991

The risk approach for reducing maternal mortality: the Yaounde experience.

A review of the strategy of the risk approach to maternal care in the obstetrics and gynecology services of CUSS over a 12-year period has been reported. By combining antepartum, intrapartum, and postpartum family planning components and by a rational deployment of personnel and restricted resources, the maternal mortality ratio was decreased by up to 60% in one unit and maintained at 0-0.84 per 1000 in the other unit. The package is proposed as a prototype for Africa and the developing world.

Cameroon↗
PubMed1990

Knowledge of and attitudes towards sexually transmitted diseases among secondary school students in Fako District Cameroon.

This study examines the level of knowledge, attitude and practice in matters concerning sexually transmitted diseases (STDs) among secondary school students in Fako-District, Cameroon. A substantial proportion of the respondents are sexually active and doing so with multiple sexual partners. Although 70% of respondents claimed they knew about STDs, not more than 16.1% of them could name any one common STD and give its signs or symptoms. Knowledge about prevention and complications of STDs was equally poor. The school teacher was the principal source of information followed by magazines/books. Among the respondents who had had an STD, only 8% had consulted in an STD clinic, 13.6 and 15.4% respectively to a Doctor and in Hospital, 43% received no treatment and another 19% had gone to chemist shops. The implication of these results together with the needs of the students are discussed.

Adolescent↗
PubMed1989

The outcome of labor at the University Teaching Hospital (CHU), Yaounde, Cameroon.

The University Teaching Hospital, Yaounde, Cameroon became operational in 1982. This retrospective study analyses the performance of the maternity unit during the first 5 years. Data was obtained from casenotes, annual reports, delivery and operation registers. The maternal mortality rate (MMR) is one of the lowest in Africa. The perinatal mortality is low but could be improved upon. The reasons for the low MMR is discussed. It is possible to reduce the appalling MMRs of developing countries without sophisticated technologies.

Adolescent↗
PubMed1989

Blood pressure profiles of a group of African children in the first year of life.

Systolic blood pressure was measured at birth, every week till 6 months, then every month till 12 months in normal Cameroonian neonates in the two Yaounde teaching hospitals. Systolic arterial pressure in awake babies rose from a mean of 65.1 +/- 1.30 mmHg at birth to 80.59 +/- 2.16 mmHg at 6 weeks; 94.39 mmHg at 12 months. The majority of this rise (7 mmHg) took place during the first 2 weeks of life. Systolic blood pressure increased by an average 2.5 mmHg weekly in the first 6 weeks, 0.5 mmHg weekly from 6 weeks to 6 months, and 0.6 mmHg monthly from 6 to 12 months. Relationships between systolic blood pressure and various parameters, and systolic blood pressures trends are analysed. Systolic blood pressure was not influenced by birth weight, sex of children, or tribe of parents. There was a weak correlation between systolic blood pressure and body weight between 6 weeks and 6 months. Systolic blood pressure measurements taken at different ages were not correlated.

Black People↗
PubMed1979

The value of the Partogramme in the management of labor.

The Partogramme was evaluated at the University Center for Health Science or Centre Universitaire des Sciences de la Santé (CUSS) in Yaounde, Cameroon, Africa. A retrospective study of 686 patients and a prospective study of 1045 patients were conducted. With the institution of this program, the perinatal mortality decreased by 10 deaths/1000 births. The use of the "alert" and "action" lines offered accurate and reliable guidelines for early detection of abnormal labor. Two-thirds of the morbidity and mortality and 72% of deliveries with medical or surgical interference occurred in the clinical group where the labor curve crossed the action line. Regional values for functional divisions of labor are provided. The advantages of the Partogramme are discussed.

Cameroon↗
PubMed1978

Vascular lesions in testes associated with male infertility in Cameroon. Possible relationship to parasitic disease.

Testicular biopsies in 40 of 41 infertile males with severe oligospermia in Cameroon presented massive subendothelial "fibrinoid" deposits in the small and medium sized vessels. Fibrinogen, complement and IgM were demonstrated in these deposits by immunofluorescence. Evidence strongly suggestive of parasitic testicular involvement was also observed in 2 cases. It is postulated that the "fibrinoid" deposits are the result of repeated formation and deposition of circulating immune complexes by reaction of antibodies with antigens. These antigens could be of various origins and in the cases described here they could be derived from living or dying parasites in the region. The accumulation and incorporation of the "fibrinoid" deposits may lead to vascular stenosis resulting in chronic ischaemia, tubular atrophy and fibrosis, and finally oligospermia.

Adult↗