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Biomedical subjects

S O Daniel

Publications and source records attributed to S O Daniel.

13 recordsLinked to original sources

Acute diarrhoeal disease in Nigeria: detection of enteropathogens in a rural sub-Saharan population.

A retrospective study was carried out to obtain epidemiological data concerning the relative risk of Shigella, Salmonella, Campylobacter jejuni and Vibrio cholerae infection in several rural population groups. Faecal samples (rectal swab specimens) were cultured from 914 selected children with acute diarrhoeal disease and from a matched control group of 984 non-diarrhoeal children. Shigella were more frequently isolated than the other enteropathogens from both the diarrhoeal (12.7%) and control children (6.6%). S. flexneri was the predominant species; S. sonnei and V. cholerae were not detected. Salmonella was isolated from 19 diarrhoeal (2.1%) and 16 control children (1.6%). C. jejuni was obtained from 34 diarrhoeal (3.7%) and 6 control children (0.6%). Most Shigella isolates were obtained during the peak agricultural periods (March/April and August/September) and from diarrhoeal children 0-5 months and 3-5 years of age. The highest infection rates with Salmonella and C. jejuni were observed during February and August, in diarrhoeal children aged 0-5 months and 6-11 months of age respectively. Up to 6 months of age, infection rates with Shigella, Salmonella and C. jejuni were markedly higher in bottle-fed than in breast-fed infants.

Acute Disease↗

Traditional medicine and the modern medical curriculum.

Experience in Sokoto suggests that traditional medicine can be successfully introduced as a distinct academic discipline into the curriculum of a modern African medical school. The importance of such a step lies in two facts. Firstly, for the foreseeable future most people in developing countries will turn to traditional medicine at times of sickness, so modern doctors should be acquainted with its principles and methods. Secondly, within traditional medicine there is a body of important knowledge that needs to be explored and studied. If exposed early and gradually to the subject, medical students are likely to become more effective both as health workers and as contributors to medical science.

Curriculum↗

An epidemiological study of rheumatic fever and rheumatic heart disease in Lagos.

In Lagos 12 755 schoolchildren aged between six and 12 years were screened for evidence of rheumatic heart disease and showed a prevalence rate of 0.03%. Group C (27.7%) and group G (47.3%) predominated in the throat and in cases of pharyngitis, while group A predominated on the skin. Two hundred and sixty-six cases of pharyngitis were recorded, 70 (26.4%) were positive for beta-haemolytic streptococci. Half of the cases of streptococci while 28.2% and 21.1% were caused by groups C and G respectively. A diversity of serotypes of group A streptococci, which included types 49 and 55, and C and G streptococci were isolated from impetiginous skin lesions. The main point of interest is the association of group C and G streptococci with sore throat and skin infections. The pathogenicity of C and G in such circumstances merits further investigation. The present study also showed that prophylactic benzathine penicillin (Penadur) given to patients with rheumatic heart disease or rheumatic fever had been effective with no recurrent attack of acute rheumatic fever.

Child↗

An epidemiology of physical conditions of destitutes (beggars) in Lagos.

This paper attempts to classify the destitutes (beggars) in Lagos by their physical handicaps (deformities) in order to provide necessary baseline data in planning for their effective rehabilitation. The study was carried out on 183 destitutes in Gbagada camp in Lagos. 121 (66.1%) destitutes had physical handicaps. The limbs were the most frequently affected parts (55.1%) followed by eyes (45.4%). About a third of those disabled had congenital deformities which were not treated in any hospital and another third acquired their disability through illness (e.g. common preventable communicable diseases). 105 (86.8%) of the disabled could benefit from training for vocational employment. The need for a free medical sevice and rehabilitation of the disabled destitutes in Lagos is highlighted.

Blindness↗

Social studies of destitutes (beggars) in Nigeria: Lagos experience.

A study of 183 beggars and destitutes in Lagos is presented. Their mean age was 36.3 years; and there was a preponderance of male over female. Majority of the beggars were Hausa and their religion was Muslim. Seventy-three (51.8%) of the beggars and destitutes attended Arabic (Koranic) schools only while 53 (37.6%) had no schooling at all. There was a statistically significant difference between the educational attainment of males and females (p less than 0.001). Monogamous marriage was popular among the beggars even though their religion (Islam) permitted polygamous one. The number of children was two per beggar which was minimal compared with the large families reported among beggars in Zaria. Child wastage was common among these children maybe because of their parents' ignorance, poverty and disease. The urgent establishment of a National Rehabilitation Centre, among other measures, is recommended as a lasting solution to the problem of begging and destitution in Lagos.

Adolescent↗

Characteristics of VVF patients as seen at the specialist hospital Sokoto, Nigeria.

This paper is a preliminary report of a longitudinal study of VVF patients seen at the specialist hospital Sokoto, Nigeria. Thirty-one (31) patients admitted into the VVF ward during the period, May 1996 to April 1997 were studied. The patients were mainly Hausa/Fulani Muslims (100%), short-statured (mean height, 149 cm), full-time house wives (100%) and were married at the mean age of 13 years. Only 6% of the patients could read or write in English while 81% had Quranic school education only. 60% of the women live in rural communities which lacked, or remotely located to appropriate health care services. Most of the cases developed the disease at the mean age of 15 years. Majority of the cases (77%) did not receive antenatal care while the mean duration of labour for all the patients was 4 days. 84% of the patients were eventually referred to hospital for delivery. Pregnancy wastage rate was 87%. Averagely, twenty-six, (84%) of the patients have had 3 surgical repairs done. Divorce rate following the occurrence of the disease was 55%. Our recommendations include: the integration of maternal and child health (MCH) education in the curriculum of Quranic schools, and advocacy for free antenatal care and delivery services at the primary and secondary levels of health care, special health education programs on maternal health for religious leaders, training of more personnel, and bringing MCH services closer to the grassroots.

Adolescent↗